title: Comparative analysis of patients with acute coronary and cerebrovascular syndromes from the national French hospitalization health care system database.
abstract: BACKGROUND
  Nationwide evaluations of the epidemiology of acute coronary syndrome (ACS) or cerebrovascular syndrome (CVS) are scarce. We aimed to analyze nationwide French data on patients referred to hospital for either ACS or CVS.
  
  
  METHODS
  Using the French national hospital discharge diagnosis records, all patients hospitalized between 2005 and 2008 with a diagnosis of ACS and CVS based on the ICD-10 were identified. We analyzed vascular risk factors and early outcomes in patients with a single hospitalization for ACS or CVS or for both ACV and CVS in a 2-month time window.
  
  
  RESULTS
  1,187,643 patients were recorded. Among these, 638,061 (53.7%) had CVS alone, 525,419 (44.3%) had ACS alone, and 24,163 (2%) had both. Patients of the latter group were older, had a higher prevalence of hypertension, diabetes, and atrial fibrillation, a longer length of stay, were less likely to be discharged to home, and had a higher in-hospital risk of death after adjustment for age, sex, and vascular risk factors compared with patients with either CVS alone (OR = 1.71, 95% CI: 1.66-1.77) or ACS alone (OR = 2.95, 95% CI: 2.85-3.05).
  
  
  CONCLUSIONS
  Patients with both CVS and ACS have a high vascular risk profile and a marked excess risk of early death.
authors: Dijon Stroke Registry (INSERM and InVS), IFR 100 STIC-Santé, University Hospital and Faculty of Medicine of Dijon, EA 4184, University of Burgundy, Dijon, France. ybejot@yahoo.fr
authors: Yannick
authors: Y
authors: Béjot
authors: Eric
authors: E
authors: Benzenine
authors: Luc
authors: L
authors: Lorgis
authors: Marianne
authors: M
authors: Zeller
authors: Hervé
authors: H
authors: Aubé
authors: Maurice
authors: M
authors: Giroud
authors: Yves
authors: Y
authors: Cottin
authors: Catherine
authors: C
authors: Quantin
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000453:epidemiology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001281:Atrial Fibrillation; D002561:Cerebrovascular Disorders / Q000150:complications / Q000453:epidemiology*; D003920:Diabetes Mellitus; D005260:Female; D005602:France / Q000453:epidemiology; D017052:Hospital Mortality; D006801:Humans; D006937:Hypercholesterolemia; D006973:Hypertension; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000453:epidemiology*; D009765:Obesity; D012042:Registries; D012307:Risk Factors; D020521:Stroke / Q000150:complications / Q000453:epidemiology*