| Naslov: | Acute ischemic stroke trends in Slovenia, 2015-2022 : declining admissions, rising reperfusion, uneven gains |
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| Avtorji: | ID Furlan, Tjaša (Avtor)
ID Jug, Borut (Avtor)
ID Nograšek, Neža (Avtor)
ID Gavrić, Dalibor (Avtor)
ID Pretnar-Oblak, Janja (Avtor)
ID Došenović Bonča, Petra (Avtor)
ID Frol, Senta (Avtor) |
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| Datoteke: |  PDF - Predstavitvena datoteka, prenos (1,25 MB)
MD5: 42DC3C2DC3720A9070F1C31BFD6F32B0
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| Jezik: | Angleški jezik |
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| Tipologija: | 1.01 - Izvirni znanstveni članek |
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| Organizacija: |  UKC LJ - Univerzitetni klinični center Ljubljana
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| Povzetek: | 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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| Ključne besede: | Slovenija, zdravje, bolezni, kap, zdravljenje, trendi |
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| Status publikacije: | Objavljeno |
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| Verzija publikacije: | Objavljena publikacija |
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| Leto izida: | 2026 |
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| Št. strani: | 8 str. |
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| Številčenje: | Vol. 35, iss. 7, [article no.] 108668 |
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| PID: | 20.500.12556/DiRROS-29666  |
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| UDK: | 616.1 |
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| ISSN pri članku: | 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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| Datum objave v DiRROS: | 02.06.2026 |
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| Število ogledov: | 21 |
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| Število prenosov: | 8 |
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| Metapodatki: |    |
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