ArticleDeutsches Arzteblatt international2019
The Frequency and Timing of Recurrent Stroke: An Analysis of Routine Health Insurance Data.
Article in Deutsches Arzteblatt international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Impact of vitamin D supplementation on post-stroke rehabilitation outcomes: A systematic review and meta-analysis.Narra J · 2025Pooled it
- Impact of CYP2C19 Genotype on Efficacy and Safety of Clopidogrel-based Antiplatelet Therapy in Stroke or Transient Ischemic Attack Patients: An Updated Systematic Review and Meta-analysis of Non-East Asian Studies.Cardiovascular drugs and therapy · 2024Pooled it
- The influence of seated exercises on balance, mobility, and cardiometabolic health outcomes in individuals living with a stroke: A systematic review and meta-analysis.Clinical rehabilitation · 2023Pooled it
- Trial
- Physical activity prior to transient ischaemic attack and risk of subsequent cerebrovascular events: a Swedish register-based study.BMJ open · 2026Article
- Stroke patterns, risk factors, management, and outcomes from hospital-based stroke registries in India.International journal of stroke : official journal of the International Stroke Society · 2026Article
- Nanomedicines and stroke: Advantages in chronic inflammation treatment and neural regeneration.Neural regeneration research · 2026Article
- Medication Adherence Following Stroke and TIA: A Qualitative Synthesis of Patient, Caregiver and Clinician Perspectives.Neurology international · 2026Review
- Cost-Related Medication Nonadherence Among Adults with Stroke in the United States: Insight from the 2020-2023 National Health Interview Survey.Journal of racial and ethnic health disparities · 2026Article
- Association of estimated glomerular filtration rate with stroke risk in middle-aged and older Chinese adults: an integrated analysis of national and hospital cohorts.Environmental health and preventive medicine · 2026Article
- Retrospective analysis of characteristics and transfer times of helicopter interhospital transfer of stroke patients: balancing air and ground transport efficiency.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Potential Bias in Self-Controlled Case Series Design: Impact of Incident Versus Prevalent Scenarios of Exposure and Outcome.Pharmacoepidemiology and drug safety · 2025Article
- Characteristics of adults with first-ever stroke vs. recurrent stroke at the university teaching Hospital in Lusaka, Zambia.Journal of the neurological sciences · 2025Article
- Description of the Risk Factors for Ischemic Stroke in the Lebanese Population: Their Association with Age at First Stroke Incidence and the Predictors of Recurrence.Journal of clinical medicine · 2025Article
- [Diagnostic tools for stroke detection-from prehospital to diagnosis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Impact of transesophageal echocardiogram findings on management of acute ischemic stroke: a retrospective single-institution cohort study.Annals of medicine and surgery (2012) · 2025Article
- World Stroke Organization: Global Stroke Fact Sheet 2025.International journal of stroke : official journal of the International Stroke Society · 2025Review
- Multifaceted support for caregivers of stroke patients to meet the dynamic needs of patients: A qualitative study.Journal of education and health promotion · 2025Article
- Bioinformatics Approach to Identify the Pathogenetic Link of Gut Microbiota-Derived Short-Chain Fatty Acids and Ischemic Stroke.Molecular neurobiology · 2024Article
- Incidence of stroke, subsequent clinical outcomes and health care resource utilization in people with type 2 diabetes: a real-world database study in France: "INSIST" study.Cardiovascular diabetology · 2024Observational
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStroke is among the leading causes of death in Germany and one of the main reasons for handicap and disability. The risk factors for stroke include hypertension, metabolic disorders, and diabetes. An estimated 250 000 persons sustain a stroke in Germany each year. German data on the occurrence of stroke, and of recurrent stroke in particular, are still inadequate. The main objective of this study was to determine the frequency and timing of recurrent stroke.
methodsThe analyses were based on routine data of the AOK statutory health insurance fund in the German federal state of Lower Saxony. Inpatient billing and diagnosis data were used to identify initial and recurrent strokes (ICD-10 I60-I64). The derived incidence and prevalence were standardized for age and sex. The risks of recurrence and mortality were estimated with Kaplan-Meier analyses and Cox regressions.
resultsIn 2010/2011, the standardized incidence of stroke was 292 per 100 000 persons per year, and the standardized prevalence was 336 per 100 000 persons. The risk of recurrence was 1.2% in the first 30 days, 3.4% within 90 days, 7.4% within 1 year, and 19.4% within 5 years. The mortality after an initial stroke was 6.8% in the first 30 days, 9.4% within 90 days, 17.0% within 1 year, and 45% within 5 years. Patients with hemorrhagic strokes had higher mortality. Treatment in a stroke unit was associated with lower mortality.
conclusionPatients with acute stroke should be treated in a specialized center whenever possible. After hospital discharge, stroke patients should be followed up at short intervals and any risk factors for stroke should be treated.
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