Stroke in Kuwait: A Three-Year Prospective Study

Abdul-Ghaffar, Naser Uama; El-Sonbaty, M.R.; Abdul-Baky, M. S. El-Din; Marafie, Amin A.; Al-Said, A. M.

doi:10.1159/000109669

Cited by 42 publications

(71 citation statements)

References 14 publications

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“…These findings are in agreement with other studies conducted in Saudi Arabia (67.8-68.4%) [16,17,18,19,20]. However, no significant difference was found between the number of male and female cases in this study.…”

Section: Discussionsupporting

confidence: 92%

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Incidence of First Time Stroke: A Saudi Experience

Al-Shenqiti

Ibrahim²,

Khaled³

et al. 2017

Eur Neurol

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Background: Stroke is one of the major causes of morbidity and mortality throughout the world. A number of studies were conducted in Saudi Arabia. However, there were no studies conducted in Al-Madinah Al-Munawarah city. Objective: The aim of this study was to ascertain the incidence rate of first time stroke and the age-specific incidence in both genders in Al-Madinah Al-Munawarah city. Methods: A prospective hospital based study was conducted over a 1-year period (2014). The cases were included in the study when they were admitted with a diagnosis of cerebrovascular accident. Results: A total 164 patients (91 men and 73 women) who had first time stroke were found in this study with no significant difference between them (p = 0.565). The crude incidence rate of stroke was 13.89 per 100,000 persons. The age-specific incidence rate increased with age in the current study, where the peak was in the age group of more than 75 years old for men and women. Conclusions: Total crude and the age-specific rates for first time stroke patients revealed in this study were markedly lower than the range reported from the developed countries. However, they were within the range that showed previously in Saudi Arabia and Arabian Peninsula countries.

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Section: Discussionsupporting

confidence: 92%

“…Male predominance was also noted in regional and international studies conducted in Kuwait (74.7%) [19], Qatar (72.4-73%) [20,21], Yemen (62.6%) [22], Jordon (60%) [23], Germany (57.6%) [24], and China (61.6%) [25]. …”

Section: Discussionmentioning

confidence: 84%

Incidence of First Time Stroke: A Saudi Experience

Al-Shenqiti

Ibrahim²,

Khaled³

et al. 2017

Eur Neurol

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“…Previous reports on stroke in Kuwait [11] and the Arabian Gulf Region [10,12,13,23] have focused primarily on epidemiology and risk factors. This study, however, has provided additional information on the outcome of stroke, which is particularly important in planning long- Percentages in parentheses.…”

Section: Discussionmentioning

confidence: 99%

“…Only limited information is available about the types of stroke and their risk factors in the Gulf region in general, and in Kuwait in particular [11]. There are even fewer articles on its short-and long-term outcomes.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors, Subtypes and Outcome of Ischaemic Stroke in Kuwait – A Hospital-Based Study

Al-Shammri

Shahid²,

Ghali³

et al. 2003

Med Princ Pract

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Objective: To report on stroke subtypes, associated risk factors and outcome in Kuwait. Methods: The records of 62 patients (30 male, 32 female) admitted with diagnosis of stroke to Kuwait Oil Company Hospital, Kuwait, a tertiary care hospital, during a 5-year period (1995–1999), were retrospectively reviewed. Results: Small artery infarction was the most common subtype and occurred in 37 subjects (59.7%); less common were atherosclerotic large artery strokes (19 patients, 30.6%) and strokes of cardio-embolic origin (6 patients, 9.7%). Identifiable risk factors or associated morbidities were hypertension (72.5%), diabetes mellitus (69.4%), ischaemic heart disease (14.5%), history of migraine (8.1%), lone atrial fibrillation (5.0%), and valvular heart disease (1.6%). The most important determinants of a deleterious 30-day outcome, as indicated by severe disability or death, were female gender, lack of use of anti-platelet drugs, presence of a large artery infarction stroke subtype, and cardio-embolic stroke. Conclusion: Prevalence of hypertension and diabetes is high among patients with stroke in Kuwait, with rates higher than those found in any previous reports from the Gulf region. Two unusual observations were that women had a rather high frequency of stroke, and infarction of the small artery was more common than that of the large artery. Outcome, as indicated by severe disability or death, was worse among women, elderly patients, and those with large artery atherosclerotic and cardio-embolic strokes. There is some evidence that such a deleterious outcome might be ameliorated with use of anti-platelet drugs.

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“…However, only recent studies using CT have accurately identified the incidence of the major subtypes of stroke (cerebral infarction, intracerebral hemorrhage [ICH], and subarachnoid hemorrhage [SAH]). [1][2][3][4][5][6][7][8][9][10] This subtyping is clearly important because the different subtypes may have different risk factors and pathogeneses.…”

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confidence: 99%

Stroke in the Young in the Northern Manhattan Stroke Study

Jacobs

Boden‐Albala

Lin

et al. 2002

Stroke

209

145

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Background and Purpose-Stroke and stroke subtype incidence in young black and Hispanic populations have not been well studied. The purpose of this study was to determine stroke incidence rates in these populations and to compare rates among various race-ethnic, sex, and age groups. Methods-A population-based incidence study identified all cases of first stroke in Northern Manhattan from 1993 to 1997.Stroke and stroke subtype incidence rates were calculated for younger (20 to 44 years of age) and older (Ն45 years of age) adults. The relative risk (RR) of stroke in blacks and Hispanics compared with whites was calculated. Stroke subtypes, infarct subtypes, and case fatality rates were compared in the young and old and in different race-ethnic groups and sexes. Results-Over 4 years, 74 cases of first stroke in young patients were discovered (47% women, 12% black, 80% Hispanic, 8% white). The stroke incidence rates (cases per 100 000 persons per year) in the young were 23 overall, 10 for infarct, 7 for intracerebral hemorrhage (ICH), and 6 for subarachnoid hemorrhage. The RR of stroke in the young was greatest for blacks (2.4; 95% CI, 0.8 to 6.7) and Hispanics (2.5; 95% CI, 1.1 to 5.8) compared with whites. ICH was more frequent in men with a RR of 3.7 (95% CI, 1.4 to 10.1). Case fatality rates at 30 days were higher in blacks (38%) and Hispanics (16%) compared with whites (0%). Conclusions-Young

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Stroke in Kuwait: A Three-Year Prospective Study

Cited by 42 publications

References 14 publications

Incidence of First Time Stroke: A Saudi Experience

Incidence of First Time Stroke: A Saudi Experience

Risk Factors, Subtypes and Outcome of Ischaemic Stroke in Kuwait – A Hospital-Based Study

Stroke in the Young in the Northern Manhattan Stroke Study

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