A national survey of acute cerebrovascular disease in Israel: Burden, management, outcome and adherence to guidelines

David Tanne; Uri Goldbourt; Silvia Koton; Ehud Grossman; Nira Koren-Morag; Manfred S. Green; Natan M. Bornstein; S. Behar; A. Sandach; R. Schwartz; M. Benderly; R. Tsabari; J. M. Rabey; I. Kimiagar; E. Shevtsov; R. Milo; L. Turiamsky; I. Korn-Lubetzki; M. Ayed; B. Weller; L. Kaplan; S. Honigman; H. Rawashdeh; I. Bloch; A. Reshef; O. Abramsky; G. Raphaeli; Z. Meiner; D. Lavie; R. Carasso; M. Sarkantyus; W. Nseir; A. Shaheen; T. Arad; M. Wallid; M. Kushnir; D. Gurvich; S. Hadar; I. Shraga; N. Gadoth; G. Vainstein; A. Saher; V. Vaispapir; K. Khazim; Y. Streifler; N. Roizen; E. Melamed; I. Artmanov; D. Yarnitsky; G. Telman; E. Figlin; R. Shahien; L. Lerner; Y. Finkelstein; M. Dano; I. Chapman; O. Merzeliak; T. Philips; A. Gurevich; C. Hallevy; Y. Piven; A. Gur; I. Bova; I. Shopin; I. Pfeffer; B. Gross; O. Azrilin; Y. Kornberg; M. Sadeh; Y. Lampl

A national survey of acute cerebrovascular disease in Israel: Burden, management, outcome and adherence to guidelines

David Tanne
, Uri Goldbourt
, Silvia Koton
, Ehud Grossman
, Nira Koren-Morag
, Manfred S. Green
, Natan M. Bornstein
, S. Behar
, A. Sandach
, R. Schwartz
, M. Benderly
, R. Tsabari
, J. M. Rabey
, I. Kimiagar
, E. Shevtsov
, R. Milo
, L. Turiamsky
, I. Korn-Lubetzki
, M. Ayed
, B. Weller

L. Kaplan, S. Honigman, H. Rawashdeh, I. Bloch, A. Reshef, O. Abramsky, G. Raphaeli, Z. Meiner, D. Lavie, R. Carasso, M. Sarkantyus, W. Nseir, A. Shaheen, T. Arad, M. Wallid, M. Kushnir, D. Gurvich, S. Hadar, I. Shraga, N. Gadoth, G. Vainstein, A. Saher, V. Vaispapir, K. Khazim, Y. Streifler, N. Roizen, E. Melamed, I. Artmanov, D. Yarnitsky, G. Telman, E. Figlin, R. Shahien, L. Lerner, Y. Finkelstein, M. Dano, I. Chapman, O. Merzeliak, T. Philips, A. Gurevich, C. Hallevy, Y. Piven, A. Gur, I. Bova, I. Shopin, I. Pfeffer, B. Gross, O. Azrilin, Y. Kornberg, M. Sadeh, Y. Lampl

Israel Neurological Association
Tel Aviv University
Sheba Medical Center at Tel Hashomer
Ministry of Health, Israel
Israel Society of Internal Medicine
Tel Aviv Sourasky Medical Center
The Israel Society for the Prevention of Heart Attacks
Assaf Harofeh Medical Center
Barzilai Medical Center
Bikur Cholim Hospital
Bnai-Zion Medical Center
Carmel Medical Center
Emek Medical Center
Hadassah University Medical Centre
Hille Yaffe Medical Center Israel
Holy Family Hospital
Josephtal Medical Center
Kaplan Medical Center Israel
Sanz Medical Center-Laniado Hospital Israel
Maayanei Hayeshua Medical Center
Meir Hospital Sapir Medical Center
Nazareth Hospital EMMS
Poriya Medical Center
Rabin Medical Center Israel
Rambam Health Care Campus Israel
Rebecca Sieff Government Hospital
Shaare Zedek Medical Center
Shmuel Harofe Geriatric Medical Center
Soroka Medical Center
Western Galilee Medical Center of Nahariya
Edith Wolfson Medical Center Israel

