共 17 条
Readmission after stroke in a hospital-based registry Risk, etiologies, and risk factors
被引:82
作者:

Lin, Huey-Juan
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机构:
Chi Mei Med Ctr, Dept Neurol, Tainan, Taiwan Natl Sun Yat Sen Univ, Dept Business Management, Kaohsiung 804, Taiwan

Chang, Wei-Lun
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h-index: 0
机构:
Chi Mei Med Ctr, Dept Neurol, Tainan, Taiwan Natl Sun Yat Sen Univ, Dept Business Management, Kaohsiung 804, Taiwan

Tseng, Mei-Chiun
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h-index: 0
机构:
Natl Sun Yat Sen Univ, Dept Business Management, Kaohsiung 804, Taiwan Natl Sun Yat Sen Univ, Dept Business Management, Kaohsiung 804, Taiwan
机构:
[1] Natl Sun Yat Sen Univ, Dept Business Management, Kaohsiung 804, Taiwan
[2] Chi Mei Med Ctr, Dept Neurol, Tainan, Taiwan
来源:
关键词:
ISCHEMIC-STROKE;
DISCHARGE;
INTERVENTION;
VALIDATION;
QUALITY;
DEATH;
CARE;
D O I:
10.1212/WNL.0b013e31820a0cd8
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Objective: Readmission among stroke survivors is common and costly. This prospective cohort study aimed to explore the readmission risk, causes, and risk factors after discharge from stroke hospitalization in Taiwan. Methods: Hospitalized patients with acute stroke between August 1, 2006, and December 31, 2008, were prospectively under continuous surveillance on the medical records for any readmission. The main reasons for readmission were categorized by chart review as recurrent stroke, neurologic sequelae of stroke, other cardiovascular event, infection, gastrointestinal ulcer with bleeding, and others. Kaplan-Meier method was used to estimate the probabilities of readmission over time and Cox proportional hazards models were used to evaluate the risk factors for the first readmission. Results: Of the 2,657 study patients, rehospitalization occurred in 815 (31%) within 1 year after discharge. The probability of readmission at 30 days was 10% (95% confidence interval 9%-11%), at 90 days 17% (16%-19%), at 180 days 24% (22%-26%), and at 360 days 36% (34%-38%). The most frequent reasons for rehospitalization were infection (28%), recurrent stroke (18%), and other cardiovascular event (10%). Increasing age, previous stroke/TIA, atrial fibrillation, coronary artery disease, having complications at the index hospitalization, longer length of stay, and dependency at discharge were the independent predictors for readmission. Conclusions: Stroke survivors have high likelihood of. readmission within 1 year following discharge, with infections and recurrent vascular events being the most common reasons. Identification of high-risk subgroups might foster preventive interventions. Neurology (R) 2011;76:438-443
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页码:438 / 443
页数:6
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共 17 条
[1]
Readmission and death after hospitalization for acute ischemic stroke - 5-Year follow-up in the medicare population
[J].
Bravata, Dawn M.
;
Ho, Shih-Yieh
;
Meehan, Thomas P.
;
Brass, Lawrence M.
;
Concato, John
.
STROKE,
2007, 38 (06)
:1899-1904

Bravata, Dawn M.
论文数: 0 引用数: 0
h-index: 0
机构: W Haven VA Med Ctr, VA Connecticut Healthcare Syst, Clin Epidemiol Res Ctr, West Haven, CT 06516 USA

Ho, Shih-Yieh
论文数: 0 引用数: 0
h-index: 0
机构: W Haven VA Med Ctr, VA Connecticut Healthcare Syst, Clin Epidemiol Res Ctr, West Haven, CT 06516 USA

Meehan, Thomas P.
论文数: 0 引用数: 0
h-index: 0
机构: W Haven VA Med Ctr, VA Connecticut Healthcare Syst, Clin Epidemiol Res Ctr, West Haven, CT 06516 USA

Brass, Lawrence M.
论文数: 0 引用数: 0
h-index: 0
机构: W Haven VA Med Ctr, VA Connecticut Healthcare Syst, Clin Epidemiol Res Ctr, West Haven, CT 06516 USA

