Background
Lifestyle
changes and evolving healthcare practices in Korea have influenced
disease patterns and medical care. Since strokes have high disease
burden in countries with aging populations, it is necessary to evaluate
the associated recent disease characteristics and patient care patterns.
The Korean Stroke Registry is a nationwide, multicenter, prospective,
hospital-based stroke registry in Korea used to monitor these changes
across the population.
Aims
We
aimed to evaluate the recent status of clinical characteristics and
management of stroke cases in order to identify changes in the Korean
population across time.
Methods
This
study used Korean Stroke Registry data from patients experiencing
ischemic stroke or transient ischemic attack patients, between 2014 and
2018. We analyzed data on demographics, risk factors, stroke subtypes,
and treatments that included thrombolysis.
Results
A
total of 39,291 patients (mean age 68.0 ± 13.0, 58.3% male) were
analyzed. The proportions of hypertension, diabetes mellitus,
dyslipidemia, atrial fibrillation, and prior stroke were 63.4%, 30.9%,
27.7%, 19.4%, and 17.1%, respectively. In the stroke subtype analysis,
the frequency of large artery atherosclerosis was highest (32.6%),
followed by cardioembolism (21.3%) and small vessel occlusion (19.9%).
Acute reperfusion therapy was conducted in 15.3% of cases (11.7% using
intravenous tPA and 7.3% using intra-arterial thrombectomy).
Intra-arterial thrombectomy also demonstrated a steep increasing trend
over time (RR 1.095 (1.060–1.131), p < 0.001).
Conclusions
This
study provided analysis of nationwide, hospital-based,
quality-controlled data from the Korean Stroke Registry database
regarding changes in the characteristics, risk factors, and treatments
of strokes in Korea.
No comments:
Post a Comment