Research output: Contribution to journal › Article › peer-review

61 Scopus citations

Abstract

Background: There are no national data on the burden and management of acute cerebrovascular disease in Israel. Objectives: To delineate the burden, characteristics, management and outcomes of hospitalized patients with acute cerebrovascular disease in Israel, and to examine adherence to current guidelines. Methods: We prospectively performed a national survey in all 28 hospitals in Israel admitting patients with acute cerebrovascular events (stroke or transient ischemic attacks) during February and March 2004. Results: During the survey period 2,174 patients were admitted with acute cerebrovascular disease (mean age 71 ± 13 years, 47% women; 89% ischemic stroke or TIA, 7% intracerebral hemorrhage and 4% undetermined stroke). Sixty-two percent of patients were admitted to departments of medicine and a third to neurology, of which only 7% were admitted to departments with a designated stroke unit. Head computed tomography was performed during hospitalization in 93% of patients. The overall rate of urgent thrombolytic therapy for acute ischemic stroke was 0.5%. Among patients with ischemic stroke or TIA, 94% were prescribed an antithrombotic medication at hospital discharge, and among those with atrial fibrillation about half were prescribed warfarin. Carotid duplex was performed in 30% and any vascular imaging study in 36% of patients with ischemic events. The mean (± SD) length of hospital stay was 12 ± 27 days for ICH and 8 ± 11 days for ischemic stroke. Among patients with ICH, 28% died during hospitalization and 66% died or remained with severe disability while for ischemic stroke the corresponding rates were 7% and 41% respectively. Mortality rates within 3 months were 34% for ICH and 14% for ischemic stroke. Conclusions: This national survey demonstrates the high burden of acute stroke in Israel and reveals discordance between existing guidelines and current practice. The findings highlight important areas for which reorganization is imperative for patients afflicted with acute stroke.

Original language	English
Pages (from-to)	3-7
Number of pages	5
Journal	Israel Medical Association Journal
Volume	8
Issue number	1
State	Published - Jan 2006
Externally published	Yes

Keywords

National registry
Outcome
Stroke

Cite this

Tanne, D., Goldbourt, U., Koton, S., Grossman, E., Koren-Morag, N., Green, M. S., Bornstein, N. M., Behar, S., Sandach, A., Schwartz, R., Benderly, M., Tsabari, R., Rabey, J. M., Kimiagar, I., Shevtsov, E., Milo, R., Turiamsky, L., Korn-Lubetzki, I., Ayed, M., ... Lampl, Y. (2006). A national survey of acute cerebrovascular disease in Israel: Burden, management, outcome and adherence to guidelines. Israel Medical Association Journal, 8(1), 3-7.

@article{446c3e5bf6ac43f2a3cf0eed93b2f85b,

title = "A national survey of acute cerebrovascular disease in Israel: Burden, management, outcome and adherence to guidelines",

abstract = "Background: There are no national data on the burden and management of acute cerebrovascular disease in Israel. Objectives: To delineate the burden, characteristics, management and outcomes of hospitalized patients with acute cerebrovascular disease in Israel, and to examine adherence to current guidelines. Methods: We prospectively performed a national survey in all 28 hospitals in Israel admitting patients with acute cerebrovascular events (stroke or transient ischemic attacks) during February and March 2004. Results: During the survey period 2,174 patients were admitted with acute cerebrovascular disease (mean age 71 ± 13 years, 47\% women; 89\% ischemic stroke or TIA, 7\% intracerebral hemorrhage and 4\% undetermined stroke). Sixty-two percent of patients were admitted to departments of medicine and a third to neurology, of which only 7\% were admitted to departments with a designated stroke unit. Head computed tomography was performed during hospitalization in 93\% of patients. The overall rate of urgent thrombolytic therapy for acute ischemic stroke was 0.5\%. Among patients with ischemic stroke or TIA, 94\% were prescribed an antithrombotic medication at hospital discharge, and among those with atrial fibrillation about half were prescribed warfarin. Carotid duplex was performed in 30\% and any vascular imaging study in 36\% of patients with ischemic events. The mean (± SD) length of hospital stay was 12 ± 27 days for ICH and 8 ± 11 days for ischemic stroke. Among patients with ICH, 28\% died during hospitalization and 66\% died or remained with severe disability while for ischemic stroke the corresponding rates were 7\% and 41\% respectively. Mortality rates within 3 months were 34\% for ICH and 14\% for ischemic stroke. Conclusions: This national survey demonstrates the high burden of acute stroke in Israel and reveals discordance between existing guidelines and current practice. The findings highlight important areas for which reorganization is imperative for patients afflicted with acute stroke.",

