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Christmas, acute ischemic stroke and stroke‐related mortality in Hungary

OBJECTIVES: Risk factors for stroke include psychological effects, such as depression. Festive occasions (such as Christmas in Hungary) may carry a significant emotional impact and may therefore contribute to increased cardiovascular risk. Thrombolytic treatment of acute ischemic stroke has a narrow...

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Autores principales: Folyovich, András, Mátis, Réka, Al‐Muhanna, Nadim, Jarecsny, Tamás, Dudás, Eszter, Jánoska, Dorottya, Pálosi, Mihály, Béres‐Molnár, Anna K., Toldi, Gergely
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8119813/
https://www.ncbi.nlm.nih.gov/pubmed/33687768
http://dx.doi.org/10.1002/brb3.2104
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author Folyovich, András
Mátis, Réka
Al‐Muhanna, Nadim
Jarecsny, Tamás
Dudás, Eszter
Jánoska, Dorottya
Pálosi, Mihály
Béres‐Molnár, Anna K.
Toldi, Gergely
author_facet Folyovich, András
Mátis, Réka
Al‐Muhanna, Nadim
Jarecsny, Tamás
Dudás, Eszter
Jánoska, Dorottya
Pálosi, Mihály
Béres‐Molnár, Anna K.
Toldi, Gergely
author_sort Folyovich, András
collection PubMed
description OBJECTIVES: Risk factors for stroke include psychological effects, such as depression. Festive occasions (such as Christmas in Hungary) may carry a significant emotional impact and may therefore contribute to increased cardiovascular risk. Thrombolytic treatment of acute ischemic stroke has a narrow time window and allows for the precise assessment of stroke incidence. MATERIALS & METHODS: We analyzed anonymized national data of the number of thrombolytic treatments for acute ischemic stroke and the number of stroke‐related deaths between 1 January 2007 and 31 December 2016 in Hungary within 2‐day, 5‐day, and 1‐month periods preceding and following 24 December each year. Analysis of subgroups based on age (below and over 65 years) and sex was also performed. RESULTS: The number of thrombolytic treatments was higher in all three periods preceding Christmas compared to the corresponding period that follows the feast. This increase was particularly prominent in men below 65 years of age. While overall stroke‐associated mortality was increased 1 month after Christmas, the death rate was higher a month before rather than after Christmas in men below 65 years of age and in women both below and over 65 years of age 5 days before Christmas. CONCLUSIONS: These findings may predominantly relate to emotional and psychological factors. In case of women, the anxiety secondary to festive preparations, while in men below 65 years, the increased psychological stress of providing financial security for the celebration may play an important role.
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spelling pubmed-81198132021-05-20 Christmas, acute ischemic stroke and stroke‐related mortality in Hungary Folyovich, András Mátis, Réka Al‐Muhanna, Nadim Jarecsny, Tamás Dudás, Eszter Jánoska, Dorottya Pálosi, Mihály Béres‐Molnár, Anna K. Toldi, Gergely Brain Behav Original Research OBJECTIVES: Risk factors for stroke include psychological effects, such as depression. Festive occasions (such as Christmas in Hungary) may carry a significant emotional impact and may therefore contribute to increased cardiovascular risk. Thrombolytic treatment of acute ischemic stroke has a narrow time window and allows for the precise assessment of stroke incidence. MATERIALS & METHODS: We analyzed anonymized national data of the number of thrombolytic treatments for acute ischemic stroke and the number of stroke‐related deaths between 1 January 2007 and 31 December 2016 in Hungary within 2‐day, 5‐day, and 1‐month periods preceding and following 24 December each year. Analysis of subgroups based on age (below and over 65 years) and sex was also performed. RESULTS: The number of thrombolytic treatments was higher in all three periods preceding Christmas compared to the corresponding period that follows the feast. This increase was particularly prominent in men below 65 years of age. While overall stroke‐associated mortality was increased 1 month after Christmas, the death rate was higher a month before rather than after Christmas in men below 65 years of age and in women both below and over 65 years of age 5 days before Christmas. CONCLUSIONS: These findings may predominantly relate to emotional and psychological factors. In case of women, the anxiety secondary to festive preparations, while in men below 65 years, the increased psychological stress of providing financial security for the celebration may play an important role. John Wiley and Sons Inc. 2021-03-09 /pmc/articles/PMC8119813/ /pubmed/33687768 http://dx.doi.org/10.1002/brb3.2104 Text en © 2021 The Authors. Brain and Behavior published by Wiley Periodicals LLC https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Folyovich, András
Mátis, Réka
Al‐Muhanna, Nadim
Jarecsny, Tamás
Dudás, Eszter
Jánoska, Dorottya
Pálosi, Mihály
Béres‐Molnár, Anna K.
Toldi, Gergely
Christmas, acute ischemic stroke and stroke‐related mortality in Hungary
title Christmas, acute ischemic stroke and stroke‐related mortality in Hungary
title_full Christmas, acute ischemic stroke and stroke‐related mortality in Hungary
title_fullStr Christmas, acute ischemic stroke and stroke‐related mortality in Hungary
title_full_unstemmed Christmas, acute ischemic stroke and stroke‐related mortality in Hungary
title_short Christmas, acute ischemic stroke and stroke‐related mortality in Hungary
title_sort christmas, acute ischemic stroke and stroke‐related mortality in hungary
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8119813/
https://www.ncbi.nlm.nih.gov/pubmed/33687768
http://dx.doi.org/10.1002/brb3.2104
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