Therapeutic Pathways for Ischemic Stroke Patients in France, 2022-2023

Laurent Derex published a study on therapeutic pathways for ischemic stroke patients in France using the national hospitalization database (PMSI). The dataset covers hospital stays with a diagnosis of ischemic stroke from January 1, 2022, to December 31, 2023, identifying 78 distinct management pathways. In 2023, 171,674 patients were hospitalized for stroke, with 57.4% for ischemic stroke.

Use Cases

• Analyze regional disparities in stroke unit utilization based on the description of a highly dependent regional network.
• Model the impact of facility type on patient discharge outcomes based on the mention of discharge type as a pathway characteristic.
• Identify common care sequences for ischemic stroke based on the 11 pathways that represented 90% of the study population.
• Study the relationship between inter-hospital transfers and treatment modalities like mechanical thrombectomy based on pathway identification criteria.

Strengths

• Covers a national scope using the French national hospitalization database (PMSI).
• Includes specific temporal coverage from January 1, 2022, to December 31, 2023.
• Identifies 78 distinct therapeutic pathways from the data, with 11 covering 90% of the population.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• Row count is unknown, which may limit suitability assessment.
• The primary data file is a 258.8 KB PDF, suggesting the underlying dataset is not directly accessible or is a summary.

Provenance

Source

French national hospitalization database (PMSI).

Collection Method

Non-interventional descriptive cross-sectional study using secondary database records.

Time Range

2022-01-01 to 2023-12-31

Freshness

Last updated 2026-05-19 15:57:34; freshness should be verified.

Geography

France, with analysis at national and regional levels.