keywords = "National registry, Outcome, Stroke",

author = "David Tanne and Uri Goldbourt and Silvia Koton and Ehud Grossman and Nira Koren-Morag and Green, \{Manfred S.\} and Bornstein, \{Natan M.\} and S. Behar and A. Sandach and R. Schwartz and M. Benderly and R. Tsabari and Rabey, \{J. M.\} and I. Kimiagar and E. Shevtsov and R. Milo and L. Turiamsky and I. Korn-Lubetzki and M. Ayed and B. Weller and L. Kaplan and S. Honigman and H. Rawashdeh and I. Bloch and A. Reshef and O. Abramsky and G. Raphaeli and Z. Meiner and D. Lavie and R. Carasso and M. Sarkantyus and W. Nseir and A. Shaheen and T. Arad and M. Wallid and M. Kushnir and D. Gurvich and S. Hadar and I. Shraga and N. Gadoth and G. Vainstein and A. Saher and V. Vaispapir and K. Khazim and Y. Streifler and N. Roizen and E. Melamed and I. Artmanov and D. Yarnitsky and G. Telman and E. Figlin and R. Shahien and L. Lerner and Y. Finkelstein and M. Dano and I. Chapman and O. Merzeliak and T. Philips and A. Gurevich and C. Hallevy and Y. Piven and A. Gur and I. Bova and I. Shopin and I. Pfeffer and B. Gross and O. Azrilin and Y. Kornberg and M. Sadeh and Y. Lampl",

year = "2006",

month = jan,

language = "אנגלית",

volume = "8",

pages = "3--7",

journal = "Israel Medical Association Journal",

issn = "1565-1088",

publisher = "Israel Medical Association",

number = "1",

}

Tanne, D, Goldbourt, U, Koton, S, Grossman, E, Koren-Morag, N, Green, MS, Bornstein, NM, Behar, S, Sandach, A, Schwartz, R, Benderly, M, Tsabari, R, Rabey, JM, Kimiagar, I, Shevtsov, E, Milo, R, Turiamsky, L, Korn-Lubetzki, I, Ayed, M, Weller, B, Kaplan, L, Honigman, S, Rawashdeh, H, Bloch, I, Reshef, A, Abramsky, O, Raphaeli, G, Meiner, Z, Lavie, D, Carasso, R, Sarkantyus, M, Nseir, W, Shaheen, A, Arad, T, Wallid, M, Kushnir, M, Gurvich, D, Hadar, S, Shraga, I, Gadoth, N, Vainstein, G, Saher, A, Vaispapir, V, Khazim, K, Streifler, Y, Roizen, N, Melamed, E, Artmanov, I, Yarnitsky, D, Telman, G, Figlin, E, Shahien, R, Lerner, L, Finkelstein, Y, Dano, M, Chapman, I, Merzeliak, O, Philips, T, Gurevich, A, Hallevy, C, Piven, Y, Gur, A, Bova, I, Shopin, I, Pfeffer, I, Gross, B, Azrilin, O, Kornberg, Y, Sadeh, M & Lampl, Y 2006, 'A national survey of acute cerebrovascular disease in Israel: Burden, management, outcome and adherence to guidelines', Israel Medical Association Journal, vol. 8, no. 1, pp. 3-7.

TY - JOUR

T1 - A national survey of acute cerebrovascular disease in Israel

T2 - Burden, management, outcome and adherence to guidelines

AU - Tanne, David

AU - Goldbourt, Uri

AU - Koton, Silvia

AU - Grossman, Ehud

AU - Koren-Morag, Nira

AU - Green, Manfred S.

AU - Bornstein, Natan M.

AU - Behar, S.

AU - Sandach, A.

AU - Schwartz, R.

AU - Benderly, M.

AU - Tsabari, R.

AU - Rabey, J. M.

AU - Kimiagar, I.

AU - Shevtsov, E.

AU - Milo, R.

AU - Turiamsky, L.

AU - Korn-Lubetzki, I.

AU - Ayed, M.

AU - Weller, B.

AU - Kaplan, L.

AU - Honigman, S.

AU - Rawashdeh, H.

AU - Bloch, I.

AU - Reshef, A.

AU - Abramsky, O.

AU - Raphaeli, G.

AU - Meiner, Z.

AU - Lavie, D.

AU - Carasso, R.

AU - Sarkantyus, M.

AU - Nseir, W.

AU - Shaheen, A.

AU - Arad, T.

AU - Wallid, M.

AU - Kushnir, M.

AU - Gurvich, D.

AU - Hadar, S.

AU - Shraga, I.

AU - Gadoth, N.

AU - Vainstein, G.

AU - Saher, A.

AU - Vaispapir, V.

AU - Khazim, K.

AU - Streifler, Y.

AU - Roizen, N.

AU - Melamed, E.

AU - Artmanov, I.

AU - Yarnitsky, D.

AU - Telman, G.

AU - Figlin, E.

