Clinical Neuroscience

Comparison of hospitalized acute stroke patients’ characteristics using two large central-eastern european databases

ORBÁN-KIS Károly1,2, SZŐCS Ildikó3, FEKETE Klára4, MIHÁLKA László5, CSIBA László4, BERECZKI Dániel3, SZATMÁRI Szabolcs2,6

JANUARY 30, 2016

Clinical Neuroscience - 2016;69(01-02)


Objectives – Stroke is the third leading cause of death in the European region. In spite of a decreasing trend, stroke related mortality remains higher in Hungary and Romania when compared to the EU average. This might be due to higher incidence, increased severity or even less effective care. Methods – In this study we used two large, hospital based databases from Targu Mures (Romania) and Debrecen (Hungary) to compare not only the demographic characteristics of stroke patients from these countries but also the risk factors, as well as stroke severity and short term outcome. Results – The gender related distribution of patients was similar to those found in the European Survey, whereas the mean age of patients at stroke onset was similar in the two countries but lower by four years. Although the length of hospital stay was significantly different in the two countries it was still much shorter (about half) than in most reports from western European countries. The overall fatality rate in both databases, regardless of gender was comparable to averages from Europe and other countries. In both countries we found a high number of risk factors, frequently overlapping. The prevalence of risk factors (hypertension, smoking, hyperlipidaemia) was higher than those reported in other countries, which can explain the high ratio of recurring stroke. Discussion – In summary, the comparatively analyzed data from the two large databases showed several similarities, especially regarding the high number of modifiable risk factors, and as such further effort is needed regarding primary prevention.


  1. Department of Physiology, University of Medicine and Pharmacy of Târgu Mures, Romania
  2. 2nd Department of Neurology, Mures County Emergency Hospital, Romania
  3. Department of Neurology, Semmelweis University, Budapest, Hungary
  4. Department of Neurology, Medical and Health Science Center, University of Debrecen, Hungary
  5. County Hospital Miskolc, Hungary
  6. Department of Neurology, University of Medicine and Pharmacy of Târgu Mureș, Romania



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