Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12104/63026
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dc.contributor.authorChiquete, E.
dc.contributor.authorRuiz-Sandoval, J.L.
dc.contributor.authorMurillo-Bonilla, L.M.
dc.contributor.authorArauz, A.
dc.contributor.authorVillarreal-Careaga, J.
dc.contributor.authorLeon-Jimenez, C.
dc.contributor.authorBarinagarrementeria, F.
dc.contributor.authorCantu-Brito, C.
dc.date.accessioned2015-11-18T23:43:31Z-
dc.date.available2015-11-18T23:43:31Z-
dc.date.issued2012
dc.identifier.urihttp://hdl.handle.net/20.500.12104/63026-
dc.description.abstractIntroduction: Cerebrovascular disease (CVD) mortality in Mexico has shown a growing pattern in recent years. It is not known whether data obtained in the important multicenter CVD Mexican registries adequately represent all the hospital units of the health system. Objective: To describe the frequency of acute CVD subtypes and shortterm outcome in discharge registries from public institutions of the Mexican health system, during the year 2010. Methods: We consulted the Mexican public health system database of hospital discharges corresponding to the year 2010 (Secretaría de Salud, IMSS, IMSS Oportunidades, ISSSTE, PEMEX, SEMAR y SEDENA). CVD registries were identified with the International Classification of Diseases 10th revision codes (ICD-10). Specified CVD was defined as the existence of ICD-10 codes describing precise CVD subtypes. Results: In 2010, a total of 5,314,132 hospital discharges were registered in the Mexican public health system. Of them, 46,247 (0.9%) were acute CVD including: acute ischemic stroke (AIS) 20,298 (43.9%), intracerebral hemorrhage (ICH) 6,005 (13.0%), subarachnoid hemorrhage 2,655 (5.7%), cerebral venous thrombosis (CVT) 194 (0.4%) and non-specified CVD 17,095 (37.0%). Among specified CVD discharges (n=29,152), 69.6% corresponded to AIS, 20.6% to ICH, 9.1% to SAH and 0.7% to CVT. The global 30-day case fatality rate was 17.1% (18.8% among specified subtypes); higher for ICH (33.6%), followed by SAH (29.3%) and AIS (13.9%) (p < 0.001). Conclusions: The relative frequency of acute CVD subtypes by the year 2010 was similar to that of the previous Mexican multicenter registries. Short-term mortality is higher in hemorrhagic forms of CVD, as compared with ischemic stroke.
dc.titleAcute cerebrovascular disease discharges from public institutions of the Mexican Ministry of Health: An analysis on 5.3 millions of hospitalizations in 2010 [Egresos por enfermedad vascular cerebral aguda en instituciones públicas del sector salud de México: Un análisis de 5.3 millones de hospitalizaciones en 2010]
dc.typeArticle
dc.relation.ispartofjournalRevista Mexicana de Neurociencia
dc.relation.ispartofvolume13
dc.relation.ispartofissue5
dc.relation.ispartofpage252
dc.relation.ispartofpage258
dc.subject.keywordCerebrovascular disease; Epidemiology; Mortality; Outcome; Stroke
dc.contributor.affiliationChiquete, E., Departamento de Neurología y Psiquiatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, Ciudad de México. C.P. 14000, Mexico, Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México; Ruiz-Sandoval, J.L., Servicio de Neurología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico, Departamento de Neurociencias, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico, Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México; Murillo-Bonilla, L.M., Departamento de Neurología, Facultad de Medicina, Universidad Autónoma de Guadalajara, Zapopan, Mexico, Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México; Arauz, A., Clínica de Enfermedad Cerebrovascular, Instituto Nacional de Neurología y Neurocirugía, Ciudad de México, Mexico, Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México; Villarreal-Careaga, J., Departamento de Neurología, Hospital General de Culiacán, Culiacán, Mexico, Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México; Léon-Jímenez, C., Departamento de Neurología y Psiquiatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, Ciudad de México. C.P. 14000, Mexico, Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México; Barinagarrementería, F., Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México, Departamento de Neurología, Hospital Ángeles de Querétaro, Querétaro, Mexico; Cantú-Brito, C., Departamento de Neurología y Psiquiatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, Ciudad de México. C.P. 14000, Mexico, Departamento de Neurología, Hospital General de Zona Valentín Gómez Farías, ISSSTE. Zapopan; México
dc.relation.isReferencedByScopus
dc.identifier.urlhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84871379290&partnerID=40&md5=bbe1e21c7e5e06a7499da9540e0f1256
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