Concato, John
论文数: 0 引用数: 0
h-index: 0
机构: W Haven VA Med Ctr, VA Connecticut Healthcare Syst, Clin Epidemiol Res Ctr, West Haven, CT 06516 USA
[2]
Characteristics of elderly people readmitted to the hospital during the first year after stroke -: The Goteborg 70+ Stroke Study
[J].
Claesson, L
;
Gosman-Hedström, G
;
Lundgren-Lindquist, B
;
Fagerberg, B
;
Blomstrand, C
.
CEREBROVASCULAR DISEASES,
2002, 14 (3-4)
:169-176

Claesson, L
论文数: 0 引用数: 0
h-index: 0
机构: Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden

Gosman-Hedström, G
论文数: 0 引用数: 0
h-index: 0
机构: Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden

Lundgren-Lindquist, B
论文数: 0 引用数: 0
h-index: 0
机构: Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden

Fagerberg, B
论文数: 0 引用数: 0
h-index: 0
机构: Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden

Blomstrand, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden
[3]
The care transitions intervention - Results of a randomized controlled trial
[J].
Coleman, Eric A.
;
Parry, Carla
;
Chalmers, Sandra
;
Min, Sung-joon
.
ARCHIVES OF INTERNAL MEDICINE,
2006, 166 (17)
:1822-1828

Coleman, Eric A.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA

Parry, Carla
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA

Chalmers, Sandra
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA

Min, Sung-joon
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA Univ Colorado, Div Hlth Care Policy & Res, Hlth Sci Ctr, Aurora, CO 80045 USA
[4]
A Quality Improvement Intervention to Facilitate the Transition of Older Adults from Three Hospitals Back to Their Homes
[J].
Dedhia, Param
;
Kravet, Steve
;
Bulger, John
;
Hinson, Tony
;
Sridharan, Anirudh
;
Kolodner, Ken
;
Wright, Scott
;
Howell, Eric
.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY,
2009, 57 (09)
:1540-1546

Dedhia, Param
论文数: 0 引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA

Kravet, Steve
论文数: 0 引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA

Bulger, John
论文数: 0 引用数: 0
h-index: 0
机构:
Geisinger Med Ctr, Danville, PA 17822 USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA

Hinson, Tony
论文数: 0 引用数: 0
h-index: 0
机构:
Carolinas Med Ctr, Concord, NC USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA

Sridharan, Anirudh
论文数: 0 引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA

Kolodner, Ken
论文数: 0 引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA

Wright, Scott
论文数: 0 引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA

Howell, Eric
论文数: 0 引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Med, Dept Med, Bayview Med Ctr, Baltimore, MD 21205 USA
[5]
Validation of the potentially avoidable hospital readmission rate as a routine indicator of the quality of hospital care
[J].
Halfon, Patricia
;
Eggli, Yves
;
Pretre-Rohrbach, Isaline
;
Meylan, Danielle
;
Marazzi, Alfio
;
Burnand, Bernard
.
MEDICAL CARE,
2006, 44 (11)
:972-981

Halfon, Patricia
论文数: 0 引用数: 0
h-index: 0
机构: Inst Univ Med Sociale & Prevent, CH-1005 Lausanne, Switzerland

Eggli, Yves
论文数: 0 引用数: 0
h-index: 0
机构: Inst Univ Med Sociale & Prevent, CH-1005 Lausanne, Switzerland

Pretre-Rohrbach, Isaline
论文数: 0 引用数: 0
h-index: 0
机构: Inst Univ Med Sociale & Prevent, CH-1005 Lausanne, Switzerland

Meylan, Danielle
论文数: 0 引用数: 0
h-index: 0
机构: Inst Univ Med Sociale & Prevent, CH-1005 Lausanne, Switzerland

Marazzi, Alfio
论文数: 0 引用数: 0
h-index: 0
机构: Inst Univ Med Sociale & Prevent, CH-1005 Lausanne, Switzerland

