High Prevalence of Stroke in Rural Gadchiroli, India: A Community-Based Study

Abstract

Background: In the near future, a majority of strokes are projected to occur in developing countries. However, population-level information on the prevalence of stroke from rural areas of developing countries, including India, is rare. We estimated the prevalence of stroke in a rural area of one of the most underdeveloped districts of India. Methods: Trained surveyors conducted a house-to-house survey using a validated screening questionnaire in a well-defined population of 45,053 living in 39 villages in a demographic surveillance site in Gadchiroli district. A trained physician and a neurologist evaluated screen-positive patients and diagnosed stroke using the World Health Organization's criteria. Results: In the screened population, 175 patients had stroke. The mean age of patients with stroke was 60.9 ± 14.7 years and 32.5% were women. The crude prevalence rate of stroke was 388.43 (95% CI 335.04-450.33) and the age-standardized prevalence rate of stroke was 535.58 (95% CI 492.41-583.01) per 100,000 population. The crude prevalence rate of stroke was significantly higher among men than among women (520 vs. 255/100,000 population, p < 0.05). Conclusion: In this prevalence study, conducted after a gap of 20 years in rural India, the prevalence of stroke was high and was more than twice the prevalence reported from the previous study. The prevalence was double among men compared to women. Stroke is emerging as a public health priority in rural India.

Early and One-Year Outcomes of Acute Stroke in the Industrial Region of Poland During the Decade 2006–2015: The Silesian Stroke Registry

“…However, an increase was observed in Sweden, Lund-Orup, between 1983–1985 and 2001–2002 [31]. Recently published data from the rural district of Gadchiroli, India, showed very high age-standardized prevalence of stroke (536 per 100,000 population) that doubled during the last 20 years [32]. Conclusively, report from the Global Burden of Disease 2010 showed that the age-standardized incidence of stroke significantly decreased by 12% (95% CI 6–17) in high-income countries from 1990–2010, along with non-significant increase by 12% (–3 to 22) in low-income and middle-income countries [33].…”

Effect of a community-based intervention for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: study protocol for a cluster randomised controlled trial

“…Close to two third of India's population lives in rural areas [4]. Studies conducted by us and others have shown that stroke has emerged as a major public health problem in rural areas of India [1,5,6]. In rural areas of Gadchiroli district in India, stroke was the leading cause of death and accounted for 14% of all deaths [5].…”

“…In rural areas of Gadchiroli district in India, stroke was the leading cause of death and accounted for 14% of all deaths [5]. Prevalence of stroke was also high (535/100,000 population) (6).…”

Differential Diagnosis of Arterial Brain Aneurysms with Hormonal Inactive Adenoma of the Pituitary Gland and other Pathological Processes of the Secular Area in Planning Surgical Treatment

“…Роз-рив АА реєструється з частотою приблизно 9 ви-падків на 100 000 населення на рік, коливаючись від 2 на 100 000 у Китаї до 22,5 на 100 000 у Фін-ляндії, у США від САК щорічно страждають понад 30 тис. осіб [5][6][7][8][9][10]. Показники, що забезпечують ефективність хірургічного лікування АА ГМ -рання діагностика, глибинне обстеження стану хворого, вивчення топографоанатомічних особливостей будови судин ГМ, диференційний підхід до вибору методу хірургічного лікування, визначення його етапності та послідовності.…”