Trends in Stroke Burden in Central and Eastern Europe from 1990–2019

Докова, Клара; Feigin, Valery

doi:10.1159/000525880

Cited by 6 publications

(3 citation statements)

References 25 publications

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“…The DALYs rate for diet-induced stroke showed a decreasing trend in all age groups among the member countries in Europe. Dokova et al ( 38 ) found that ASR of stroke DALY declined in West, Central, and East Europe regions and in all twenty East and Central European countries but at a different pace, which is consistent with our study. For those aged 50–74, the DALYs for stroke due to dietary risk factors in all other “B&R” member countries showed a decreasing trend, except for the Philippines, which rose and Turkmenistan, which remained stable.…”

Section: Discussionsupporting

confidence: 93%

Burden and trends of stroke attributable to dietary risk factors from 1990 to 2019 in the Belt and Road Initiative countries: an analysis from the global burden of disease study 2019

Zhang

Luo

et al. 2023

Front. Nutr.

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ObjectivesThis study aimed to compare the burden and trends of stroke attributed to dietary risk factors in the Belt and Road (“B&R”) countries from 1990 to 2019.MethodsThe 2019 Global Burden of Disease (GBD) Study was used to gather information on the burden of stroke attributable to dietary risk factors. Numbers and age-standardized rates (ASRs) of deaths, disability-adjusted life years (DALYs) were determined in 1990 and 2019 among the “B&R” countries. The average annual percent change (AAPC) was used to analyze the temporal trends of diet-induced stroke DALYs from 1990 to 2019 and in the final decade (2010–2019) by Joinpoint regression analysis.ResultsIn 2019, the absolute number of stroke deaths and DALYs attributable to dietary risk factors were 671,872 cases (95% UI 436,354–937,093) and 1.67 million cases (95% UI 1.15–2.24) in China. We found geographical differences in mortality and DALYs of diet-attributable stroke among member countries, with Bulgaria, Hungary and Serbia being the three highest countries in 1990, Bulgaria, North Macedonia and Montenegro in Central Asia in 2019. The ASRs of diet-induced stroke mortality and DALYs were generally declining in most member states from 1990 to 2019, however, the corresponding metrics in Mongolia remained high. The fastest decline in ASR of mortality and DALYs for diet-induced stroke was seen in Estonia, Eastern Europe, with AAPC values of −7.09% (95%CI: −7.72, −6.46%) and − 6.62% (95%CI: −7.20, −6.03%), respectively. We noted a substantial downward trend in ASR of mortality and DALYs from diet-induced stroke changes in the final decade (2010–2019) for most member states. The ASR of DALYs for diet-induced stroke decreased greater in females than in males. For those aged 50–74, the DALYs for stroke due to dietary risk factors in all other member countries of the “B&R” showed a decreasing trend, except for the Philippines, which rose (AAPC = 2.13, 95%CI: 1.40–2.87%) and Turkmenistan, which remained stable (AAPC = 0.05, 95%CI: −0.43–0.33%).ConclusionThe burden of diet-induced stroke varies substantially across “B&R” countries and threaten public health, relevant evidence-based policies and interventions should be adopted to address the future burden of stroke in “B&R” countries through extensive collaboration.

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Section: Discussionsupporting

confidence: 93%

Burden and trends of stroke attributable to dietary risk factors from 1990 to 2019 in the Belt and Road Initiative countries: an analysis from the global burden of disease study 2019

Zhang

Luo

et al. 2023

Front. Nutr.

