ArticleDeutsches Arzteblatt international2012
Trends in acute inpatient stroke care in Germany--an observational study using administrative hospital data from 2005-2010.
Article in Deutsches Arzteblatt international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 52 citations in OpenAlex.
- [Management of dysphagia in acute stroke : A prospective study for validation of current recommendations].Der Nervenarzt · 2017Trial
- Orthogeriatric co-management and risk of rehospitalization in older patients with osteoporotic fractures: a retrospective cohort study from Germany.BMC geriatrics · 2025Article
- Trends in acute care of cerebrovascular events- a joinpoint analysis with German hospital data from 2000 to 2021.Neurological research and practice · 2025Article
- Determinants of prehospital and in-hospital delay in patients with symptomatic carotid stenosis and their influence on the outcome after elective carotid endarterectomy.Stroke and vascular neurology · 2025Article
- Association Between Hospital Policy on Local Versus General Anesthesia, and Outcomes of Carotid Endarterectomy: Secondary Data Analysis of the German Statutory Carotid Quality Assurance Database.Stroke (Hoboken, N.J.) · 2024Article
- Association of Centre Quality Certification with Characteristics of Patients, Management, and Outcomes Following Carotid Endarterectomy or Carotid Artery Stenting.Journal of clinical medicine · 2024Article
- Determinants of Pre- and Post-Procedural Neurological Assessment, and Outcome of Carotid Endarterectomy or Stenting.Journal of clinical medicine · 2024Article
- Regional variation in access to and quality of acute stroke care: results of Germany's Health System Performance Assessment pilot, 2014-2020.Research in health services & regions · 2024Article
- Article
- Utilization and Regional Differences of In-Patient Services for Peripheral Arterial Disease and Acute Limb Ischemia in Germany: Secondary Analysis of Nationwide DRG Data.Journal of clinical medicine · 2022Article
- Stroke care networks and the impact on quality of care.Health care management science · 2022Article
- Urolithiasis in Germany: Trends from the National DRG Database.Urologia internationalis · 2022Article
- Quality Assurance Measures and Mortality After Stroke.Deutsches Arzteblatt international · 2021Article
- Patent foramen ovale-When to close and how?Herz · 2021Review
- Risk factors and outcomes of hospitalized stroke patients in Lusaka, Zambia.Journal of the neurological sciences · 2021Article
- The Effects of Minimum Caseload Requirements on Management and Outcome in Abdominal Aortic Aneurysm Repair.Deutsches Arzteblatt international · 2020Article
- The Frequency and Timing of Recurrent Stroke: An Analysis of Routine Health Insurance Data.Deutsches Arzteblatt international · 2019Article
- Inpatient TIA and stroke care in adult patients in Germany - retrospective analysis of nationwide administrative data sets of 2011 to 2017.Neurological research and practice · 2019Article
- [Operative treatment of diabetics with vascular complications : Secondary data analysis of diagnosis-related groups statistics from 2005 to 2014 in Germany].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
- Regional frequency variation of revascularization procedures for carotid stenosis in Germany: Secondary data analysis of DRG data from 2012 to 2014.Gefasschirurgie : Zeitschrift fur vaskulare und endovaskulare Chirurgie : Organ der Deutschen und der Osterreichischen Gesellschaft fur Gefasschirurgie unter Mitarbeit der Schweizerischen Gesellschaft fur Gefasschirurgie · 2018Article
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2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdministrative hospital data can be used to detect trends in the care of patients hospitalized with acute stroke.
methodsThe nationwide German DRG statistics for the years 2005 to 2010 were used to identify hospitalizations for acute stroke. All hospitalizations of patients with a principal diagnosis of acute stroke who were over 19 years old on admission were included in the analysis; admissions transferred from other acute care hospitals were excluded. The data were analyzed to determine annual hospitalization rates, characteristics of the patients and hospitals, patterns of care, and in-hospital mortality.
resultsThe number of hospitalizations for acute stroke in Germany per year ranged from 235 000 in 2005 to 243 000 in 2010. After standardization for the age and sex structure of the population 2005, the annual hospitalization rate was found to have declined over the period of the study from 357 to 336 hospitalizations per 100 000 persons. The decline occurred mainly in older patients (in men from age 60 and in women from age 70 onward). The percentage of patients cared for in a stroke unit ("complex treatment" in the coding system of the German Classification of Operations and Procedures [Operationen- und Prozedurenschlüssel, OPS]) rose from 15% to 52%. The percentage of patients with cerebral infarction who received systemic thrombolytic treatment rose from 2.4% to 8.9%. In-hospital mortality declined from 11.9% in 2005 to 9.5% in 2010, with a standardized 2005-versus-2010 mortality ratio of 0.79.
conclusionThe declining hospitalization rate of elderly patients might reflect the impact of better primary and/or secondary prevention. The findings also reveal a trend toward more specific care for acute stroke, which may be the cause of the observed decline in in-hospital mortality.
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