Incidence, 30-day case-fatality rate, and prognosis of stroke in Iquique, Chile: a 2-year community-based prospective study (PISCIS project)

Lavados, Pablo M.; Sacks, Claudio; Prina, Liliana; Escobar, Arturo; Tossi, Claudia; Araya, Fernando; Feuerhake, Walter; Gálvez, Marcelo; Salinas, Rodrigo; Álvarez, Gonzalo

doi:10.1016/s0140-6736(05)66779-7

Cited by 217 publications

(201 citation statements)

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“…Diabetes was present in 31.1% of the patients with IS and in 10.8% with HS, results similar to those of a previous study conducted in Brazil 23 . Studies show that diabetes is more frequent in individuals with stroke in developing countries, when compared to those in developed countries 8,23,24 . Aging, increase in obesity, diabetes and hypertension are considered the main risk factors involved in the higher incidence of stroke in the developing countries 8,9 .…”

Section: Discussionmentioning

confidence: 99%

“…Studies show that diabetes is more frequent in individuals with stroke in developing countries, when compared to those in developed countries 8,23,24 . Aging, increase in obesity, diabetes and hypertension are considered the main risk factors involved in the higher incidence of stroke in the developing countries 8,9 . The limited amount of data recorded on the patients' charts unabled us to infer associations between stroke and other important risk factors such as alcoholism and hypercholesterolemia.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, its incidence has increased in developing countries, which may be due to the rapid aging of the population, and increased prevalence of stroke risk factors resulting from change in diet, sedentary lifestyle and diabetes 2 . Lavados et al showed a raw annual stroke incidence of 95.8 per 100 000 inhabitants in Chile 8 . Studies have also reported large geographical variation in stroke epidemiology in the last decades.…”

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Frequency of stroke types at an emergency hospital in Natal, Brazil

Martins

Figueiredo

Rocha

et al. 2007

Arq. Neuro-Psiquiatr.

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-We performed a cross-sectional study of stroke type frequency at a local emergency hospital, in Natal, Brazil. The sample consisted of all patients who were admitted to an emergency hospital with a presumptive diagnosis of stroke. Of the 416 patients, 328 were studied, 88 were excluded for not meeting inclusion criteria, 74.7% (n= 245) had ischemic stroke 17.7% (n=58) had intracerebral hemorrhage, 7.6% (n=25) had subarachnoid hemorrhage; 173 were men (52.7%). Mean age was 64.1 years. The intrahospital mortality rate was 10.2%, 17.2% and 36% for ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage, respectively. The most prevalent modifiable risk factor was hypertension for ischemic stroke (67.6%) and hemorrhage stroke (57.8%). Logistic regression analysis identified diabetes (OR=3.70; CI=1.76-7.77) as independent risk factor for ischemic stroke. The ischemic stroke was most common type of stroke. Hypertension and diabetes were important risk factors for stroke.KEY WORDS: stroke, Brazil, hypertension. Freqüência dos tipos de acidente vascular cerebral em hospital de emergência, Natal, BrasilRESUMO -Realizamos um estudo de prevalência para determinar a freqüência dos tipos de acidente vascular cerebral (AVC) num hospital de urgência de Natal. Estudaram-se todos os pacientes que foram admitidos no hospital de urgência com diagnóstico presuntivo de AVC. Dos 416 pacientes, 328 foram estudados, 88 foram excluídos por não cumprirem os critérios de inclusão, 74,7% (n= 245) tiveram AVC isquêmi-co, 17,7% (n=58) hemorragia intracerebral e 7,6% (n=25) hemorragia subaracnóidea. O gênero mais prevalente foi o masculino (52,7%). A média de idade foi 64,1 anos. A letalidade intra-hospitalar foi de 10,2%, 17,2% e 36% para o tipo isquêmico, hemorrágico e hemorragia subaracnóide, respectivamente. O principal fator de risco modificável foi a hipertensão arterial sistêmica (HAS) para AVC isquêmico (67,6%) e AVC hemorrágico (57,8%). A regressão logística identificou diabetes como fator de risco independente para AVC isquêmico (OR=3,70; IC=1,77 Dr. Mario E. Dourado -Rua Marcílio Furtado 2042 -59063-360 Natal RN -Brasil. E-mail: medourado@digi.com.br Stroke has become an increasingly important health problem worldwide. There are about 5.5 million yearly deaths and an estimated loss of 49 million disability-adjusted life years worldwide 1-4 . Hypertension and age are the main risk factors for the different types of stroke, which include ischemic (IS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). The management strategies of these ailments are distinct, since they are heterogenous diseases 5 . There has been a decreasing trend in incidence and mortality from stroke in the USA and Europe 6,7 . In contrast, its incidence has increased in developing countries, which may be due to the rapid aging of the population, and increased prevalence of stroke risk factors resulting from change in diet, sedentary lifestyle and diabetes 2 . Lavados et al. showed a raw annual stroke incidence of 95.8 p...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Frequency of stroke types at an emergency hospital in Natal, Brazil

Martins

Figueiredo

Rocha

et al. 2007

Arq. Neuro-Psiquiatr.

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“…Por otro lado, Lavados et al reportó una mortalidad de 19% al mes y 28% a los 6 meses para los ACV isquémicos en ausencia de trombolisis 26 .…”

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Trombolisis intravenosa en accidente cerebro vascular isquémico agudo en un hospital público de Chile: Análisis prospectivo de 54 casos

et al. 2016

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“…Esta patología aporta además la mayor carga de enfermedad por causa específica en mayores de 74 años (AVISA) 2 . Del total de los ACV, cerca de 70% corresponden a la forma isqué-mica 3 . Entre los distintos factores que producen esta patología, la asociación con enfermedad cardiovascular está bien documentada 4 , estimándose que el cardioembolismo sería responsable de cerca de 20% de los casos.…”

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