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“…This distinctive trend raises concerns among health professionals and policymakers, highlighting unique challenges in this transitional nation [28]. According to the literature, all Central and East European countries experienced a decline in all-cause disease burden between 1990 and 2019, and a gap was confirmed between the East, the Central, and the West European region for men but not for women [29]. The WHO estimated that non-communicable diseases (NCDs) account for about of 90% of the deaths in Albania and the probability of dying between ages 30 and 70 years from the 4 main NCDs is about 19%.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of stroke-related risk factors in Albania: a single-center experience

Mustaqe,

Dimopoulos,

Dogjani

et al. 2024

Arch Med Sci Atheroscler Dis

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IntroductionStroke, a prominent global cause of mortality and disability, is broadly categorized into ischemic and hemorrhagic types. An epidemiological survey of stroke and its risk factors can help identify individuals at higher risk and therefore promote stroke prevention strategies. The aim of this study was to estimate the current prevalence of stroke and evaluate stroke-associated risk factors in Albania.Material and methodsThis was a single-center retrospective analysis conducted in Albania for the period from May 2015 to September 2021. Data were collected retrospectively through hospital records. Stroke was defined as sudden onset of a nonconvulsive and focal neurological deficit, and ischemic stroke was diagnosed using brain computed tomography (CT), magnetic resonance (MR) imaging, or both. We examined patient history characteristics encompassing demographics, stroke history, conventional vascular risk factors, and lifestyle-related risk factors.ResultsThe mean age of the 3860 patients was 74.6 ±10.4 years, and 73.5% were men. The prevalence of carotid stenosis, arrhythmia, obesity, and hypertension was significantly higher in males than in females (p < 0.001). Out of the 3860 patients in the study cohort, 641 (16.6%) subjects died, while 335 (8.7%) patients achieved complete recovery. Hemiparesis was observed in 386 (10%) patients and hemiplegia in 868 (22.4%) patients.ConclusionsOur analysis underscores the male predominance (2.2 : 1) in stroke cases. Carotid and vertebral artery stenosis is a significant factor, emphasizing the life-saving potential of early intervention. Social and economic factors in Albania pose challenges, demanding comprehensive strategies. Prospective trials are crucial to explore intervention efficacy, and timing, and address socioeconomic impacts on timely stroke management.

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“…Age-standardized disabilityadjusted life years lost (DALYs) for stroke declined in the three European regions and in all twenty Central and Eastern European countries, but at different rates. Lost years of life (YLL) accounted for more than 70% of DALYs for stroke and more than 90% of DALYs for men in Eastern European countries [26].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Stroke and Survival Rate of Patients after Admission to Hospitals in Kazakhstan

Adenova,

Kausova,

Tazhiyeva

2023

Open Access Maced J Med Sci

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BACKGROUND: According to the official statistics of the Ministry of Health, 40 thousand cases of stroke are registered annually in Kazakhstan. Meanwhile, the study of issues of organization of medical care in the admission of patients with stroke to hospitals in Kazakhstan remains relevant and requires a number of decisions to improve care. AIM: The aim of the study was to study the prevalence of stroke among the population of Kazakhstan and the organization of medical care in hospitals for the years 2018–2020. METHODS: The data were obtained from the Information System “Electronic Register of Dispensary Patients.” More than 60.0% of patients diagnosed with cerebral infarction caused by cerebral artery thrombosis were admitted to the hospital. RESULTS: The availability of medical care for stroke is of great importance. As the analysis of survival rate showed, the average survival time directly depends on the patient’s condition at admission to hospitals. The survival rate of patients with various nosologies of cerebral circulation in men and women differs significantly and reaches 80 years. CONCLUSION: The correct organization of the management of medical care for patients with acute circulatory disorders is of paramount importance. It is necessary to strengthen the integration and coordination of the systems of emergency care and primary health care.

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Trends in Stroke Burden in Central and Eastern Europe from 1990–2019

Cited by 6 publications

References 25 publications

Burden and trends of stroke attributable to dietary risk factors from 1990 to 2019 in the Belt and Road Initiative countries: an analysis from the global burden of disease study 2019

Burden and trends of stroke attributable to dietary risk factors from 1990 to 2019 in the Belt and Road Initiative countries: an analysis from the global burden of disease study 2019

Prevalence of stroke-related risk factors in Albania: a single-center experience

Epidemiology of Stroke and Survival Rate of Patients after Admission to Hospitals in Kazakhstan

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