| Title: | Acute ischemic stroke trends in Slovenia, 2015-2022 : declining admissions, rising reperfusion, uneven gains |
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| Authors: | ID Furlan, Tjaša (Author)
ID Jug, Borut (Author)
ID Nograšek, Neža (Author)
ID Gavrić, Dalibor (Author)
ID Pretnar-Oblak, Janja (Author)
ID Došenović Bonča, Petra (Author)
ID Frol, Senta (Author) |
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| Files: |  PDF - Presentation file, download (1,25 MB)
MD5: 42DC3C2DC3720A9070F1C31BFD6F32B0
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | 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. |
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| Keywords: | Slovenija, zdravje, bolezni, kap, zdravljenje, trendi |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2026 |
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| Number of pages: | 8 str. |
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| Numbering: | Vol. 35, iss. 7, [article no.] 108668 |
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| PID: | 20.500.12556/DiRROS-29666  |
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| UDC: | 616.1 |
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| ISSN on article: | 1052-3057 |
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| DOI: | 10.1016/j.jstrokecerebrovasdis.2026.108668 |
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| COBISS.SI-ID: | 279993091 |
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| Publication date in DiRROS: | 02.06.2026 |
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| Views: | 24 |
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| Downloads: | 9 |
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