Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals
BACKGROUND AND PURPOSE: The Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals is a multicenter registry from various stroke centers in Latin America, exploring demographic, clinical, imaging, and functional outcomes in acute ischemic stroke (AIS) patients, with the i...
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2025
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| author | Miguel A. Vences Miguel A. Barboza Leonardo Augusto Carbonera Virgilio E. Failoc‐Rojas Julieta Rosales Pablo Amaya Pablo M. Lavados María Álvarez Fernando Góngora‐Rivera Verónica V. Olavarría Pablo A. González Celina Ciardi Pedro Lylyk Juan Cirio Natalia Llanos‐Leyton Julián Alejandro Rivillas Donoband Melgarejo Analia Cardozo Lorena Gallardo-Peralta Andrés Silva-Pozo Liliana Rodríguez-Kadota Diego Canales Sara Lorena Salvador-Mateo Sebastián León-Vallejo Mariángel Gabriela Vásquez Zevallos Angelica Ruiz Franco Natalia Balián Marianela Soledad Lopez Armaretti María Victoria Acosta Ronald Alexis Soto Arancibia Felipe Romero Luis José Cotes Mendoza Andrés Eduardo Diaz Guzmán Luis Roa Laura Boada Robayo Loren Marcela Gallo F Carvajal Esteban Montoya Vera William Bayona Pancorbo Carla Gabriela Román Ojeda Jorge Emilio Alfonso Violeta Celis Rodrigo Décima Bonaglia María I. Rodríguez Ramiro Rocha Rodríguez Gonzalo Pérez Nelson Novarro Diana Manrique-Otero Ana María García Callejas Jaime Eduardo Rodriguez Orozco Carlos Fernando Martinez Rubio Laura Andrea Serna Corredor Fabiola Serrano Claudia Vanessa Cano Nigenda Alessandra Pompa Gisele Sampaio Silva Eva Rocha J M Cruz |
| author_browse | Alessandra Pompa Ana María García Callejas Analia Cardozo Andrés Eduardo Diaz Guzmán Andrés Silva-Pozo Angelica Ruiz Franco Carla Gabriela Román Ojeda Carlos Fernando Martinez Rubio Celina Ciardi Claudia Vanessa Cano Nigenda Diana Manrique-Otero Diego Canales Donoband Melgarejo Esteban Montoya Vera Eva Rocha F Carvajal Fabiola Serrano Felipe Romero Fernando Góngora‐Rivera Gisele Sampaio Silva Gonzalo Pérez J M Cruz Jaime Eduardo Rodriguez Orozco Jorge Emilio Alfonso Juan Cirio Julieta Rosales Julián Alejandro Rivillas Laura Andrea Serna Corredor Laura Boada Robayo Leonardo Augusto Carbonera Liliana Rodríguez-Kadota Loren Marcela Gallo Lorena Gallardo-Peralta Luis José Cotes Mendoza Luis Roa Marianela Soledad Lopez Armaretti Mariángel Gabriela Vásquez Zevallos María I. Rodríguez María Victoria Acosta María Álvarez Miguel A. Barboza Miguel A. Vences Natalia Balián Natalia Llanos‐Leyton Nelson Novarro Pablo A. González Pablo Amaya Pablo M. Lavados Pedro Lylyk Ramiro Rocha Rodríguez Rodrigo Décima Bonaglia Ronald Alexis Soto Arancibia Sara Lorena Salvador-Mateo Sebastián León-Vallejo Verónica V. Olavarría Violeta Celis Virgilio E. Failoc‐Rojas William Bayona Pancorbo |
| author_facet | Miguel A. Vences Miguel A. Barboza Leonardo Augusto Carbonera Virgilio E. Failoc‐Rojas Julieta Rosales Pablo Amaya Pablo M. Lavados María Álvarez Fernando Góngora‐Rivera Verónica V. Olavarría Pablo A. González Celina Ciardi Pedro Lylyk Juan Cirio Natalia Llanos‐Leyton Julián Alejandro Rivillas Donoband Melgarejo Analia Cardozo Lorena Gallardo-Peralta Andrés Silva-Pozo Liliana Rodríguez-Kadota Diego Canales Sara Lorena Salvador-Mateo Sebastián León-Vallejo Mariángel Gabriela Vásquez Zevallos Angelica Ruiz Franco Natalia Balián Marianela Soledad Lopez Armaretti María Victoria Acosta Ronald Alexis Soto Arancibia Felipe Romero Luis José Cotes Mendoza Andrés Eduardo Diaz Guzmán Luis Roa Laura Boada Robayo Loren Marcela Gallo F Carvajal Esteban Montoya Vera William Bayona Pancorbo Carla Gabriela Román Ojeda Jorge Emilio Alfonso Violeta Celis Rodrigo Décima Bonaglia María I. Rodríguez Ramiro Rocha Rodríguez Gonzalo Pérez Nelson Novarro Diana Manrique-Otero Ana María García Callejas Jaime Eduardo Rodriguez Orozco Carlos Fernando Martinez Rubio Laura Andrea Serna Corredor Fabiola Serrano Claudia Vanessa Cano Nigenda Alessandra Pompa Gisele Sampaio Silva Eva Rocha J M Cruz |
| author_sort | Miguel A. Vences |
| collection | Producción científica |
