Abstract
Background
This retrospective cross-sectional study reports 1 month and 1 year intracerebral
hemorrhage (ICH) and subarachnoid hemorrhage (SAH) case fatality rates and their temporal
trends in the Czech Republic between 1998 and 2015.
Methods
Utilizing the National Register of Hospitalized Patients, we randomly selected 600
patients hospitalized for ICH and 600 patients hospitalized for SAH for each year
from 1998 to 2015, and identified those who died, regardless of cause, using the Czech
National Mortality Registry. We calculated crude and age-adjusted 1 month and 1 year
case fatality rates for ICH and SAH. Long-term trends of the crude rates were analyzed
using a one-sided Cochran Armitage test.
Results
A total of 21,600 cases hospitalized for SAH and ICH (10,800 for each) between 1998
and 2015 were randomly selected for analysis. One month case fatality of SAH overall
and in women has decreased by 0.2% (P = .006) and 0.3% per year (P = .04), respectively. Overall 1 year case fatality of SAH has decreased by 0.2% per
year (P = .03). One month case fatality rate of ICH overall and in men has decreased by 0.2%
(p=0.01) and 0.4% (P = .0007), respectively. One year case fatality of ICH in men has decreased by 0.2%
per year (P = .047).
Conclusions
One month and 1 year case fatality rates for SAH and ICH have been decreasing in the
Czech Republic between 1998 and 2015, and are similar or lower than those reported
from other developed European countries.
Key Words
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Article info
Publication history
Published online: April 05, 2020
Accepted:
February 13,
2020
Received in revised form:
February 11,
2020
Received:
September 5,
2019
Footnotes
Financial Disclosure: Supported by the project no. LQ1605 from the National Program of Sustainability II (MEYS CR) and by the project FNUSA-ICRC no. CZ.1.05/1.1.00/02.0123 (OP VaVpI).
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104762
Copyright
© 2020 Elsevier Inc. All rights reserved.
