TY - JOUR ID - 39500 TI - Hospital Mortality Associated with Stroke in Southern Iran JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Borhani-Haghighi, Afshin AU - Safari, Rasool AU - Heydari, Seyed Taghi AU - Soleimani, Faroq AU - Sharifian, Maryam AU - Yektaparast Kashkuli, Sara AU - Khayatghuchani, Mahsa Nayebi AU - Azadi, Mahbube AU - Shariat, Abdolhamid AU - Safari, Anahid AU - Bagheri Lankarani, Kamran AU - Alshekhlee, Amer AU - Cruz-Flores, Salvador AD - Health Policy Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; and Department of Neurology, Motahari Clinic, Shiraz University of Medical Sciences, Shiraz, Iran AD - Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Biostatistics, Jahrom University of Medical Sciences, Jahrom, Iran AD - Transgenic Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Neurology, Motahari Clinic, Shiraz University of Medical Sciences, Shiraz, Iran AD - Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Pharmacology, School of Medicine, Kazeroon Azad University, Kazeroon , Iran AD - Health Policy Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Neurology and Psychiatry , Saint Louis University, Saint Louis, USA AD - Department of Neurology, Texas Tech University Health Sciences Center at El Paso, Texas, USA Y1 - 2013 PY - 2013 VL - 38 IS - 4 SP - 314 EP - 320 KW - Stroke KW - Cerebrovascular disease KW - Cerebrovascular accident KW - Mortality KW - Sex DO - 10.30476/ijms.2013.39500 N2 - Background: Unlike the western hemisphere, information about stroke epidemiology in southern Iran is scarce. The aim of this study was to determine the main epidemiological characteristics of patients with stroke and its mortality rate in southern Iran.Methods: A retrospective, single-center, hospital-based longitudinal study was performed at Nemazee Hospital in Shiraz, Southern Iran. Patients with a diagnosis of hemorrhagic and ischemic strokes were identified based on the International Classification of Diseases, 9th and 10th editions, for the period between 2001 and 2010. Demographics including age, sex, area of residence, socioeconomic status, length of hospital stay, and discharge destinations were analyzed in association with mortality. Results: 16351 patients with a mean age of 63.4 years (95% CI: 63.1, 63.6) were included in this analysis. Men were slightly predominant (53.6% vs. 46.4%). Forty-seven percent of the total sample was older than 65,17% were younger than 45, and 2.6% were children younger than 18. The mean hospital stay was 6.3 days (95% CI: 6.2, 6.4). Among all types of strokes, the overall hospital mortality was 20.5%. Multiple logistic regression revealed significantly higher in-hospital mortality in women and children (p <0.001) but not in patients with low socioeconomic status or from rural areas. During the study period, the mortality proportions increased from 17.8% to 22.2%. Conclusion: In comparison to western countries, a larger proportion of our patients were young adults and the mortality rate was higher. UR - https://ijms.sums.ac.ir/article_39500.html L1 - https://ijms.sums.ac.ir/article_39500_f37135dd671abd9a9a52c4c3506483a8.pdf ER -