Trends of ischaemic and haemorrhagic stroke hospitalizations in Hungary between 2010 and 2023: a nationwide, retrospective analysis of real-world data
摘要
Adequate capacity planning of healthcare systems, ensuring effective and accessible care is key. Our aim was to examine the trends of ischaemic and haemorrhagic stroke-related hospitalizations in Hungary.
MethodsWe conducted a nationwide retrospective analysis between 2010 and 2023. Data was provided by the Hungarian Central Statistical Office and the Pulvita Healthcare Data Warehouse. Crude patient and case numbers, number of inpatient care days, the mean length of (hospital) stay, hospital mortality rate, as well as crude and age-standardized hospitalization rate per 100,000 population were calculated for both men and women, and for both ischaemic stroke (IS) and haemorrhagic stroke (HS).
ResultsIn 2010, there were 224,379 cases of stroke in Hungary (94.31% IS, 5.69% HS), while in 2023 the number decreased to 152,649 cases (92.32% IS, 7.68% HS). The age-standardized hospitalization rate was 2644.97 per 100,000 people in 2010 and decreased to 1663.58 per 100,000 people by 2023. The mean length of hospital stay also decreased from 9.89 days to 8.89 days. HS mortality showed improvement in all age groups, especially among young children (0–4 years: -22.42%, 5–18 years: -10.36%). August consistently has a lower admission rate, while October and March show peaks. In terms of in-hospital mortality, the maximum rates are observed from January to March (10.74%, 10.07%, and 9.58%, respectively), as well as in December (8.84%), while June records the lowest mortality (7.95%).
ConclusionsWe draw attention to the importance of optimizing resources, especially considering our findings regarding seasonality. This underscores the necessity for more efficient allocation of capacities, equipment, and human resources.
Trial registrationNot applicable.