The Third Stroke Registry in Tartu, Estonia, from 2001 to 2003

Vibo, Riina; Kõrv, Janika; Roose, Mai

doi:10.1111/j.1600-0404.2006.00773.x

Cited by 28 publications

(27 citation statements)

References 23 publications

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“…In this population-based study, the incidence rates of firstever stroke were similar to those in other population-based studies from Southern Italy 3-7 but lower than those from Central and Northern Italy [17][18][19][20] and other European populations [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] (Table 2). In this study the 28-day case-fatality was lower than in previous studies conducted in Italy (3 to 5, 17 to 20).…”

Section: Discussionsupporting

confidence: 86%

Low Incidence of Stroke in Southern Italy

Manobianca

Zoccolella

Petruzzellis

et al. 2008

Stroke

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Background and Purpose-Although a lower incidence of stroke has been observed in the Mediterranean area compared to other European countries, this is based on only a few studies. We sought to determine the incidence and 28-day case-fatality of stroke through a population-based stroke register in a rural area in Southern Italy, characterized by a stroke unit in the referral hospital. Methods-We established a multisource prospective population-based register in a well defined geographic area of 38 735 inhabitants in Puglia, Southern Italy. We identified all subjects in the study area with a first-ever stroke between January 1, 2001 and December 31, 2002. Results-We identified 127 first-ever strokes (77 males, 50 females) during the two-year study period. Hospitalization was 95%: 92 cases (72.4%) were cerebral infarction, 24 (18.9%) intracerebral hemorrhage, 3 (2.4%) subarachnoid hemorrhage, and 8 (6.3%) were unclassifiable strokes. The overall crude annual incidence was 1.6 per 1000 (95%CI: 1.4 to 1.9), 2.0 for males (95% CI:1.6 to 2.5), and 1.3 for females (95% CI:0.9 to 1.6). The incidence rates standardized to the 2001 European and world populations were respectively 1.5 (2.0 for males and 1.3 for females) and 0.8 (0.9 for males and 0.6 for females). Incidence rates progressively increased with age in both sexes, reaching their peak at 85 years or more (21.4/1000 overall, 35.0 for men and 13.4 for women). The 28-day case-fatality was 18.1%. Conclusions-Our study supports previous findings of lower incidence of stroke in the Mediterranean area, whereas the case-fatality in our study was lower than in previous studies from Italy. Further studies are needed to determine the role of prompt referral and stroke units on prognosis in population-based setting. (Stroke. 2008;39:2923-2928.)

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Section: Discussionsupporting

confidence: 86%

Low Incidence of Stroke in Southern Italy

Manobianca

Zoccolella

Petruzzellis

et al. 2008

Stroke

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“…Notwithstanding this limitation, the present findings indicate that the adjusted FES incidence rates in the studied population are at the low end of the range of estimates established by recent (2000-2009) studies in Europe (table 2). Thus, the adjusted FES incidence rates appear comparable to those in Oxfordshire (UK) [24], tend to be lower than those in Lund (Sweden) [25], Ludwigshafen am Rhein (Germany) [9] and Tbilisi (Georgia) [26] and are significantly lower than those in North Dublin (Ireland) [14], Tartu (Estonia) [27], Vazadin County (Croatia) [28] and Grondo (Belarus) [29] (table 2). Two other recent studies have provided data on FES incidence in the Balearics of Spain (Mallorca and Menorca).…”

Section: Discussionmentioning

confidence: 99%

The Incidence of the First-Ever Stroke in a Mediterranean Island Population: The Isle of Lesvos Stroke Study

Stranjalis

Κalamatianos²,

Gatzonis³

et al. 2014

Neuroepidemiology

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Background: There is a paucity of research on the incidence and distribution of stroke types in Greece. This is the first study investigating stroke incidence in a Greek island, the Northern Aegean island of Lesvos (Eastern Mediterranean Sea). Methods: A multisource, prospective population-based register was established and subjects with first-ever stroke (FES) between June 1st 2010 and May 31st 2011 were identified. Results: 197 FES subjects registered, 112 males and 85 females (mean age w SD = 75 w 12 years). Cerebral infarction was diagnosed in 77.7%, intracerebral hemorrhage in 12.7%, subarachnoid hemorrhage in 2.5%; undetermined stroke accounted for 7.1%. The crude annual incidence rates of FES were 227.9 (95% CI 196-260) per 100,000. Following age- and gender-standardization to the ‘European' population, FES incidence rates were 117 (95% CI 99-136). Early case fatality was 20.81% (95% CI 16-27%). Conclusions: The present findingsindicate that the incidence of FES in the studied Mediterranean population is at the low end of the range of estimates established by recent European registers. The results of the present study extend the limited epidemiological data on stroke in Greece and can help guide future monitoring, prevention and treatment strategies. i 2014 S. Karger AG, Basel

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“…Nevertheless, almost half of the teenagers did not know that alcohol and cigarette smoking are risk factors for stroke. This is of crucial importance, because the incidence of stroke in younger ages in Estonia is two to three times higher compared to other European countries [7]. …”

Section: Discussionmentioning

confidence: 99%

“…However, several studies have shown that only about 30–40% of ischemic stroke patients arrive at the hospital within 3 h of stroke onset [5,6,7] and approximately 5% of all stroke patients can be treated with intravenous thrombolysis – acute stroke treatment with proven efficacy. For those not qualifying for thrombolysis, early treatment in a stroke unit ensures a better outcome [8].…”

Section: Introductionmentioning

confidence: 99%

Stroke Awareness in Two Estonian Cities: Better Knowledge in Subjects with Advanced Age and Higher Education

Vibo

Kõrv²,

Väli³

et al. 2012

Eur Neurol

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Objectives: This study was undertaken to assess stroke awareness of the Estonian population. Methods: Investigators were asked to fill in an original, closed-ended multiple-choice questionnaire about the definition, risk factors, symptoms and behavior at the onset of stroke by randomly selected subjects in public places of the two biggest cities in Estonia (Tallinn and Tartu). Results: The study included 355 persons. Most of the respondents knew that stroke is an acute disease and that one should call the ambulance at the onset of a stroke. Speech disorder and paresis were the best known symptoms, while hypertension was the best known risk factor. There were no differences between the sexes, but advanced age and higher level of education were related to higher awareness. Conclusions: The overall knowledge was better compared to many other studies. Future awareness campaigns should be addressed to younger subjects with lower education.

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The Third Stroke Registry in Tartu, Estonia, from 2001 to 2003

Cited by 28 publications

References 23 publications

Low Incidence of Stroke in Southern Italy

Low Incidence of Stroke in Southern Italy

The Incidence of the First-Ever Stroke in a Mediterranean Island Population: The Isle of Lesvos Stroke Study

Stroke Awareness in Two Estonian Cities: Better Knowledge in Subjects with Advanced Age and Higher Education

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