Analyse des comorbidités chez les patients hospitalisés pour un accident vasculaire cérébral ischémique et leurs influences sur la létalité

Objectives: The aim of the study consists of analyzing the comorbidities of acute ischemic stroke and those influencing its hospital lethality. Methods: We considered patients from Wallonia aged 25 years or more and admitted to a Belgian hospital for an acute ischemic stroke in 2013 and 2014. The analyzed medico-administrative data are taken from the Minimum Hospital Summary. A factorial correspondence analysis (FCA) was used to demonstrate the comorbidities profiles. A logistic regression was used to analyse the comorbidities influencing hospital lethality by ischemic stroke. Results: The str... Mehr ...

Verfasser: Savsin, Muhammet
Dubourg, Dominique
Coppieters, Yves
Collart, Philippe
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Schlagwörter: Cardiologie et circulation / Epidémiologie / Santé publique / Administrative data / Comorbidities / Lethality / Stroke / Wallonia
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29696647
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/296960

Objectives: The aim of the study consists of analyzing the comorbidities of acute ischemic stroke and those influencing its hospital lethality. Methods: We considered patients from Wallonia aged 25 years or more and admitted to a Belgian hospital for an acute ischemic stroke in 2013 and 2014. The analyzed medico-administrative data are taken from the Minimum Hospital Summary. A factorial correspondence analysis (FCA) was used to demonstrate the comorbidities profiles. A logistic regression was used to analyse the comorbidities influencing hospital lethality by ischemic stroke. Results: The stroke risk factors vary according to the age. Cardiac problems are more common in older people aged 85 years or more. High blood pressure, hypercholesterolemia and diabetes are more present between 65- and 84-year-olds. Overweight is more present between 55 and 74-year-olds. People who are addicted to alcohol or tobacco are often 65 years or younger. The logistic regression showed that age and heart problems are the risk factors that increase lethality. However there is a lethality diminution in the presence of high blood pressure, hypercholesterolemia, overweight and addiction to alcohol or tobacco. Conclusion: This study demonstrates that medico-administrative databases and factorial statistical methods are perfectly adapted to confirm the ischemic stroke risk factors. This type of study will allow to target with more precision the secondary and tertiary prevention actions of stroke. ; SCOPUS: ar.j ; info:eu-repo/semantics/published