| Autor: |
Cabral NL, Gonçalves AR, Longo AL, Moro CH, Costa G, Amaral CH, Souza MV, Eluf-Neto J, Fonseca LA, Cabral, N L, Gonçalves, A R R, Longo, A L, Moro, C H C, Costa, G, Amaral, C H, Souza, M V, Eluf-Neto, J, Fonseca, L Augusto M |
| Zdroj: |
Journal of Neurology, Neurosurgery & Psychiatry; Jul2009, Vol. 80 Issue 7, p749-754, 6p |
| Abstrakt: |
Background: Studying stroke rates in a whole community is a rational way to assess the quality of patient care and primary prevention. However, there are few studies of trends in stroke rates worldwide and none in Brazil.Objective: Established study methods were used to define the rates for first ever stroke in a defined population in Brazil compared with similar data obtained and published in 1995.Methods: All stroke cases occurring in the city of Joinville during 2005-2006 were prospectively ascertained. Crude incidence and mortality rates were determined, and age adjusted rates and 30 day case fatality were calculated and compared with the 1995 data.Results: Of the 1323 stroke cases registered, 759 were first ever strokes. The incidence rate per 100 000 was 105.4 (95% CI 98.0 to 113.2), mortality rate was 23.9 (95% CI 20.4 to 27.8) and the 30 day case fatality was 19.1%. Compared with the 1995 data, we found that the incidence had decreased by 27%, mortality decreased by 37% and the 30 day case fatality decreased by 28%.Conclusions: Using defined criteria we showed that in an industrial southern Brazilian city, stroke rates are similar to those from developed countries. A significant decrease in stroke rates over the past decade was also found, suggesting an improvement in primary prevention and inpatient care of stroke patients in Joinville. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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