Title |
Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study
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Published in |
Arquivos de Neuro-Psiquiatria, May 2017
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DOI | 10.1590/0004-282x20170039 |
Pubmed ID | |
Authors |
Claudio Henrique do Amaral, Augusto R. Amaral, Vivian Nagel, Vanessa Venancio, Adriana Coronetti Garcia, Pedro SC Magalhaes, Alexandre L Longo, Carla HC Moro, Felipe I Reis, Andre D’Avila, Norberto L Cabral |
Abstract |
Among ischemic strokes, cardioembolic (CE) stroke has the worst outcome. We measured the incidence of atrial fibrillation (AF) and non-AF related CE strokes, previous anticoagulant use, and the 90-day functional outcome. Using multiple overlapping sources, we included all CE strokes that occurred in 2015 in Joinville, Brazil. Of the 374 ischemic strokes, 23% (84) were CE. The CE age-adjusted incidence, per 1,000 person-years, was 0.14 (0.11-0.17). Of the 26 patients with known prior AF, 73% (19) were not anticoagulated, 77% (20) had a CHA2DS2VASc score ≥ 3 and 81% (21) had a HAS-BLED score < 3. After three months, approximately one third of those 26 patients died or became disabled. The incidence of CE stroke in our sample was lower than in other population-based studies. The opportunity for anticoagulation was missed in one third of cases. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 53 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 7 | 13% |
Student > Ph. D. Student | 6 | 11% |
Student > Postgraduate | 6 | 11% |
Professor | 5 | 9% |
Student > Master | 5 | 9% |
Other | 6 | 11% |
Unknown | 18 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 34% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 8% |
Nursing and Health Professions | 2 | 4% |
Agricultural and Biological Sciences | 1 | 2% |
Neuroscience | 1 | 2% |
Other | 0 | 0% |
Unknown | 27 | 51% |