{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T04:20:47Z","timestamp":1779250847218,"version":"3.51.4"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":834,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"VISARE NORR Fund"},{"name":"Strokefonden"},{"name":"Strokeforskning i Norrland"},{"name":"Region Norrbotten"},{"name":"VISARE NORR Fund"},{"name":"Strokefonden"},{"name":"Strokeforskning i Norrland"},{"name":"Region Norrbotten"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Few studies have reported the characteristics of patients with in-hospital stroke (IHS) including the reason for hospitalization and invasive procedures before the stroke. We aimed to extend current knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods:<\/jats:title>\n                    <jats:p>All adult patients with IHS in Sweden during 2010\u20132019 registered in the Swedish Stroke Register (Riksstroke) were included. The cohort was cross-linked to the National Patient Register and data extracted on background diagnoses, main discharge diagnoses, and procedure codes for the hospitalization when IHS occurred and any hospital-based healthcare contacts within 30\u2009days before IHS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>231,402 stroke cases were identified of which 12,551 (5.4%) were in-hospital and had corresponding entries in the National Patient Register. Of the IHS patients, 11,420 (91.0%) had ischemic stroke and 1131 (9.0%) hemorrhagic stroke; 5860 (46.7%) of the IHS patients had at least one invasive procedure prior to ictus. 1696 (13.5%) had a cardiovascular procedure and 560 (4.5%) a neurosurgical procedure. 1319 (10.5%) patients only had minimally invasive procedures such as blood product transfusion, hemodialysis, or central line insertion. Common discharge diagnosis in patients with no invasive procedures were cardiovascular disorders, injuries, and respiratory disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and conclusion:<\/jats:title>\n                    <jats:p>One in every 17 strokes in Sweden occur in a hospital. In this unselected large cohort the previously reported major causes for in-hospital stroke, cardiovascular and neurosurgical procedures, preceded IHS in only 18.0% of cases suggesting that other etiologies are more common than previously reported. Future studies should aim at determining absolute risks of stroke after surgical procedures and ways of risk reduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23969873231182761","type":"journal-article","created":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T08:18:30Z","timestamp":1686989910000},"page":"777-783","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Characteristics of in-hospital stroke patients in Sweden: A nationwide register-based study"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2211-7528","authenticated-orcid":false,"given":"Ilan","family":"Ben-Shabat","sequence":"first","affiliation":[{"name":"Department of Clinical Science, Neurosciences, Ume\u00e5 University, Ume\u00e5, Sweden 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Darehed","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Medicine, Sunderby Research Unit, Ume\u00e5 University, Ume\u00e5, Sweden 2"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Statistics, USBE, Ume\u00e5 University, Ume\u00e5, Sweden 3"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonatan","family":"Salzer","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Neurosciences, Ume\u00e5 University, Ume\u00e5, Sweden 1"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,1]]},"reference":[{"key":"2026012113090586400_bibr1-23969873231182761","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1161\/STROKEAHA.113.003617","article-title":"Quality of care and outcomes for in-hospital ischemic stroke: findings from the National Get With The Guidelines-Stroke","volume":"45","author":"Cumbler","year":"2014","journal-title":"Stroke"},{"key":"2026012113090586400_bibr2-23969873231182761","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1159\/000111494","article-title":"In-hospital stroke in a statewide stroke registry","volume":"25","author":"Farooq","year":"2008","journal-title":"Cerebrovasc Dis"},{"key":"2026012113090586400_bibr3-23969873231182761","doi-asserted-by":"crossref","first-page":"4853","DOI":"10.1007\/s10072-022-06015-w","article-title":"Comparison of characteristics, management and outcomes in hospital-onset and community-onset stroke: a multi-centre registry-based cohort study of acute stroke","volume":"43","author":"Fluck","year":"2022","journal-title":"Neurol Sci"},{"key":"2026012113090586400_bibr4-23969873231182761","doi-asserted-by":"crossref","first-page":"e0212396","DOI":"10.1371\/journal.pone.0212396","article-title":"A comparison of trends in stroke care and outcomes between in-hospital and community-onset stroke - 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