20.500.12556/DiRROS-29666 Acute ischemic stroke trends in Slovenia, 2015-2022 declining admissions, rising reperfusion, uneven gains ntroduction: We assessed nationwide trends in administratively identified ischaemic stroke admissions, pro- cedures, secondary prevention, and outcomes in Slovenia using linked national datasets in the absence of a dedicated stroke registry. Methods: We conducted a nationwide longitudinal analysis of adult hospital admissions captured in linked administrative databases between 2015 and 2022. We report crude index-admission rates, acute procedures (intravenous thrombolysis [IVT], mechanical thrombectomy [MT], carotid thromboendarterectomy [CEA], ca- rotid artery angioplasty with stenting [CAS]), discharge secondary-prevention prescriptions, and time-to-death analyses with a maximum follow-up of 5 years. Results: We included 16,839 unique index patients (median age 74 years; 54% male). Admissions peaked in 2017 (2169) and crude rates decreased from 105 to 99 per 100,000 residents by 2022. Revascularisation increased (IVT 6.2% to 15%, MT 5.4% to 9.5%, CEA 9.1% to 14%), length of stay decreased, and discharge prevention therapy improved. Five-year mortality was higher with age and comorbidity and lower among patients receiving IVT and several secondary-prevention therapies. Care pathways differed by stroke aetiology; women were older and men underwent more CAS and CEA, while IVT and MT were similar. Conclusion: Crude admissions declined modestly while reperfusion and prevention improved, but the magnitude and pattern of improvement differed by care domain and patient subgroup, supporting continued monitoring and the development of a national stroke registry. Slovenija zdravje bolezni kap zdravljenje trendi true false true Angleški jezik Ni določen Neznano 2026-06-02 15:15:19 2026-06-02 15:15:19 2026-06-03 03:56:40 0000-00-00 00:00:00 2026 0 0 8 str. iss. 7, [article no.] 108668 Vol. 35 Jul. 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.1 1052-3057 10.1016/j.jstrokecerebrovasdis.2026.108668 279993091 RAZ_Furlan_Tjasa_2026.pdf RAZ_Furlan_Tjasa_2026.pdf 1 42DC3C2DC3720A9070F1C31BFD6F32B0 f937f6f84a45765d29cf256aaac0d18ac9dcd82b3cdf8ddd06c643dcbaa61758 66f0402c-5e85-11f1-8e51-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44550 Univerzitetni klinični center Ljubljana 0 0 0