Burnand, Bernard
论文数: 0 引用数: 0
h-index: 0
机构: Inst Univ Med Sociale & Prevent, CH-1005 Lausanne, Switzerland
[6]
Get With The Guidelines-Stroke Performance Indicators: Surveillance of Stroke Care in the Taiwan Stroke Registry Get With The Guidelines-Stroke in Taiwan
[J].
Hsieh, Fang-I
;
Lien, Li-Ming
;
Chen, Sien-Tsong
;
Bai, Chyi-Huey
;
Sun, Mu-Chien
;
Tseng, Hung-Pin
;
Chen, Yu-Wei
;
Chen, Chih-Hung
;
Jeng, Jiann-Shing
;
Tsai, Song-Yen
;
Lin, Huey-Juan
;
Liu, Chung-Hsiang
;
Lo, Yuk-Keung
;
Chen, Han-Jung
;
Chiu, Hou-Chang
;
Lai, Ming-Liang
;
Lin, Ruey-Tay
;
Sun, Ming-Hui
;
Yip, Bak-Sau
;
Chiou, Hung-Yi
;
Hsu, Chung Y.
.
CIRCULATION,
2010, 122 (11)
:1116-1123

Hsieh, Fang-I
论文数: 0 引用数: 0
h-index: 0
机构:
Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan
Taipei Med Univ, Dr Chi Chin Huang Stroke Res Ctr, Taipei 11031, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Lien, Li-Ming
论文数: 0 引用数: 0
h-index: 0
机构:
Taipei Med Univ, Coll Med, Grad Inst Clin Med, Taipei 11031, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Chen, Sien-Tsong
论文数: 0 引用数: 0
h-index: 0
机构:
Chang Gung Univ, Linkou, Taiwan
Mem Hosp, Linkou, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Bai, Chyi-Huey
论文数: 0 引用数: 0
h-index: 0
机构:
Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan
Taipei Med Univ, Dr Chi Chin Huang Stroke Res Ctr, Taipei 11031, Taiwan
Shin Kong WHS Mem Hosp, Cent Lab, Taipei, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Sun, Mu-Chien
论文数: 0 引用数: 0
h-index: 0
机构:
Changhua Christian Hosp, Changhua, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Tseng, Hung-Pin
论文数: 0 引用数: 0
h-index: 0
机构:
Lotung Poh Ai Hosp, Lotung, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Chen, Yu-Wei
论文数: 0 引用数: 0
h-index: 0
机构:
Landseed Hosp, Tao Yuan, Taiwan
Natl Taiwan Univ Hosp, Taipei, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

论文数: 引用数:
h-index:
机构:

Jeng, Jiann-Shing
论文数: 0 引用数: 0
h-index: 0
机构:
Natl Taiwan Univ Hosp, Taipei, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Tsai, Song-Yen
论文数: 0 引用数: 0
h-index: 0
机构: Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Lin, Huey-Juan
论文数: 0 引用数: 0
h-index: 0
机构:
Chi Mei Med Ctr, Tainan, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Liu, Chung-Hsiang
论文数: 0 引用数: 0
h-index: 0
机构:
China Med Univ Hosp, Taichung, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Lo, Yuk-Keung
论文数: 0 引用数: 0
h-index: 0
机构:
Kaohsiung Vet Gen Hosp, Kaohsiung, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Chen, Han-Jung
论文数: 0 引用数: 0
h-index: 0
机构:
E Da Hosp, Stroke Ctr, Kaohsiung, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Chiu, Hou-Chang
论文数: 0 引用数: 0
h-index: 0
机构: Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Lai, Ming-Liang
论文数: 0 引用数: 0
h-index: 0
机构:
Natl Cheng Kung Univ Hosp, Tainan 70428, Taiwan
Natl Cheng Kung Univ, Tainan 70101, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Lin, Ruey-Tay
论文数: 0 引用数: 0
h-index: 0
机构:
Kaohsiung Med Univ Hosp, Kaohsiung, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Sun, Ming-Hui
论文数: 0 引用数: 0
h-index: 0
机构:
Kuang Tien Gen Hosp, Taichung, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Yip, Bak-Sau
论文数: 0 引用数: 0
h-index: 0
机构:
DOH Hsinchu Gen Hosp, Hsinchu, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Chiou, Hung-Yi
论文数: 0 引用数: 0
h-index: 0
机构:
Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan
Taipei Med Univ, Dr Chi Chin Huang Stroke Res Ctr, Taipei 11031, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan

Hsu, Chung Y.
论文数: 0 引用数: 0
h-index: 0
机构:
China Med Univ, Grad Inst Clin Med Sci, Taichung 40447, Taiwan Taipei Med Univ, Sch Publ Hlth, Taipei 11031, Taiwan
[7]
A Reengineered Hospital Discharge Program to Decrease Rehospitalization A Randomized Trial
[J].
Jack, Brian W.
;
Chetty, Veerappa K.
;
Anthony, David
;
Greenwald, Jeffrey L.
;
Sanchez, Gail M.
;
Johnson, Anna E.
;
Forsythe, Shaula R.
;
O'Donnell, Julie K.
;
Paasche-Orlow, Michael K.
;
Manasseh, Christopher
;
Martin, Stephen
;
Culpepper, Larry
.
ANNALS OF INTERNAL MEDICINE,
2009, 150 (03)
:178-+

Jack, Brian W.
论文数: 0 引用数: 0
h-index: 0
机构:
Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Chetty, Veerappa K.
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Anthony, David
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Greenwald, Jeffrey L.
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Sanchez, Gail M.
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Johnson, Anna E.
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Forsythe, Shaula R.
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

O'Donnell, Julie K.
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Paasche-Orlow, Michael K.
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Manasseh, Christopher
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Martin, Stephen
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA

Culpepper, Larry
论文数: 0 引用数: 0
h-index: 0
机构: Boston Univ, Sch Med, Dept Family Med, Boston Med Ctr, Boston, MA 02118 USA
[8]
Rehospitalizations among Patients in the Medicare Fee-for-Service Program
[J].
Jencks, Stephen F.
;
Williams, Mark V.
;
Coleman, Eric A.
.
NEW ENGLAND JOURNAL OF MEDICINE,
2009, 360 (14)
:1418-1428

Jencks, Stephen F.
论文数: 0 引用数: 0
h-index: 0
机构: Northwestern Univ, Feinberg Sch Med, Div Hosp Med, Chicago, IL 60611 USA

Williams, Mark V.
论文数: 0 引用数: 0
h-index: 0
机构:
Northwestern Univ, Feinberg Sch Med, Div Hosp Med, Chicago, IL 60611 USA Northwestern Univ, Feinberg Sch Med, Div Hosp Med, Chicago, IL 60611 USA

Coleman, Eric A.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Colorado, Div Hlth Care Policy & Res, Care Transit Program, Denver, CO 80202 USA Northwestern Univ, Feinberg Sch Med, Div Hosp Med, Chicago, IL 60611 USA
[9]
Incidence, comorbidity, case fatality and readmission of hospitalized stroke patients in Canada
[J].
Johansen, HL
;
Wielgosz, AT
;
Nguyen, K
;
Fry, RN
.
CANADIAN JOURNAL OF CARDIOLOGY,
2006, 22 (01)
:65-71

Johansen, HL
论文数: 0 引用数: 0
h-index: 0
机构: STAT Canada, Hlth Div, Ottawa, ON K1A 0T6, Canada

Wielgosz, AT
论文数: 0 引用数: 0
h-index: 0
机构: STAT Canada, Hlth Div, Ottawa, ON K1A 0T6, Canada

Nguyen, K
论文数: 0 引用数: 0
h-index: 0
机构: STAT Canada, Hlth Div, Ottawa, ON K1A 0T6, Canada

Fry, RN
论文数: 0 引用数: 0
h-index: 0
机构: STAT Canada, Hlth Div, Ottawa, ON K1A 0T6, Canada
[10]
Mortality and cause of death after hospital discharge in 10,981 patients with ischemic stroke and transient ischemic attack
[J].
Kimura, K
;
Minematsu, K
;
Kazui, S
;
Yamaguchi, T
.
CEREBROVASCULAR DISEASES,
2005, 19 (03)
:171-178

Kimura, K
论文数: 0 引用数: 0
h-index: 0
机构:
Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan

Minematsu, K
论文数: 0 引用数: 0
h-index: 0
机构:
Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan

Kazui, S
论文数: 0 引用数: 0
h-index: 0
机构:
Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan

Yamaguchi, T
论文数: 0 引用数: 0
h-index: 0
机构:
Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan Kawasaki Med Sch, Dept Med, Cerebrovasc Div, Natl Cardiovasc Ctr, Kurashiki, Okayama, Japan