AU - Shahien, R.

AU - Lerner, L.

AU - Finkelstein, Y.

AU - Dano, M.

AU - Chapman, I.

AU - Merzeliak, O.

AU - Philips, T.

AU - Gurevich, A.

AU - Hallevy, C.

AU - Piven, Y.

AU - Gur, A.

AU - Bova, I.

AU - Shopin, I.

AU - Pfeffer, I.

AU - Gross, B.

AU - Azrilin, O.

AU - Kornberg, Y.

AU - Sadeh, M.

AU - Lampl, Y.

PY - 2006/1

Y1 - 2006/1

N2 - Background: There are no national data on the burden and management of acute cerebrovascular disease in Israel. Objectives: To delineate the burden, characteristics, management and outcomes of hospitalized patients with acute cerebrovascular disease in Israel, and to examine adherence to current guidelines. Methods: We prospectively performed a national survey in all 28 hospitals in Israel admitting patients with acute cerebrovascular events (stroke or transient ischemic attacks) during February and March 2004. Results: During the survey period 2,174 patients were admitted with acute cerebrovascular disease (mean age 71 ± 13 years, 47% women; 89% ischemic stroke or TIA, 7% intracerebral hemorrhage and 4% undetermined stroke). Sixty-two percent of patients were admitted to departments of medicine and a third to neurology, of which only 7% were admitted to departments with a designated stroke unit. Head computed tomography was performed during hospitalization in 93% of patients. The overall rate of urgent thrombolytic therapy for acute ischemic stroke was 0.5%. Among patients with ischemic stroke or TIA, 94% were prescribed an antithrombotic medication at hospital discharge, and among those with atrial fibrillation about half were prescribed warfarin. Carotid duplex was performed in 30% and any vascular imaging study in 36% of patients with ischemic events. The mean (± SD) length of hospital stay was 12 ± 27 days for ICH and 8 ± 11 days for ischemic stroke. Among patients with ICH, 28% died during hospitalization and 66% died or remained with severe disability while for ischemic stroke the corresponding rates were 7% and 41% respectively. Mortality rates within 3 months were 34% for ICH and 14% for ischemic stroke. Conclusions: This national survey demonstrates the high burden of acute stroke in Israel and reveals discordance between existing guidelines and current practice. The findings highlight important areas for which reorganization is imperative for patients afflicted with acute stroke.

AB - Background: There are no national data on the burden and management of acute cerebrovascular disease in Israel. Objectives: To delineate the burden, characteristics, management and outcomes of hospitalized patients with acute cerebrovascular disease in Israel, and to examine adherence to current guidelines. Methods: We prospectively performed a national survey in all 28 hospitals in Israel admitting patients with acute cerebrovascular events (stroke or transient ischemic attacks) during February and March 2004. Results: During the survey period 2,174 patients were admitted with acute cerebrovascular disease (mean age 71 ± 13 years, 47% women; 89% ischemic stroke or TIA, 7% intracerebral hemorrhage and 4% undetermined stroke). Sixty-two percent of patients were admitted to departments of medicine and a third to neurology, of which only 7% were admitted to departments with a designated stroke unit. Head computed tomography was performed during hospitalization in 93% of patients. The overall rate of urgent thrombolytic therapy for acute ischemic stroke was 0.5%. Among patients with ischemic stroke or TIA, 94% were prescribed an antithrombotic medication at hospital discharge, and among those with atrial fibrillation about half were prescribed warfarin. Carotid duplex was performed in 30% and any vascular imaging study in 36% of patients with ischemic events. The mean (± SD) length of hospital stay was 12 ± 27 days for ICH and 8 ± 11 days for ischemic stroke. Among patients with ICH, 28% died during hospitalization and 66% died or remained with severe disability while for ischemic stroke the corresponding rates were 7% and 41% respectively. Mortality rates within 3 months were 34% for ICH and 14% for ischemic stroke. Conclusions: This national survey demonstrates the high burden of acute stroke in Israel and reveals discordance between existing guidelines and current practice. The findings highlight important areas for which reorganization is imperative for patients afflicted with acute stroke.

KW - National registry

KW - Outcome

KW - Stroke

UR - https://www.scopus.com/pages/publications/30944444644

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C2 - 16450742

AN - SCOPUS:30944444644

SN - 1565-1088

VL - 8

SP - 3

EP - 7

JO - Israel Medical Association Journal

JF - Israel Medical Association Journal

IS - 1

ER -

A national survey of acute cerebrovascular disease in Israel: Burden, management, outcome and adherence to guidelines

Abstract

Keywords

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