Introduction
Methods
Ethics committee approval
Role of the funding source
Results
Group classification
Group | Ischemic stroke admitted to neuro-rehabilitation without diagnosis of AF | Ischemic stroke admitted to neuro-rehabilitation with diagnosis of AF | Hemorrhagic stroke | Group comparison |
---|---|---|---|---|
Number of patients | 302 | 206 | 100 | |
Mean age + SD | 74 + 9 | 78 + 10 | 72 + 11 | F = 15.36 p = .001 a |
Prevalence of stroke risk factors on CHA2DS2VASc | ||||
Congestive heart failure | 15% | 22% | 9% | X2 = 8.61 p = .01 b |
Hypertension | 95% | 98% | 86% | X2 = 17.52 P = .001 b |
Age > 75 years | 48% | 72% | 48% | X2 = 31.41 P = .001 b |
Age 65–74 years | 37% | 20% | 31% | X2 = 15.20 P = .001 b |
Diabetes mellitus | 21% | 22% | 17% | X2 = 1.02 P = .60 |
Stroke/ TIA/ Thrombo-embolic events | 100% | 100% | 3% | X2 = 586.29 P = .001 b |
Vascular disease | 42% | 17% | 8% | X2 = 60.78 P = .001 b |
Female sex | 47% | 55% | 51% | X2 = 3.40 P = .18 |
Mean Total CHA2DS2VASc –score | ||||
Mean score + SD | 5.52 ± 1.28 | 5.78 ± 1.18 | 3.03 ± 1.30 | F = 182.57, P = .001 c |
Added diagnostic yield of post-acute second-look 24-h ECG
Total rate of AF in ischemic stroke patients requiring inpatient neurorehabilitation
Group | Ischemic stroke admitted without diagnosis of AF | Ischemic stroke admitted with diagnosis of AF | Hemorrhagic stroke | |
---|---|---|---|---|
no AF diagnosis during re-habilitation | newly diagnosed with AF during re-habilitation | |||
Number of patients | 282 | 20 | 206 | 100 |
Stroke unit acute care | 83% | 85% | 85% | 46% |
Non-stroke unit acute care | 17% | 15% | 15% | 54% |
Diagnostic work-up during acute care, as % of sample | ||||
Standard ECG / of which resulted in AF diagnosis | 71% / 0% | 75% / 0% | 65% / 68% | 44% / 0% |
Holter ECG / of which resulted in AF diagnosis | 51% / 0% | 50% / 0% | 63% / 89% | 9% / 0% |
Bedside monitor ECG / of which resulted in AF diagnosis | 14% / 0% | 5% / 0% | 11% / 90% | 5% / 0% |
Information missing | 16% | 15% | 15% | 50% |
Etiology according to acute care diagnosis | ||||
cardiogenic | 6% | 5% | 90% | |
arteriosclerotic | 63% | 65% | 5% | |
micro-angiopathy | 9% | 5% | 1% | |
not specified | 16% | 25% | 4% |