A stroke-ellátás hazai eredményei a nemzetközi adatok                     tükrében

Szôcs, Ildikó; Bereczki, Dániel; Bíró, Éva

doi:10.1556/650.2016.30558

Cited by 14 publications

(8 citation statements)

References 18 publications

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“…Our nationwide survey showed a 1.40 hazard ratio. In a paper using the same NHIF database of the year 2008, Szőcs et al reported a 43.3 incidence per 10,000 in a non-selected, non-diabetic population for stroke in Hungary [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Dissimilar impact of type 2 diabetes on cardiovascular outcomes according to age categories: a nationwide population study from Hungary

Kiss

Rokszin²,

Abonyi‐Tóth

et al. 2018

Cardiovasc Diabetol

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BackgroundThe excess risks of mortality and cardiovascular morbidity among patients with type 2 diabetes mellitus (T2DM) is well known. In this nationwide study, we assessed risks of mortality and cardiovascular events comparing patients with T2DM and matched controls.MethodsWe identified patients with T2DM in a retrospective cohort study using the database of the National Health Insurance Fund between 1 January 2010 and 31 December, 2013. Controls were randomly included and matched according to age, gender, and zip code of residence. Patients were divided into subgroups according to age decades for outcome analyses.ResultsDuring the mean follow-up period of 2.3 years, 152,678 patients with T2DM and 305,356 matched controls were included. Patients with T2DM showed significantly higher risk for all-cause mortality (HR 1.26, 95% CI 1.22–1.29, p < 0.0001), myocardial infarction (HR 1.81, 95% CI 1.69–1.94, p < 0.0001) and stroke (HR 1.40, 95% CI 1.35–1.46, p < 0.0001) compared to matched controls. The higher risk associated with T2DM for mortality, myocardial infarction and stroke differed significantly between age groups (pinteraction < 0.05 for all outcomes) with significantly higher risk observed in younger patients.ConclusionsThe risk of cardiovascular outcomes and all-cause mortality is significantly higher in patients with T2DM. Notably, the relative hazard increases with decreasing age suggesting that younger patients with T2DM should receive more attention for cardiovascular prevention.

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Section: Discussionmentioning

confidence: 99%

Dissimilar impact of type 2 diabetes on cardiovascular outcomes according to age categories: a nationwide population study from Hungary

Kiss

Rokszin²,

Abonyi‐Tóth

et al. 2018

Cardiovasc Diabetol

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“…The risk of falls rises by 60% when using antiarrhythmic calcium channel blockers; by 20% when taking drugs containing digoxin; and by 10% when taking diuretics [15,21]. Based on our sample data and data for the elderly population living at home, it can be stated that one in two elderly people suffer from cardiovascular disease [22].…”

Section: Chronic Diseasesmentioning

confidence: 96%

“…This increased risk is due partly to the side effects of the drugs and partly to drug interactions. The risk of falling is 66% higher when taking psychoactive drugs [21,22,37]. In terms of medication, the most common cause of falls is the regular use of antidepressants: serotonin reuptake inhibitors in particular increase the risk of falls [38].…”

Section: Chronic Diseasesmentioning

confidence: 99%

Prevalence of risk factors for falls among older adult ambulant patients on a chronic inpatient ward

Wiesl

Kis-Kós

Gyombolai

et al. 2023

DHS

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Purpose Falls in older age are the result of the interaction of several modifiable and nonmodifiable risk factors. Risk factors for falls may vary in frequency not only in different economic and cultural contexts but also in different forms of care services among the older population. The aim of the present cross-sectional descriptive observational study was to assess the prevalence of risk factors for falls among older ambulant patients on a chronic inpatient ward in Hungary. Material/Methods Data associated with risk factors for falls, such as age, sex, chronic physical and mental illness, acute illness, incontinence, history of falls, balance and gait disorder, and visual impairment, were collected from 82 participants. The frequency of these risk factors in our sample was compared with their prevalence in the elderly population living at home — based on data available in the literature and statistical databases — using chi-square tests. Results Our results show that the prevalence of hypertension, cerebrovascular events, dementia and diabetes are significantly higher in the elderly population in chronic inpatient care than in the elderly population living at home. There is also a significantly higher prevalence of balance disorders and the use of sedatives/sleeping pills/neuroleptics in the studied population. Cardiovascular diseases, osteoporosis, and Parkinson's disease are equally prevalent in both populations. Conclusions In the case of many of the patients admitted to chronic inpatient care, there is a real chance that their physical condition will improve or stabilise to the point where they can return to their own homes or be moved to a nursing home. This kind of rehabilitation approach to chronic inpatient care would require many more qualified nurses, physiotherapists, occupational therapists, dietitians and social workers than are currently available.

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“…Szőcs és munkatársai a NEAK 2008-as adatbázisán végzett tanulmányukban a cukorbetegségre nem szelektált populációban 43/10 000 fő strokeincidenciát mértek. 16 A cukorbetegek esetében az emelkedett kardiovaszkuláris kockázat jelentős mértékben befolyásolja a mortalitást. 17 A vizsgálatunkban is megerősített magasabb kardiovaszkuláris kockázat rámutat a hatékony kezelés szükségességére, különösen fiatalabb cukorbetegek esetében.…”

Section: A Kardiovaszkuláris Rizikó öSszehasonlításaunclassified

A 2-es típusú cukorbetegség kardiovaszkuláris megbetegedésre és összmortalitásra kifejtett korfüggő hatása: országos elemzés a NEAK adatbázisa alapján

Kiss¹,

Rokszin²,

Abonyi‐Tóth³

et al. 2019

Diabetologia Hungarica

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A 2-es típusú cukorbetegség halálozási és kardiovaszkuláris morbiditásának magasabb kockázata jól ismert. Országos, retrospektív vizsgálatunkban a T2DM-es betegek halálozási, myocardialis infarktus és stroke-kockázatát értékeltük kontrollcsoport tükrében. A Nemzeti Egészségbiztosítási Alap (NEAK) adatbázisán alapuló retrospektív kohorsz-vizsgálatunkba a 2010. január 1. és 2013. december 31. között újonnan antidiabetikus kezelésben részesülő T2DM-es betegeket vontuk be. Minden T2DM-es beteghez életkor, nem, illetve a lakóhely irányítószáma szerint két kontrollt illesztettünk.

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A stroke-ellátás hazai eredményei a nemzetközi adatok tükrében

Cited by 14 publications

References 18 publications

Dissimilar impact of type 2 diabetes on cardiovascular outcomes according to age categories: a nationwide population study from Hungary

Dissimilar impact of type 2 diabetes on cardiovascular outcomes according to age categories: a nationwide population study from Hungary

Prevalence of risk factors for falls among older adult ambulant patients on a chronic inpatient ward

A 2-es típusú cukorbetegség kardiovaszkuláris megbetegedésre és összmortalitásra kifejtett korfüggő hatása: országos elemzés a NEAK adatbázisa alapján

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