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001-es BibID:	BIBFORM079826
Első szerző:	Fekete Klára (neurológus)
Cím:	Alcohol consumption and smoking are associated with higher 30-day case fatality after stroke in the mures-uzhgorod-debrecen (mud) database / K. E. Fekete, S. Szatmári, I. Szőcs, C. Szekeres, J. Szász, L. Mihálka, V. Smolanka, L. Csiba, D. Bereczki
Dátum:	2008
ISSN:	1015-9770
Megjegyzések:	Abstract Introduction: Age, alcohol consumption, smoking are important risk factors of stroke. After stroke most of the patients suffer from different grade of disability. Methods: In this work the risk factors, mentioned above, the disability and the 30 day case fatality was investigated by analyzing the data of 1047 patients from the MUD database between the 1 st of October 1999 and 30th of September 2000. (The distribution of the patients in the database is the following: 554 patients in Debrecen, 260 patients in Targu Mures and 233 in Uzhgorod). Results: The distribution of stroke concerning the genders by our database is the following: 42,5% female, 57,5 % male. Before discharge 222 patients (22,1%) died. By 172 of the patients (16,4%) occurred stroke in the familial-history. The ratio of the age was found more unfavorable by males: between 30 and 60 years the frequency of stroke was twice as high as by females (on the average by 30,75% of women and 69,26% of men suffer stroke).The ratio is very similar by cerebral bleeding not only ischemia. 249 of total stroke patients admitted alcohol consumption (23,8%), 551 did not (52,6%) (28,6%is unknown). The 30 day mortality rate was 25,3% between the patients admitting alcohol consumption, and only 9,3% between those who did not. In total 339 patients suffered cerebral bleeding ( 32,4%), which is higher then the literary dates. No difference was found between the 3 examination places. The ratio of death in the group of alcohol consumers and alcohol-non-consumer was equally prominently high without any difference. In our database 25,09% of the patients smoked. The excess of disability at dismission was analyzed by 825 patients with the following results: 153 patients (18,5%) needed permanent care, 182 (22%) patients needed help by every-day-life, 230 (27,5%) patients could live a self-sufficient life with residual signs, and 260 (31,5%) had no neurological sign. Results and conclusion: The analysis of the MUD database emphasizes the medical education of the population in health policy.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt stroke
Megjelenés:	Cerebrovascular Diseases. - 25 : 2 (2008), p. 71. -
További szerzők:	Szatmári Szabolcs (1960-) (neurológus) Szőcs Ildikó (1970-) (orvos) Szekeres Csilla Cecília (1980-) (orvos) Szász József (1960-) (neurológus) Mihálka László (1950-) (neurológus) Smolanka, Volodymyr I. (1950-) (orvos) Csiba László (1952-) (neurológus, pszichiáter) Bereczki Dániel (1960-) (neurológus)
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001-es BibID:	BIBFORM049525
Első szerző:	Fekete Klára (neurológus)
Cím:	Prestroke Alcohol Consumption and Smoking Are Not Associated with Stroke Severity, Disability at Discharge, and Case Fatality / Klára Fekete, Szabolcs Szatmári, Ildikó Szőcs, Csilla Szekeres, József Szász, László Mihálka, Volodymyr Smolanka, László Kardos, László Csiba, Dániel Bereczki
Dátum:	2014
Megjegyzések:	Background: Heavy alcohol consumption and smoking are known risk factors for stroke but their influence on stroke severity and outcome may also be important. We tested if alcohol consumption and smoking relate to initial stroke severity, disability at discharge from hospital and outcome at 30 days and at 1 year in 1049 patients of the Mures-Uzhgorod-Debrecen database. Methods: Initial stroke severity was scored by the NIH stroke scale. Case fatality and the modified outcome scale of the 1st International Stroke Trial were used to assess outcome. We used multiple regression analysis.Results: Before their stroke, 24.5% were smokers and 24.7 % admitted regular alcohol consumption. Neither smoking nor alcohol consumption status were associated with initial stroke severity. Case fatality at discharge, at 30 days and at 1 year were 12.2%, 16.9% and 28.3%, respectively. Initial stroke severity, hemorrhagic subtype, and age in men over 60 years were strong predictors of outcome. We did not find significant difference among alcohol consumers and non-consumers in 30-day and in one year case fatality in all stroke patients and in ischemic stroke patients. In hemorrhagic stroke, there was a non-significant tendency for higher case fatality among alcohol-consumers (39.5% vs. 26.4%, p>0.2 at 30 days and 48.8% vs. 35.8%, p>0.2 at 1 year). Smoking did not influence significantly the outcome at 30-days and at one-year.Conclusion: despite being risk factors, pre-stroke smoking and alcohol consumption do not have a significant influence on stroke severity and on short- and long- term outcome.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Alcohol, smoking and stroke severity
Megjelenés:	Journal of Stroke and Cerebrovascular Diseases. - 23 : 1 (2014), p. e31-e37. -
További szerzők:	Szatmári Szabolcs (1960-) (neurológus) Szőcs Ildikó (1970-) (orvos) Szekeres Csilla Cecília (1980-) (orvos) Szász József (1960-) (neurológus) Mihálka László (1950-) (neurológus) Smolanka, Volodymyr I. (1950-) (orvos) Kardos László (1970-) (megelőző orvostan és népegészségtan szakorvos) Csiba László (1952-) (neurológus, pszichiáter) Bereczki Dániel (1960-) (neurológus)
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001-es BibID:	BIBFORM062621
035-os BibID:	(WoS)000369198600006 (Scopus)84960155748
Első szerző:	Orbán-Kis Károly
Cím:	Comparison of hospitalized acute stroke patients' characteristics using two large central-eastern european databases / Károly Orbán-Kis, Ildikó Szőcs, Klára Fekete, László Mihálka, László Csiba, Dániel Bereczki, Szabolcs Szatmári
Dátum:	2016
ISSN:	0019-1442
Megjegyzések:	Objectives: Stroke is the third leading cause of death inthe European region. In spite of a decreasing trend, strokerelated mortality remains higher in Hungary and Romaniawhen compared to the EU average. This might be due tohigher incidence, increased severity or even less effectivecare.Methods: In this study we used two large, hospital baseddatabases from Targu Mures (Romania) and Debrecen(Hungary) to compare not only the demographic characteristicsof stroke patients from these countries but also the riskfactors, as well as stroke severity and short term outcome.Results: The gender related distribution of patients wassimilar to those found in the European Survey, whereas themean age of patients at stroke onset was similar in the twocountries but lower by four years. Although the length ofhospital stay was significantly different in the two countries itwas still much shorter (about half) than in most reports fromwestern European countries. The overall fatality rate in bothdatabases, regardless of gender was comparable to averagesfrom Europe and other countries. In both countries wefound a high number of risk factors, frequently overlapping.The prevalence of risk factors (hypertension, smoking,hyperlipidaemia) was higher than those reported in othercountries, which can explain the high ratio of recurringstroke.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény hazai lapban folyóiratcikk
Megjelenés:	Ideggyógyászati Szemle. - 69 : 1-2 (2016), p. 47-53. -
További szerzők:	Szőcs Ildikó (1970-) (orvos) Fekete Klára (1978-) (neurológus) Mihálka László (1950-) (neurológus) Csiba László (1952-) (neurológus, pszichiáter) Bereczki Dániel (1960-) (neurológus) Szatmári Szabolcs (1960-) (neurológus)
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