Stroke Burden and Stroke Services in Bangladesh

Venketasubramanian, Narayanaswamy; Mannan, Muzharul

doi:10.1159/000517234

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…Referring to some previous studies, there are conflicting results regarding pooled estimates of the risk factors for stroke across Asian countries. 74 Hypertension remains the most common vascular risk factor for stroke in the Asian population 74 – 76 which is consistent with current study findings.…”

Section: Discussionsupporting

confidence: 90%

The Distribution of Lifestyle Risk Factors Among Patients with Stroke in the Indian Setting: Systematic Review and Meta-Analysis

Varkey

Joseph

Varghese

et al. 2022

Annals of Neurosciences

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Background The burden of stroke is increasing in India, but there is limited understanding of the distribution of reported risk factors in the Indian setting. It is vital to generate robust data on these modifiable risk factors to scale up appropriate strategies for the prevention of cerebrovascular diseases in this setting. Summary The objective of this study is to estimate the overall proportion of life style risk factors of patients with stroke in the Indian setting. We searched PubMed and Google Scholar and relevant studies published till February 2022 were included. The risk of bias assessment was considered for the study selection criterion in the meta-analysis. The publication bias was evaluated by funnel plots and Egger’s test. We identified 61 studies in the systematic review and after quality assessment, 36 studies were included for meta-analysis. Random effect model was used due to the significant inconsistency among the included studies (I2 > 97%). The mean age of the participants was 53.84±9.3 years and patients with stroke were predominantly males (64%). Hypertension (56.69%; 95% CI: - 48.45 – 64.58), obesity (36.61%; 95% CI: - 19.31 – 58.23), dyslipidemia (30.6%; 95% CI: - 22 – 40.81) and diabetes mellitus (23.8%; 95% CI: - 18.79 – 29.83) are the leading intermediate conditions associated with stroke. The Physical inactivity - 29.9% (95% CI: - 22.9 – 37.1), history of tobacco use (28.59 %; 95% CI: - 22.22 – 32.94) and alcohol use (28.15 %; 95% CI: - 20.49 – 37.33) were reported as the behavioral risk factors for stroke in this setting. Key Messages The current meta-analysis provides robust estimates of the life style related risk-factor of stroke in India based on the observational studies conducted from 1994 to 2019. Estimating the pooled analysis of stroke risk factors is crucial to predict the imposed burden of the illness and ascertain the treatment and prevention strategies for controlling the modifiable risk factors in this setting.

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Section: Discussionsupporting

confidence: 90%

The Distribution of Lifestyle Risk Factors Among Patients with Stroke in the Indian Setting: Systematic Review and Meta-Analysis

Varkey

Joseph

Varghese

et al. 2022

Annals of Neurosciences

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“…p = the proportion of the target population estimated to have particular characteristics. The reported prevalence of stroke in Bangladesh is 0·3% 11…”

Section: Methodsmentioning

confidence: 99%

“…The sample size calculation: n = (z 2 pq)/d 2 n = the desired sample size p = the proportion of the target population estimated to have particular characteristics. The reported prevalence of stroke in Bangladesh is 0•3% 11 q = (1−p) = (1-0.3) = 0.7 z = at 5% level of significance or 95% confidence level, z = 1.96 d = degree of accuracy or acceptable error usually set as 10% (0.1) So, n = [(1.96)] 2 (0.3) (0.7)/(0.1) 2 = 80.67…”

Section: Study Flow Chartmentioning

confidence: 99%

“…10 In Bangladesh, the age and sex-standardized mortality rate of stroke is 54.8 per 100,000, and disability-adjusted life years’ loss is 888.1 per 100,000. 11 The huge burden of stroke patients causes long-term economic impacts on individuals, families, and the country. 10 Despite the high prevalence of stroke survivors, no study on the impact on QoL has been done in Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

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Quality of life of stroke survivors in Bangladesh

