High Burden of Stroke Risk Factors in Developing Country
The Case Study of Bosnia-Herzegovina
Bibliographic Data
| ID | 22320757 |
|---|---|
| Authors | Marija Bender (University Clinical Hospital Mostar), Edin Jusufovic (0000-0003-2441-9888, University Clinical Center Tuzla), Vesna Railic (Institute of Metrology of Bosnia and Herzegovina), Sima Kelava (University of Zenica), Selma Tinjak (Herzegovina University), Damir Dzevdetbegovic (University Clinical Center Tuzla), Dario Mot (Povisa Hospital), Mensuda Tresnjo (Herzegovina University), Sandra Lakicevic (University Clinical Hospital Mostar), Natasa PejanovicSkobic, Nataša Pejanović-Škobić (0000-0001-5486-6924, University Clinical Hospital Mostar), Osman Sinanović (0000-0001-8957-7284, University Clinical Center Tuzla) |
| Year | 2017 |
| Volume | 29 |
| Issue | 4 |
| Pages | 277 |
| Publication date | 2017-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Materia Socio Medica (JOURNAL) |
| Journal identifiers | ISSN: 1512-7680 • E-ISSN: 1986-597X |
| Publisher | ScopeMed (PUBLISHER • TR) |
| DOI | 10.5455/msm.2017.29.277-279 |
| PMID | 29284999 |
| OpenAlex | W2768960393 |
| Language | EN |
| References cited | 4 |
INTRODUCTION: The burden of stroke has been increasing worldwide, especially in developing countries. Very few data regarding epidemiology of stroke are available in Bosnia and Herzegovina (BH). PATIENTS AND METHODS: , 2014, and only first-ever-in-lifetime strokes (FES) were included for evaluation. RESULTS: A FES was diagnosed in 1479 patients (age 71.83 ± 11.703 years) during the study period. FES occurred in 709 men (47.9%; age 69.64 ±12.002 years) and 770 women (52.1%; age 73.85± 11.051 years). Stroke was categorized into ischemic stroke (IS), primary intracerebral hemorrhage (PICH), subarachnoid hemorrhage (SAH) and cerebral venous thrombosis (CVT), which was diagnosed in 84%, 12,2%, 3,4% and 0,4% cases respectively. Early 28-day case-fatality was 18.5 % for all patients and both sexes combined. Short-term case-fatality was significantly greater in women (P=0.007). Among all patients with FES, 87% had hypertension, 35% diabetes mellitus, 39% hypercholesterolemia and almost 25 % atrial fibrillation. DISCUSSION: This is the first study that provides us with information on epidemiology of stroke in BH. More than 90% of patients had one or more modifiable risk factors and the number would be even higher if we included smoking. The early stroke case-fatality was lower than that observed in other low- to middle-income countries. CONCLUSION: All modifiable stroke risk factors, especially high blood pressure, should be understood as a major public health problem in BH and efforts should be focused on the primary prevention of stroke. Our emphasis is on the designing of a stroke register in BH for a better health planning
Atrial fibrillation · Blood pressure · Case fatality rate · Diabetes mellitus · Intracerebral hemorrhage · Subarachnoid hemorrhage · Thrombosis · Venous thrombosis · Acute Ischemic Stroke Management · Global Health and Epidemiology · Intracerebral and Subarachnoid Hemorrhage Research · Medicine · Epidemiology · Internal Medicine · Pediatrics
| Citation velocity | historical |
|---|---|
| Highly cited | No |