| description | BACKGROUND AND PURPOSE: The Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals is a multicenter registry from various stroke centers in Latin America, exploring demographic, clinical, imaging, and functional outcomes in acute ischemic stroke (AIS) patients, with the intention of determining case-fatality rates (in-hospital, 30 and 90 days follow up) and analyzing associated risk factors. METHODS: We conducted a retrospective cohort study using data from hospitalized AIS patients over 18 years of age, collected from 27 centers in 11 Latin American countries between January 1 and December 31, 2022. The effect size was estimated using the hazard ratio (HR) and 95 % confidence intervals (95 % CI) through Cox regression models to assess the association between time to 30-day fatality event and covariates. RESULTS: A total of 2,997 patients were included. The mean age was 68.7 years and 48.1 % were women. In-hospital case-fatality was 9.42 %, 277 patients (10.2 %) died within 30 days, and 90-day case-fatality was relatively close at 353 patients (13.3 %). Complications were reported in 31.3 % of cases, most frequently infections (18.5 %). Age over 75 years (HRa=2.28), hyperglycemia (HRa=1.28), baseline status (HRa=1.61), stroke severity according to NIHSS >26 (HRa=6.11) and the presence of neurological complications (HRa=3.2) were risk factors for 30-day follow up case-fatality in these patients. CONCLUSION: AIS patients in Latin America stroke centers had an in-hospital case-fatality of 9.42 % and the 30-day case-fatality was 10.2 %. Older age, hyperglycemia, baseline status, stroke severity and neurological complications were the strongest predictors of early case-fatality. The findings underscore the need to optimize stroke management protocols in the region. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1350 |
| institution | UPeU |
| language | English |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/13502026-10-30T16:15:38ZCase-fatality of acute ischemic stroke in stroke units of Latin American hospitalsMiguel A. VencesMiguel A. BarbozaLeonardo Augusto CarboneraVirgilio E. Failoc‐RojasJulieta RosalesPablo AmayaPablo M. LavadosMaría ÁlvarezFernando Góngora‐RiveraVerónica V. OlavarríaPablo A. GonzálezCelina CiardiPedro LylykJuan CirioNatalia Llanos‐LeytonJulián Alejandro RivillasDonoband MelgarejoAnalia CardozoLorena Gallardo-PeraltaAndrés Silva-PozoLiliana Rodríguez-KadotaDiego CanalesSara Lorena Salvador-MateoSebastián León-VallejoMariángel Gabriela Vásquez ZevallosAngelica Ruiz FrancoNatalia BaliánMarianela Soledad Lopez ArmarettiMaría Victoria AcostaRonald Alexis Soto ArancibiaFelipe RomeroLuis José Cotes MendozaAndrés Eduardo Diaz GuzmánLuis RoaLaura Boada RobayoLoren Marcela GalloF CarvajalEsteban Montoya VeraWilliam Bayona PancorboCarla Gabriela Román OjedaJorge Emilio AlfonsoVioleta CelisRodrigo Décima BonagliaMaría I. RodríguezRamiro Rocha RodríguezGonzalo PérezNelson NovarroDiana Manrique-OteroAna María García CallejasJaime Eduardo Rodriguez OrozcoCarlos Fernando Martinez RubioLaura Andrea Serna CorredorFabiola SerranoClaudia Vanessa Cano NigendaAlessandra PompaGisele Sampaio SilvaEva RochaJ M CruzMedicineCase fatality rateStroke (engine)Hazard ratioProportional hazards modelConfidence intervalCohortCohort studyEmergency medicinePediatricsEpidemiologyInternal medicineMechanical engineeringEngineeringMedicineCase fatality rateStroke (engine)Hazard ratioProportional hazards modelConfidence intervalCohortCohort studyEmergency medicinePediatricsEpidemiologyInternal medicineIschemic Stroke diagnosisIschemic Stroke diagnosisIschemic Stroke diagnosisIschemic Stroke mortalityIschemic Stroke mortalityIschemic Stroke mortalityIschemic Stroke therapyIschemic Stroke therapyIschemic Stroke therapyAgedAgedAgedAged, 80 and overAged, 80 and overAged, 80 and overFemaleFemaleFemaleHospital UnitsHospital UnitsHospital UnitsHumansHumansHumansLatin America epidemiologyLatin America epidemiologyLatin America epidemiologyMaleMaleMaleMiddle AgedMiddle AgedMiddle AgedPrognosisPrognosisPrognosisRegistriesRegistriesRegistriesRetrospective StudiesRetrospective StudiesRetrospective StudiesRisk FactorsRisk FactorsRisk FactorsTime FactorsTime FactorsTime FactorsHospital MortalityHospital MortalityHospital MortalityRisk AssessmentRisk AssessmentRisk AssessmentHealth Sciences Medicine Epidemiology Acute Ischemic Stroke ManagementHealth Sciences Medicine Neurology Intracerebral and Subarachnoid Hemorrhage ResearchLife Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology S100 Proteins