Sarkar,

Rahman,

Islam

et al. 2023

SAGE Open Medicine

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Objective: In Bangladesh, the factors that contribute to the reduced quality of life were not systematically investigated in long-term stroke survivors, and only a few studies have used preference-based measures to assess the quality of life. We sought to assess the quality of life in stroke survivors who comprise physical health status, psychological state, social relationship, and surrounding environment of the stroke patients. Methods: The quality of life among stroke patients was assessed with a semi-structured questionnaire using the validated Bangla Version of the World Health Organization, Quality-of-Life scale among the patients who survived beyond 28 days of first-ever stroke occurrence presenting in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University in the period between November 2020 and October 2021. Results: Of the 77 patients who were identified as post-stroke patients, the mean score of overall quality of life (as assessed by Q1 and scored in a range of 1–5) was 3.14 ± 1.08. The mean scores of quality of life were highest for the psychological domain (51.18 ± 19.73) followed by environmental (52.08 ± 13.13), social (45.62 ± 22.73), and physical domains (37.18 ± 18.56). According to the classification of the Bangla Version of the World Health Organization, Quality-of-Life, 75.3% had a low physical quality of life, 37.7% had a low psychological quality of life, 53.2% had a low social quality of life, and 53.2% had a moderate environmental quality of life. The average scores for the physical, psychological, social, and environmental domains were notably lower in stroke survivors with comorbid chronic conditions such as hypertension, diabetes, heart disease, asthma or chronic obstructive pulmonary disease, obesity, and ischemic heart disease in comparison to those without such conditions. Conclusion: In our study, post-stroke patients with lower quality of life were associated with factors such as female gender, lower level of education, urban dwellers, and chronic diseases.

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“…The World Health Organization (WHO) has issued a plea for collaborative endeavors, referred to as "Rehabilitation 2030," aimed at bolstering worldwide healthcare systems and rehabilitation services, with a particular focus on low middle-income countries (LMIC) such as Bangladesh, where the availability of rehabilitative interventions is constrained [4,5]. The study highlights the importance of the Bangladeshi government giving precedence to healthcare advancement through the establishment of additional stroke rehabilitation units and tertiary hospitals [6].…”

Section: Introductionmentioning

confidence: 99%

Assessment of health professional students’ perceptions and knowledge about stroke rehabilitation teams and the role of speech and language therapists in Bangladesh

Chakraborty,

Hossain,

Kabir Jahid

et al. 2024

Edorium J Public Health

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Aims: Effective collaboration and interdisciplinary methods are crucial in the field of stroke treatment. The engagement of speech and language therapists (SLTs) with stroke rehabilitation teams is not familiar in the context of Bangladesh. The aims were to investigate health professional students’ perceptions and experiences of the stroke rehabilitation team and the role of the speech and language therapist (SLT). Methods: We tailored a structured questionnaire to suit the stroke rehabilitation landscape in Bangladesh where a diverse group of 150 students enrolled in various disciplines including physiotherapy (PT), occupational therapy (OT), speech and language therapy (SLT), psychology, medicine (MBBS), and nursing participated in the survey. Results: Our study, which covered a broad range of fields, found a positive tendency toward collaborative team models including Multidisciplinary, Transdisciplinary, and Interdisciplinary. The Kruskal–Wallis test’s statistical analysis (p greater than 0.05) revealed a thorough comprehension of the nuances of various team models. Students, however, showed ambiguity in understanding the particular roles and specialties of certain experts. There were several interesting results, such as the preference for the Multidisciplinary Team (MDT) model by 93.30% of occupational therapy students against the Transdisciplinary Team (TDT) model by 79.30% of SLT students. Additionally, the Interdisciplinary Team (IDT) model received support from 10.7% of participants. Conclusion: Bangladesh reported findings of this study highlight the significance of bridging the gap between academic and clinical training, cleaning up common misconceptions, and encouraging cooperative inter-professional teamwork. This includes promoting a thorough knowledge of the various responsibilities played in the field of stroke rehabilitation, particularly those of speech and language therapists.

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Stroke Burden and Stroke Services in Bangladesh

Cited by 5 publications

References 13 publications

The Distribution of Lifestyle Risk Factors Among Patients with Stroke in the Indian Setting: Systematic Review and Meta-Analysis

The Distribution of Lifestyle Risk Factors Among Patients with Stroke in the Indian Setting: Systematic Review and Meta-Analysis

Quality of life of stroke survivors in Bangladesh

Assessment of health professional students’ perceptions and knowledge about stroke rehabilitation teams and the role of speech and language therapists in Bangladesh

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