Stroke is still a neglected disease in Brazil

Lotufo, Paulo A.

doi:10.1590/1516-3180.2015.13360510

Cited by 23 publications

(28 citation statements)

References 11 publications

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“…This finding reaffirms that stroke is still a neglected disease in Brazil, 34 and that this scenario has not changed over the last 10 years. 33,34 This study had several limitations. The most important of these was that information about stroke in the baseline examination was self-reported, based on reports of previous medical diagnoses of stroke.…”

Section: Discussionsupporting

confidence: 71%

Stroke at baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a cross-sectional analysis

2018

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Section: Discussionsupporting

confidence: 71%

Stroke at baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a cross-sectional analysis

2018

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“…Among cardiovascular diseases (CVD), cerebrovascular disease has specific characteristics within the Brazilian reality, being one of the most neglected diseases in the country. It also has high incidence and mortality, which determines a slowed epidemiological transition compared to countries with similar socioeconomic development 4,5 . In the 1960s and 1970s, cerebrovascular mortality rates in the city of São Paulo were among the highest within Western cities and countries 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015

Lotufo

Goulart

Passos

et al. 2017

Rev. bras. epidemiol.

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The risk of death has been halved across the country, but states in the lower SDI tertile had less significant reductions (-1.23 and -1.84% a year) compared to the middle tertile (-1.94 and -2.22%) and the upper tertile (-2.85 and -2.82%) for men and women, respectively. The years lived with disability also presented a reduction among states, but less expressively. Conclusion: Despite the reduction of age-adjusted mortality rates throughout the country, cerebrovascular disease still presents a high disease burden, especially in states with lower socioeconomic development.

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“…1 Particularly, stroke mortality rates in Brazil are the highest in Latin America. [3][4][5][6] Brazilian data…”

Section: Introductionmentioning

confidence: 99%

"EMMA Study: a Brazilian community-based cohort study of stroke mortality and morbidity"

Goulart

2016

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: Stroke has a high burden of disability and mortality. The aim here was to evaluate epidemiology, risk factors and prognosis for stroke in the EMMA Study (Study of Stroke Mortality and Morbidity). DESIGN AND SETTINGS: Prospective community-based cohort carried out in Hospital Universitário, University of São Paulo, 2006-2014. METHODS: Stroke data based on fatal and non-fatal events were assessed, including sociodemographic data, mortality and predictors, which were evaluated by means of logistic regression and survival analyses. RESULTS: Stroke subtype was better defined in the hospital setting than in the local community. In the hospital phase, around 70% were first events and the ischemic subtype. Among cerebrovascular risk factors, the frequency of alcohol intake was higher in hemorrhagic stroke (HS) than in ischemic stroke (IS) cases (35.4% versus 12.3%, P < 0.001). Low education was associated with higher risk of death, particularly after six months among IS cases (odds ratio, OR, 4.31; 95% confidence interval, CI, 1.34-13.91). The risk of death due to hemorrhagic stroke was greater than for ischemic stroke and reached its maximum 10 days after the event (OR: 3.31; 95% CI: 1.55-7.05). Four-year survival analysis on 665 cases of first stroke (82.6% ischemic and 17.4% hemorrhagic) showed an overall survival rate of 48%. At four years, the highest risks of death were in relation to ischemic stroke and illiteracy (hazard ratio

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Stroke is still a neglected disease in Brazil

Cited by 23 publications

References 11 publications

Stroke at baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a cross-sectional analysis

Stroke at baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a cross-sectional analysis

Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015

"EMMA Study: a Brazilian community-based cohort study of stroke mortality and morbidity"

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