The Riks-Stroke Story: Building a Sustainable National Register for Quality Assessment of Stroke Care

Asplund, Kjell; Åsberg, Kerstin Hulter; Appelros, Peter; Bjarne, Daniela; Eriksson, Marie; Johansson, Åsa; Jönsson, Fredrik; Norrving, Bo; Stegmayr, Birgitta; Terént, Andreas; Wallin, Sari; Wester, Per‐Olov

doi:10.1111/j.1747-4949.2010.00557.x

Cited by 176 publications

(188 citation statements)

References 31 publications

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“…Patients have been included from all hospitals that treated acute stroke patients. An analysis of data quality in Riks-Stroke has shown high validity for clinical data [17]. In many studies on differences in use of drugs, aggregated data has been used as indicators of socioeconomic status, e.g.…”

Section: Discussionmentioning

confidence: 99%

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Social stratification in the dissemination of statins after stroke in Sweden

Sjölander

Eriksson

Glader

2012

Eur J Clin Pharmacol

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Section: Discussionmentioning

confidence: 99%

“…This hospital-based study includes patients registered in Riks-Stroke [17]. Riks-Stroke was established in 1994, and it covers all hospitals in Sweden admitting patients with acute stroke since 1998.…”

Section: Methodsmentioning

confidence: 99%

Social stratification in the dissemination of statins after stroke in Sweden

Sjölander

Eriksson

Glader

2012

Eur J Clin Pharmacol

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“…10 All hospitals admitting acute stroke patients in Sweden participate (72 hospitals in 2012). Swedish acute care hospitals are all publicly financed.…”

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confidence: 99%

Poststroke suicide attempts and completed suicides

et al. 2015

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Objective: We examined attempted and completed suicides after stroke to determine whether they were associated with socioeconomic status, other patient characteristics, or time after stroke.Methods: This nationwide cohort study included stroke patients from Riksstroke (the Swedish Stroke Register) from 2001 to 2012. We used personal identification numbers to link the Riksstroke data with other national registers. Suicide attempts were identified by a record of hospital admission for intentional self-harm (ICD-10: X60-X84), and completed suicides were identified in the national Cause of Death Register. We used multiple Cox regression to analyze time from stroke onset to first suicide attempt.Results: We observed 220,336 stroke patients with a total follow-up time of 860,713 personyears. During follow-up, there were 1,217 suicide attempts, of which 260 were fatal. This was approximately double the rate of the general Swedish population. Patients with lower education or income (hazard ratio [HR] 1.37, 95% confidence interval [CI] 1.11-1.68) for primary vs university and patients living alone (HR 1.73, 95% CI 1.52-1.97) had an increased risk of attempted suicide, and patients born outside of Europe had a lower risk compared to patients of European origin. Male sex, young age, severe stroke, and poststroke depression were other factors associated with an increased risk of attempted suicide after stroke. The risk was highest during the first 2 years after stroke. Stroke patients with previous mood disorders and who have poststroke depression are at particular risk for suicidal thoughts. Conclusions:1 Having had a stroke increases not only the risk of suicidal thoughts 1-3 but also the risk of suicide. [4][5][6] The suicide risk is particularly high in patients who are relatively young. 4,5 In the general population, suicide rates vary with socioeconomic factors such as civil status, education, and income.7 After a stroke, existential distress might be prominent 8 and add to the direct biological effects of brain injury to cause depression.9 A Portuguese study of 177 stroke patients found that suicidal thoughts were more common among patients with a low level of education, 3 but there are no previous studies on how suicide attempts or completed suicides relate to socioeconomic factors in stroke patients.We aimed to study how major socioeconomic factors (education, income, civil status, and country of birth) are associated with suicide attempts and completed suicides in patients who have had a stroke. We also explored other factors associated with suicide attempts, including the time after stroke at which suicide risk was the greatest and what methods were used in the suicide attempts.

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“…International research shows an ever increasing efficiency in the treatment of ischemic stroke at the specialised units for treatment of stroke as compared to conventional therapy practices; their prognostication use is deemed irrefutable. The organisation of medical care and mainly the succession of the different stages of medical aid are very important -diagnostics and treatment in the acute stage, secondary prevention and early rehabilitation (19,20,21).…”

Section: Discussionmentioning

confidence: 99%

Quality indicators in the treatment of acute ischemic stroke

Georgieva-Hristova

Andonova

Kalevska

et al. 2016

Scripta Scientifica Salutis Publicae

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Cerebrovascular diseases are a global medical and social issue because of the high morbidity, mortality and disability they cause. WHO announces 15 Mio ischemic stroke occurrences per year globally, with 5 Mio associated deaths and 5 Mio left permanently disabled. Thrombolysis (TL) with tissue plasminogen activator (rt-PA) is currently an approved differentiated pharmaco-therapeutic treatment of ischemic stroke (IS) in its acute phase. There is irrefutable evidence of better health results and efficient clinical management of ischemic strokes within an integrated therapeutic approach as a key factor for improving the functional outcome in stroke patients. Quality is one of the most widely discussed issues in the theory and practice of disease management. The rigid compliance with the standards for treatment of ischemic strokes is an indicator of high quality patient management.

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The Riks-Stroke Story: Building a Sustainable National Register for Quality Assessment of Stroke Care

Cited by 176 publications

References 31 publications

Social stratification in the dissemination of statins after stroke in Sweden

Social stratification in the dissemination of statins after stroke in Sweden

Poststroke suicide attempts and completed suicides

Quality indicators in the treatment of acute ischemic stroke

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