Epidemiology of Stroke and Survival Rate of Patients after Admission to Hospitals in Kazakhstan
DOI:
https://doi.org/10.3889/oamjms.2023.11505Keywords:
Ischemic stroke, Risk factors, Survival, Disability-adjusted life-years, Hospitals, KazakhstanAbstract
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.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Sarikaya H, Ferro J, Arnold M. Stroke prevention--medical and lifestyle measures. Eur Neurol. 2015;73(3-4):150-7. https://doi.org/10.1159/000367652 PMID:25573327
Radu RA, Terecoasă EO, Băjenaru OA, Tiu C. Etiologic classification of ischemic stroke: Where do we stand? Clin Neurol Neurosurg. 2017;159:93-106. https://doi.org/10.1016/j.clineuro.2017.05.019 PMID:28609703
Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev. 2013;2013(9):CD000197. https://doi.org/10.1002/14651858.CD000197.pub3 PMID:24026639
Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: Systematic analysis of population health data. Lancet. 2006;367(9524):1747-57. https://doi.org/10.1016/ S0140-6736(06)68770-9 PMID:16731270
Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB. Executive summary: Heart disease and stroke statistics--2016 update: A report from the American heart association. Circulation. 2016;127(1):e6-e245.
Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990-2010: Findings from the Global burden of disease study 2010. Lancet. 2014;383(9913):245-55. https://doi.org/10.1016/S0140-6736(13)61953-4 PMID:24449944
Stroke, Cerebrovascular Accident. Available from: https://www. emro.who.int/health-topics/stroke-cerebrovascular-accident/ index.html [Last accessed on 2023 Mar 06].
Ovbiagele B, Goldstein LB, Higashida RT, Howard VJ, Johnston SC, Khavjou OA, et al. Forecasting the future of stroke in the united states: A policy statement from the American heart association and American stroke association. Stroke. 2013;44(8):2361-75. https://doi.org/10.1161/STR.0b013e31829734f2 PMID:23697546
Heart Disease and Stroke Statistics Update Fact Sheet At-a- Glance; 2022. Available from: https://www.heart.org/-/media/ phd-files-2/science-news/2/2022-heart-and-stroke-stat- update/2022-stat-update-at-a-glance.pdf [Last accessed on 2023 Feb 22].
Béjot Y, Daubail B, Giroud M. Epidemiology of stroke and transient ischemic attacks: Current knowledge and perspectives. Rev Neurol (Paris). 2016;172(1):59-68. https://doi.org/10.1016/j.neurol.2015.07.013 PMID:26718592
Thayabaranathan T, Kim J, Cadilhac DA, Thrift AG, Donnan GA, Howard G, et al. Global stroke statistics 2022. Int J Stroke. 2022;17(9):946-56. https://doi.org/10.1177/17474930221123175 PMID:35975986
Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American heart association/American stroke association. Stroke. 2019;50(12):e344-418. https://doi.org/10.1161/STR.0000000000000211 PMID:31662037
Stroke: AHA/ASA Guidelines for the Early Management of Patients with Acute Ischemic Stroke; 2019. Available from: https://www.nursingcenter.com/getattachment/ Clinical-resources/guideline-summaries/aha-asa-guidelines- for-the-early-management-of-pat/guideline-summary_stroke_ may-2021.pdf.aspx [Last accessed on 2021 May 01].
Fassbender K, Merzou F, Lesmeister M, Walter S, Grunwald IQ, Ragoschke-Schumm A, et al. Impact of mobile stroke units. J Neurol Neurosurg Psychiatry. 2021;92(8):815-22. https://doi.org/10.1136/jnnp-020-324005 PMID:34035130
Khatib R, Jawaada AM, Arevalo YA, Hamed HK, Mohammed SH, Huffman MD. Implementing evidence-based practices for acute stroke care in low-and middle-income countries. Curr Atheroscler Rep. 2017;19(12):61. https://doi.org/10.1007/s11883-017-0694-6 PMID:29119348
Dugani S, Gaziano TA. 25 by 25: Achieving global reduction in cardiovascular mortality. Curr Cardiol Rep. 2016;18(1):10. https://doi.org/10.1007/s11886-015-0679-4 PMID:26748650
Global Stroke Guidelines and Action Plan: A Road Map for Quality Stroke Care Available from: https://www.worldstroke. org/assets/downloads/global_stroke_guidelines_and_action_ plan_all_in_one.pdf [Last accessed on 2019 Oct 14].
Warlow CP. Epidemiology of stroke. Lancet. 1998;352(3):SIII1-4. https://doi.org/10.1016/s0140-6736(98)90086-1 PMID:9803954
Bamford J, Sandercock P, Dennis M, Burn J, Warlow C. Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet. 1991;337(8756):1521-6. https://doi.org/10.1016/0140-6736(91)93206-o PMID:1675378
Johnston SC, Mendis S, Mathers CD. Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modelling. Lancet Neurol. 2009;8(4):345-54. https://doi.org/10.1016/S1474-4422(09)70023-7 PMID:19233730
GBD 2015 Neurological Disorders Collaborator Group. Global, regional, and national burden of neurological disorders during 1990-2015: A systematic analysis for the global burden of disease study 2015. Lancet Neurol. 2017;16(11):877-97. https://doi.org/10.1016/S1474-4422(17)30299-5 PMID:28931491
Donkor ES. Stroke in the 21st century: A snapshot of the burden, epidemiology, and quality of life. Stroke Res Treat. 2018;2018:3238165. https://doi.org/10.1155/2018/3238165 PMID:30598741
Butsing N, Tipayamongkholgul M, Wang JD, Ratanakorn D. Combined quality of life and survival for estimation of long-term health outcome of patients with stroke. Health Qual Life Outcomes. 2022;20(1):46. https://doi.org/10.1186/s12955-022-01959-1 PMID:35331254
Hankey GJ. Stroke. Lancet. 2017;389(10069):641-54. https://doi.org/10.1016/S0140-6736(16)30962-X PMID:27637676
Lindsay P, Furie KL, Davis SM, Donnan GA, Norrving B. World stroke organization global stroke services guidelines and action plan. Int J Stroke. 2014;9 Suppl A100:4-13. https://doi.org/10.1111/ijs.12371 PMID:25250836
Dokova KG, Feigin VL. Trends in stroke burden in central and eastern Europe from 1990-2019. Neuroepidemiology. 2022;56(5):333-44.
Lee H, Nam YS, Lee KM. Development-assistance strategies for stroke in low-and middle-income countries. J Korean Med Sci. 2015;30(Suppl 2):S139-42. https://doi.org/10.3346/jkms.2015.30.S2.S139 PMID:26617447
Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: Prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Arch Iran Med. 2019;22(4):204-10. PMID:31126179
Descatha A, Sembajwe G, Pega F, Ujita Y, Baer M, Boccuni F, et al. The effect of exposure to long working hours on stroke: A systematic review and meta-analysis from the WHO/ILO joint estimates of the work-related burden of disease and injury. Environ Int. 2020;142:105746. https://doi.org/10.1016/j.envint.2020.105746 PMID:32505015
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Gulzhan Adenova, Galina Kausova, Aigul Tazhiyeva (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0