Epidemiology of stroke in the south west of Iran: A cohort study
Social Determinants of Health,
Vol. 3 No. 4 (2017),
23 April 2018
,
Page 186-194
https://doi.org/10.22037/sdh.v3i4.19188
Abstract
Background: Stroke is the second common cause of death in the world. It imposes a huge amount of economic and social burden on individuals, families, communities, and governments. There are significant regional differences in stroke incidence even within countries. The last information about stroke incidence in Bushehr is related to 2002-2003. Life expectancy is increasing and as a result burden of non-communicable diseases including stroke is in progress, so the current study was conducted to obtain a better picture of stroke incidence in Bushehr district, Iran, in 2013-2014.
Methods: In a retrospective cohort study, hospital files of all the individuals admitted as stroke or transient ischemic attack in the Persian Gulf and Salman-e-Farsi Hospitals in 2013-2014 were studied. A list of patients with diagnosis of stroke was prepared using International Classification of Disease 10. Bushehr middle year population was estimated based on the census (2011-2012). Age standardization was done according to World Health Organization standard population. Incidence correction was done using sensitivity analysis.
Results: In the study year, 255 cases of stroke were registered in two hospitals. The mean age was 65.3±14.14 years. Crude and standardized incidence of stroke were 92.71 (81.69-104.81) and 198.3 (189.68-207.22) per 100,000, respectively. Standardized incidence was higher in men as compared with women (P<0.001).
Conclusion: Stroke incidence is high, especially in men, in Bushehr district. A population-based stroke registry is necessary for more accurate estimation of the rates over time.
- Cerebrovascular Disorders
- Incidence
- Iran
- Noncommunicable Diseases
- Stroke
How to Cite
References
Health topics Stroke, Cerebrovascular accident. Available from: WHO _ Stroke, Cerebrovascular accident.htm.
Mazdeh M, Seif Rabiei MA. Study of the Relative Frequency of Mortality and Morbidity in Stroke with Hypertension, and Normal Blood Pressure. Journal of Ardabil University of Medical Sciences. 2008; 8(3):309-14.
Masoud A. Short-term and intermediate-term prognosis in patients with cerebrovascular accident in Kashan in 1375 and 1376 . KAUMS Journal ( FEYZ ). 2000; 3(4):18-24.
Amini Sani N, Savadi Oskoui D, Shamshirgaran S, Dastgiri S, Hashemilar M, Jafariani M. One-Month Stroke Case-Fatality Rate in Ardabil Province, 2004. Journal of Ardabil University of Medical Sciences. 2007;7(4):353-6.
Karami M, Soori H, Monfared AB. Estimating the contribution of selected risk factors in attributable burden to stroke in Iran. Iranian journal of public health. 2012;41(5):91.
Woo J, Ho S, Goggins W, Chau P, Lo S. Stroke incidence and mortality trends in Hong Kong: implications for public health education efforts and health resource utilisation. Hong Kong Med J. 2014;20(3 Supplement 3).
GBD PROFILE: IRAN 2010 [cited 2017 October 20]. Available from: ihme_gbd_country_report_iran.
Palm F, Urbanek C, Rose S, Buggle F, Bode B, Hennerici MG, et al. Stroke Incidence and Survival in Ludwigshafen am Rhein, Germany The Ludwigshafen Stroke Study (LuSSt). Stroke. 2010;41(9):1865-70.
Dyall L, Carter K, Bonita R, Anderson C, Feigin V, Kerse N, et al. Incidence of stroke in women in Auckland, New Zealand. Ethnic trends over two decades: 1981–2003. NZ Med J. 2006;119(1245):U2309.
Lee S, Shafe AC, Cowie MR. UK stroke incidence, mortality and cardiovascular risk management 1999-2008: time-trend analysis from the General Practice Research Database. BMJ Open. 2011;1(2):e000269.
