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Hospital Mortality Associated with Stroke in Southern Iran | ||
| Iranian Journal of Medical Sciences | ||
| مقاله 5، دوره 38، شماره 4، دی 2013، صفحه 314-320 اصل مقاله (377.39 K) | ||
| نوع مقاله: Original Article(s) | ||
| شناسه دیجیتال (DOI): 10.30476/ijms.2013.39500 | ||
| نویسندگان | ||
| Afshin Borhani-Haghighi* 1؛ Rasool Safari2؛ Seyed Taghi Heydari3؛ Faroq Soleimani4؛ Maryam Sharifian5؛ Sara Yektaparast Kashkuli6؛ Mahsa Nayebi Khayatghuchani6؛ Mahbube Azadi2؛ Abdolhamid Shariat5؛ Anahid Safari7؛ Kamran Bagheri Lankarani8؛ Amer Alshekhlee9؛ Salvador Cruz-Flores10 | ||
| 1Health Policy Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; and Department of Neurology, Motahari Clinic, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 2Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 3Department of Biostatistics, Jahrom University of Medical Sciences, Jahrom, Iran | ||
| 4Transgenic Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 5Department of Neurology, Motahari Clinic, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 6Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 7Department of Pharmacology, School of Medicine, Kazeroon Azad University, Kazeroon , Iran | ||
| 8Health Policy Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 9Department of Neurology and Psychiatry , Saint Louis University, Saint Louis, USA | ||
| 10Department of Neurology, Texas Tech University Health Sciences Center at El Paso, Texas, USA | ||
| چکیده | ||
| Background: Unlike the western hemisphere, information about stroke epidemiology in southern Iran is scarce. The aim of this study was to determine the main epidemiological characteristics of patients with stroke and its mortality rate in southern Iran.Methods: A retrospective, single-center, hospital-based longitudinal study was performed at Nemazee Hospital in Shiraz, Southern Iran. Patients with a diagnosis of hemorrhagic and ischemic strokes were identified based on the International Classification of Diseases, 9th and 10th editions, for the period between 2001 and 2010. Demographics including age, sex, area of residence, socioeconomic status, length of hospital stay, and discharge destinations were analyzed in association with mortality. Results: 16351 patients with a mean age of 63.4 years (95% CI: 63.1, 63.6) were included in this analysis. Men were slightly predominant (53.6% vs. 46.4%). Forty-seven percent of the total sample was older than 65,17% were younger than 45, and 2.6% were children younger than 18. The mean hospital stay was 6.3 days (95% CI: 6.2, 6.4). Among all types of strokes, the overall hospital mortality was 20.5%. Multiple logistic regression revealed significantly higher in-hospital mortality in women and children (p <0.001) but not in patients with low socioeconomic status or from rural areas. During the study period, the mortality proportions increased from 17.8% to 22.2%. Conclusion: In comparison to western countries, a larger proportion of our patients were young adults and the mortality rate was higher. | ||
| کلیدواژه‌ها | ||
| Stroke؛ Cerebrovascular disease؛ Cerebrovascular accident؛ Mortality؛ Sex | ||
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