The burden of stroke and its attributable risk factors in the Middle East and North Africa region, 1990–2019

Abstract

Stroke is one of the leading causes of mortality and morbidity across the globe. Providing comprehensive data on the burden of stroke in the Middle East and North Africa (MENA) could be useful for health policy makers in the region. Therefore, this article reported the burden of stroke and its attributable risk factors between 1990 and 2019 by age, sex, type of stroke, and socio-demographic index. Data on the point prevalence, death, and disability-adjusted life-years (DALYs), due to stroke, were retrieved from the Global Burden of Disease study 2019 for the 21 countries located in the MENA region from 1990 to 2019. The counts and age-standardised rates (per 100,000) were presented, along with their corresponding 95% uncertainty intervals (UIs). In 2019, the regional age-standardised point prevalence and death rates of stroke were 1537.5 (95% UI: 1421.9–1659.9) and 87.7 (78.2–97.6) per 100,000, which represent a 0.5% (− 2.3 to 1.1) and 27.8% (− 35.4 to − 16) decrease since 1990, respectively. Moreover, the regional age-standardised DALY rate in 2019 was 1826.2 (1635.3–2026.2) per 100,000, a 32.0% (− 39.1 to − 23.3) decrease since 1990. In 2019, Afghanistan [3498.2 (2508.8–4500.4)] and Lebanon [752.9 (593.3–935.9)] had the highest and lowest age-standardised DALY rates, respectively. Regionally, the total number of stroke cases were highest in the 60–64 age group and was more prevalent in women in all age groups. In addition, there was a general negative association between SDI and the burden of stoke from 1990 to 2019. Also, in 2019, high systolic blood pressure [53.5%], high body mass index [39.4%] and ambient particulate air pollution [27.1%] made the three largest contributions to the burden of stroke in the MENA region. The stroke burden has decreased in the MENA region over the last three decades, although there are large inter-country differences. Preventive programs should be implemented which focus on metabolic risk factors, especially among older females in low SDI countries.

Burden of stroke in North Africa and Middle East, 1990 to 2019: a systematic analysis for the global burden of disease study 2019

“…While the same public dataset was used by Jaberinezhad et al, there are several important differences between the two research endeavors [ 21 ]. The current study has performed the decomposition analysis on the GBD outputs of stroke incidence, and also reported the six health estimates (i.e., prevalence, incidence, death, YLL, YLD, and DALY rates) for each age group, sex, and country.…”

“…However, it was reported in 100,000 of the population and by percentage in our and Jaberinezhad et al studies. The discussed points were the main reasons that caused the differences in reporting the same health metrics using the mentioned dataset [ 21 ].…”

Are we aware of stroke risk factors and warning signs amid COVID-19? Knowledge and attitude towards risk-factors, signs and symptoms of stroke among the UAE population during COVID-19 pandemic: A cross-sectional study

“…1 The United Arab Emirates (UAE) was reported to be among the three countries within the Middle East and North Africa region with the highest prevalence of stroke in 2019. 2 Alarmingly in 2022, it was reported by the Ministry of Health and prevention that 50% of stroke patients were under the age of 45 as opposed to the global incidence of 80% over the age of 65. 3 Despite significant medical advancements, morbidity and mortality from stroke remain high.…”

Determinants of Family Resilience in Ischemic Stroke Patients

“…In Indonesia, there was an increase in stroke cases by 2.6/1000 during the period 2007 to 2018. The prevalence of stroke in West Sumatra was above the national prevalence, which was 7.4/1000 population, and continued to increase from 2013 to 2018 [4], [5]. The most common type of stroke in Indonesia is ischemic stroke with 67.03% and 32.97% hemorrhagic stroke.…”