Prevalence of stroke survival in rural communities living in northern Peru.

Autor:	Moyano LM; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Montano SM; Sección de Epidemiologia, Instituto de Medicina Tropical Daniel Alcides carrión Universidad Nacional Mayor de San Marcos, Lima, Perú., Vilchez Barreto P; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Reto N; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Larrauri L; Centro Basico de Investigación en Demencia y enfermedades desmielinizantes, Instituto Nacional de Ciencias Neurológicas, Lima, Perú., Mori N; Departamento de Medicina, Hospital Nacional Daniel Alcides Carriòn, Lima, Perú., Cornejo-Olivas M; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú.; Neurogenetics Research center (MC), Instituto Nacional de Ciencias Neurológicas, Lima, Perú., Guevara-Silva E; Centro Basico de Investigación en Demencia y enfermedades desmielinizantes, Instituto Nacional de Ciencias Neurológicas, Lima, Perú., Urizar F; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Najar E; Departamento de Medicina, Hospital Nacional Cayetano Heredia, Lima, Perú., Gamboa R; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Azabache C; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Herrer Ticse R; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Bolivar-Herrada L; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú., Doud A; Departments of Neurology, Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United State of America., Martinez P; Departamento de Pediatría, Instituto Nacional del Niño, San Borja, Lima, Perú., Miranda JJ; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú.; CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Perú., Zunt JR; Departamento de Medicina, Hospital Nacional Cayetano Heredia, Lima, Perú., García HH; Cysticercosis Elimination Program, Center for Global Health, Universidad Peruana Cayetano Heredia, Tumbes, Perú.
Jazyk:	angličtina
Zdroj:	PloS one [PLoS One] 2021 Jul 29; Vol. 16 (7), pp. e0254440. Date of Electronic Publication: 2021 Jul 29 (Print Publication: 2021).
DOI:	10.1371/journal.pone.0254440
Abstrakt:	Background and Purpose: Stroke is the leading cause of neurological impairment in the South American Andean region. However, the epidemiology of stroke in the region has been poorly characterized. Methods: We conducted a staged three-phase population-based study applying a validated eight-question neurological survey in 80 rural villages in Tumbes, northern Peru, then confirmed presence or absence of stroke through a neurologist's examination to estimate the prevalence of stroke. Results: Our survey covered 90% of the population (22,278/24,854 individuals, mean age 30±21.28, 48.45% females), and prevalence of stroke was 7.05/1,000 inhabitants. After direct standardization to WHO's world standard population, adjusted prevalence of stroke was 6.94/1,000 inhabitants. Participants aged ≥85 years had higher stroke prevalence (>50/1000 inhabitants) compared to other stratified ages, and some unusual cases of stroke were found among individuals aged 25-34 years. The lowest age reported for a first stroke event was 16.8 years. High blood pressure (aPR 4.2 [2.7-6.4], p>0.001), and sedentary lifestyle (aPR 1.6 [1.0-2.6], p = 0.045) were more prevalent in people with stroke. Conclusions: The age-standardized prevalence of stroke in this rural coastal Peruvian population was slightly higher than previously reported in studies from surrounding rural South American settings, but lower than in rural African and Asian regions. The death rate from stroke was much higher than in industrialized and middle-income countries. Competing Interests: The authors have declared that no competing interests exist.
Databáze:	MEDLINE
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