Past, Present, and Future of Stroke in Middle-Income Countries: The Brazilian Experience

Martins, Sheila Cristina Ouriques; Pontes-Neto, Octávio Marques; Alves, Cloer Vescia; Freitas, Gabriel R. de; Oliveira‐Filho, Jamary; Tosta, Elza Dias; Cabral, Norberto Luiz

doi:10.1111/ijs.12062

Cited by 80 publications

(77 citation statements)

References 16 publications

(14 reference statements)

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“…Determining the incidence, mortality and risk factors among IS subtypes may help to improve the public health actions and reduce the IS disease burden 12,13 . ABstrAct Aims: To measure the incidence and mortality rates of ischemic stroke (IS) subtypes in Joinville, Brazil.…”

mentioning

confidence: 99%

Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Lange

Cabral

Moro

et al. 2015

Arq. Neuro-Psiquiatr.

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Previous population-based studies reported the incidence and mortality of ischemic stroke (IS) subtypes in different settings, most of them on the White population from high-income countries 1,2,3,4,5,6,7,8 . In Latin America, there is only one study, which was conducted in a Spanish and Mestizo population in Iquique, Chile 9. As far as we know, no previous study has reported IS subtypes rates among predominantly White people from Latin America.The crude annual incidence rate of IS in Brazil range from 62 to 92 per 100,000 inhabitants with a mixed pattern of cardiovascular risk, characterized by high prevalence of ischemic heart disease, dyslipidemia, hypertension and diabetes 10,11 . Determining the incidence, mortality and risk factors among IS subtypes may help to improve the public health actions and reduce the IS disease burden 12,13 . ABstrAct Aims: To measure the incidence and mortality rates of ischemic stroke (IS) subtypes in Joinville, Brazil. Methods: All first-ever IS patients that occurred in Joinville from January 2005 to December 2006 were identified. The IS subtypes were classified by the TOAST criteria, and the patients were followed-up for one year after IS onset. Results: The age-adjusted incidence per 100,000 inhabitants was 26 (17-39) for large-artery atherosclerosis (LAA), 17 (11-27) for cardioembolic (CE), 29 (20-41) for small vessel occlusion (SVO), 2 (0.6-7) for stroke of other determined etiology (OTH) and 30 (20-43) for stroke of undetermined etiology (UND). The 1-year mortality rate per 100,000 inhabitants was 5 (2-11) for LAA, 6 (3-13) for CE, 1 (0.1-6) for SVO, 0.2 (0-0.9) for OTH and 9 (4-17) for UND. Conclusion: In the population of Joinville, the incidences of IS subtypes were similar to those found in other populations. These findings highlight the importance of better detection and control of atherosclerotic risk factors.

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confidence: 99%

Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Lange

Cabral

Moro

et al. 2015

Arq. Neuro-Psiquiatr.

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“…The emergence of endovascular treatment as a standardof-care comes in the context of an increasing number of stroke centers 18 . The necessity of making intravenous thrombolysis widely available has been a fundamental reason for this increase.…”

Section: Endovascular Reperfusion Therapymentioning

confidence: 99%

Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke

Pontes-Neto

Cougo

Martins

et al. 2017

Arq. Neuro-Psiquiatr.

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These guidelines are the result of a joint effort from writing groups of the Brazilian Stroke Society, the Scientific Department of Cerebrovascular Diseases of the Brazilian Academy of Neurology, the Brazilian Stroke Network and the Brazilian Society of Diagnostic and Therapeutic Neuroradiology. Members from these groups participated in web-based discussion forums with predefined themes, followed by videoconference meetings in which controversies and position statements were discussed, leading to a consensus. This guidelines focuses on the implications of the recent clinical trials on endovascular therapy for acute ischemic stroke due to proximal arterial occlusions, and the final text aims to guide health care providers, health care managers and public health authorities in managing patients with this condition in Brazil.

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“…Brazil is an emergent country and is faced with one of the major public health challenges in the world, stroke, which is the leading cause of death and disability in the country 1 . When patients survive a stroke episode they have to keep on living with either partial or complete disabilities, which have a direct impact not only on themselves, but also on their families and society 2 .…”

Section: Introductionmentioning

confidence: 99%

Recruitment rate and retention of stroke subjects in cross-sectional studies

Polese

Faria‐Fortini

Basílio

et al. 2017

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Past, Present, and Future of Stroke in Middle-Income Countries: The Brazilian Experience

Cited by 80 publications

References 16 publications

Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke

Recruitment rate and retention of stroke subjects in cross-sectional studies

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