and AnnexinsBACKGROUND AND PURPOSE: The Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals is a multicenter registry from various stroke centers in Latin America, exploring demographic, clinical, imaging, and functional outcomes in acute ischemic stroke (AIS) patients, with the intention of determining case-fatality rates (in-hospital, 30 and 90 days follow up) and analyzing associated risk factors. METHODS: We conducted a retrospective cohort study using data from hospitalized AIS patients over 18 years of age, collected from 27 centers in 11 Latin American countries between January 1 and December 31, 2022. The effect size was estimated using the hazard ratio (HR) and 95 % confidence intervals (95 % CI) through Cox regression models to assess the association between time to 30-day fatality event and covariates. RESULTS: A total of 2,997 patients were included. The mean age was 68.7 years and 48.1 % were women. In-hospital case-fatality was 9.42 %, 277 patients (10.2 %) died within 30 days, and 90-day case-fatality was relatively close at 353 patients (13.3 %). Complications were reported in 31.3 % of cases, most frequently infections (18.5 %). Age over 75 years (HRa=2.28), hyperglycemia (HRa=1.28), baseline status (HRa=1.61), stroke severity according to NIHSS >26 (HRa=6.11) and the presence of neurological complications (HRa=3.2) were risk factors for 30-day follow up case-fatality in these patients. CONCLUSION: AIS patients in Latin America stroke centers had an in-hospital case-fatality of 9.42 % and the 30-day case-fatality was 10.2 %. Older age, hyperglycemia, baseline status, stroke severity and neurological complications were the strongest predictors of early case-fatality. The findings underscore the need to optimize stroke management protocols in the region.Articlehttps://pubmed.ncbi.nlm.nih.gov/40645356https://www.strokejournal.org/article/S1052-3057(25)00174-0/pdfhttps://doi.org/10.1016/j.jstrokecerebrovasdis.2025.10839610.1016/j.jstrokecerebrovasdis.2025.108396https://hdl.handle.net/20.500.15037/1350W4412392498enJournal of Stroke and Cerebrovascular Diseases1052-30571532-85112025-07-152026-06-13T09:54:31Z2026-06-13T09:54:31Z |
| spellingShingle | Medicine Case fatality rate Stroke (engine) Hazard ratio Proportional hazards model Confidence interval Cohort Cohort study Emergency medicine Pediatrics Epidemiology Internal medicine Mechanical engineering Engineering Medicine Case fatality rate Stroke (engine) Hazard ratio Proportional hazards model Confidence interval Cohort Cohort study Emergency medicine Pediatrics Epidemiology Internal medicine Ischemic Stroke diagnosis Ischemic Stroke diagnosis Ischemic Stroke diagnosis Ischemic Stroke mortality Ischemic Stroke mortality Ischemic Stroke mortality Ischemic Stroke therapy Ischemic Stroke therapy Ischemic Stroke therapy Aged Aged Aged Aged, 80 and over Aged, 80 and over Aged, 80 and over Female Female Female Hospital Units Hospital Units Hospital Units Humans Humans Humans Latin America epidemiology Latin America epidemiology Latin America epidemiology Male Male Male Middle Aged Middle Aged Middle Aged Prognosis Prognosis Prognosis Registries Registries Registries Retrospective Studies Retrospective Studies Retrospective Studies Risk Factors Risk Factors Risk Factors Time Factors Time Factors Time Factors Hospital Mortality Hospital Mortality Hospital Mortality Risk Assessment Risk Assessment Risk Assessment Health Sciences Medicine Epidemiology Acute Ischemic Stroke Management Health Sciences Medicine Neurology Intracerebral and Subarachnoid Hemorrhage Research Life Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology S100 Proteins and Annexins Miguel A. Vences Miguel A. Barboza Leonardo Augusto Carbonera Virgilio E. Failoc‐Rojas Julieta Rosales Pablo Amaya Pablo M. Lavados María Álvarez Fernando Góngora‐Rivera Verónica V. Olavarría Pablo A. González Celina Ciardi Pedro Lylyk Juan Cirio Natalia Llanos‐Leyton Julián Alejandro Rivillas Donoband Melgarejo Analia Cardozo Lorena Gallardo-Peralta Andrés Silva-Pozo Liliana Rodríguez-Kadota Diego Canales Sara Lorena Salvador-Mateo Sebastián León-Vallejo Mariángel Gabriela Vásquez Zevallos Angelica Ruiz Franco Natalia Balián Marianela Soledad Lopez Armaretti María Victoria Acosta Ronald Alexis Soto Arancibia Felipe Romero Luis José Cotes Mendoza Andrés Eduardo Diaz Guzmán Luis Roa Laura Boada Robayo Loren Marcela Gallo F Carvajal Esteban Montoya Vera William Bayona Pancorbo Carla Gabriela Román Ojeda Jorge Emilio Alfonso Violeta Celis Rodrigo Décima Bonaglia María I. Rodríguez Ramiro Rocha Rodríguez Gonzalo Pérez Nelson Novarro Diana Manrique-Otero Ana María García Callejas Jaime Eduardo Rodriguez Orozco Carlos Fernando Martinez Rubio Laura Andrea Serna Corredor Fabiola Serrano Claudia Vanessa Cano Nigenda Alessandra Pompa Gisele Sampaio Silva Eva Rocha J M Cruz Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals |
| title | Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals |
| title_full | Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals |
| title_fullStr | Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals |
| title_full_unstemmed | Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals |
| title_short | Case-fatality of acute ischemic stroke in stroke units of Latin American hospitals |
| title_sort | case fatality of acute ischemic stroke in stroke units of latin american hospitals |
| topic | Medicine Case fatality rate Stroke (engine) Hazard ratio Proportional hazards model Confidence interval Cohort Cohort study Emergency medicine Pediatrics Epidemiology Internal medicine Mechanical engineering Engineering Medicine Case fatality rate Stroke (engine) Hazard ratio Proportional hazards model Confidence interval Cohort Cohort study Emergency medicine Pediatrics Epidemiology Internal medicine Ischemic Stroke diagnosis Ischemic Stroke diagnosis Ischemic Stroke diagnosis Ischemic Stroke mortality Ischemic Stroke mortality Ischemic Stroke mortality Ischemic Stroke therapy Ischemic Stroke therapy Ischemic Stroke therapy Aged Aged Aged Aged, 80 and over Aged, 80 and over Aged, 80 and over Female Female Female Hospital Units Hospital Units Hospital Units Humans Humans Humans Latin America epidemiology Latin America epidemiology Latin America epidemiology Male Male Male Middle Aged Middle Aged Middle Aged Prognosis Prognosis Prognosis Registries Registries Registries Retrospective Studies Retrospective Studies Retrospective Studies Risk Factors Risk Factors Risk Factors Time Factors Time Factors Time Factors Hospital Mortality Hospital Mortality Hospital Mortality Risk Assessment Risk Assessment Risk Assessment Health Sciences Medicine Epidemiology Acute Ischemic Stroke Management Health Sciences Medicine Neurology Intracerebral and Subarachnoid Hemorrhage Research Life Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology S100 Proteins and Annexins |
| topic_facet | Medicine Case fatality rate Stroke (engine) Hazard ratio Proportional hazards model Confidence interval Cohort Cohort study Emergency medicine Pediatrics Epidemiology Internal medicine Mechanical engineering Engineering Medicine Case fatality rate Stroke (engine) Hazard ratio Proportional hazards model Confidence interval Cohort Cohort study Emergency medicine Pediatrics Epidemiology Internal medicine Ischemic Stroke diagnosis Ischemic Stroke diagnosis Ischemic Stroke diagnosis Ischemic Stroke mortality Ischemic Stroke mortality Ischemic Stroke mortality Ischemic Stroke therapy Ischemic Stroke therapy Ischemic Stroke therapy Aged Aged Aged Aged, 80 and over Aged, 80 and over Aged, 80 and over Female Female Female Hospital Units Hospital Units Hospital Units Humans Humans Humans Latin America epidemiology Latin America epidemiology Latin America epidemiology Male Male Male Middle Aged Middle Aged Middle Aged Prognosis Prognosis Prognosis Registries Registries Registries Retrospective Studies Retrospective Studies Retrospective Studies Risk Factors Risk Factors Risk Factors Time Factors Time Factors Time Factors Hospital Mortality Hospital Mortality Hospital Mortality Risk Assessment Risk Assessment Risk Assessment Health Sciences Medicine Epidemiology Acute Ischemic Stroke Management Health Sciences Medicine Neurology Intracerebral and Subarachnoid Hemorrhage Research Life Sciences Biochemistry, Genetics and Molecular Biology Molecular Biology S100 Proteins and Annexins |
| url | https://pubmed.ncbi.nlm.nih.gov/40645356 https://www.strokejournal.org/article/S1052-3057(25)00174-0/pdf https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108396 https://hdl.handle.net/20.500.15037/1350 |
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