Azarpazhooh MR, Etemadi MM, Donnan GA, Mokhber N, Majdi MR, Ghayour-Mobarhan M, et al. Excessive Incidence of Stroke in Iran Evidence From the Mashhad Stroke Incidence Study (MSIS), a Population-Based Study of Stroke in the Middle East. Stroke. 2010;41(1):e3-e10.
Kagan A, Popper J, Reed DM, MacLean CJ, Grove JS. Trends in stroke incidence and mortality in Hawaiian Japanese men. Stroke. 1994;25(6):1170-5.
Kita Y, Turin T, Ichikawa M, Sugihara H, Morita Y, Tomioka N, et al. Trend of stroke incidence in a Japanese population: Takashima stroke registry, 1990–2001. International Journal of Stroke. 2009;4(4):241-9.
Howard G, Goff DC. Population shifts and the future of stroke: forecasts of the future burden of stroke. Annals of the New York Academy of Sciences. 2012;1268(1):14-20.
Heidarzadeh M, Ghahremanian A, Hagigat A, Yoosefi E. Relationship between Quality of Life and Social Support in Stroke Patients. Iran Journal of Nursing (IJN). 2009;22(59):23-32.
Clinical presentation and diagnosis of diabetes mellitus in adults [cited 2015 January 5]. Available from: UpToDate.com.
Patient information: High Cholesterole (The Basis) 2015 [cited 2015 January 5, 2015]. Available from: UpToDate.com.
Gordis L. Epidemiology. Fifth ed. Philadelphia: Elsevier; 2014. 2 p.
World (WHO 2000-2025) Standard [cited 2017 October 20]. Available from: http://seer.cancer.gov/stdpopulations/world.who.html.
Province population [cited 2015 November 20]. Available from: http://www.sci.org.ir/_vti_bin/ReportServer [In Persian].
Zanjani H. Demographic Analysis. Tehran: samt; 2011. 1 p [In Persian].
Leyden JM, Kleinig TJ, Newbury J, Castle S, Cranefield J, Anderson CS, et al. Adelaide stroke incidence study: declining stroke rates but many preventable cardioembolic strokes. Stroke. 2013;44(5):1226-31.
Hosseini AA, Sobhani-Rad D, Ghandehari K, Benamer HT. Frequency and clinical patterns of stroke in Iran - Systematic and critical review. BMC Neurol. 2010;10:72.
Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014;383(9913):245-54.
Li B, Lou Y, Gu H, Long X, Wang T, Wei J, et al. Trends in Incidence of Stroke and Transition of Stroke Subtypes in Rural Tianjin China: A Population-Based Study from 1992 to 2012. PloS one. 2015;10(10):e0139461.
Kissela BM, Khoury JC, Alwell K, Moomaw CJ, Woo D, Adeoye O, et al. Age at stroke temporal trends in stroke incidence in a large, biracial population. Neurology. 2012;79(17):1781-7.
Daneshfard B, Izadi S, Shariat A, Toudaji MA, Beyzavi Z, Niknam L. Epidemiology of stroke in Shiraz, Iran. Iran J Neurol. 2015;14(3):158-63.
Dehghani Firoozabadi M, Kazemi T, Sharifzadeh G, Dadbeh S, Dehghan P. Stroke in birjand, iran: a hospital-based study of acute stroke. Iran Red Crescent Med J. 2013;15(3):264-8.
Safari R, Borhanihaghighi A, Heydari ST, Safari A, Cruz-Flores S. Stroke subtypes in southern Iran. Galen Medical Journal. 2015;4(1):47-9.
Renjen PN, Beg MA, Ahmad K. Epidemiological study of incidence and risk factors of Ischemic stroke subtypes according to Trial of ORG 10172 in acute stroke treatment criteria: A 3 years, hospital-based study. International Journal of Medicine and Public Health. 2015;5(1):50.
Khellaf M, Quantin C, d'Athis P, Fassa M, Jooste V, Hervieu M, et al. Age–Period–Cohort Analysis of Stroke Incidence in Dijon From 1985 to 2005. Stroke. 2010;41(12):2762-7.
- Abstract Viewed: 510 times
- PDF Downloaded: 207 times