Incidence of first stroke and ethnic differences in stroke pattern in Bradford, UK: Bradford Stroke Study
| Autor: | Christopher Patterson, Stuart Maguire, Ian Melvin, Kirti Kain, Hawraman Ramadan, Anne Forster, Elizabeth Teale |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Ethnic group Crude incidence 030204 cardiovascular system & hematology White People World health Young Adult 03 medical and health sciences Age Distribution 0302 clinical medicine Epidemiology Bangladeshis Humans Medicine Pakistan Prospective Studies cardiovascular diseases Stroke Aged Aged 80 and over business.industry Incidence Incidence (epidemiology) World population Middle Aged medicine.disease England Neurology Female business 030217 neurology & neurosurgery Demography |
| ISSN: | 1747-4930 |
| Popis: | Background Information on ethnic disparities in stroke between White and Pakistani population in Europe is scarce. Bradford District has the largest proportion of Pakistani people in England; this provides a unique opportunity to study the difference in stroke between the two major ethnic groups. Aim To determine the first-ever-stroke incidence and examine the disparities in stroke patterns between Whites and Pakistanis in Bradford. Methods Prospective 12 months study consisting of 273,327 adults (≥18 years) residents. Stroke cases were identified by multiple overlapping approaches. Results In the study period, 541 first-ever-strokes were recorded. The crude incidence rate was 198 per 100,000 person-years. Age adjusted-standardized rate to the World Health Organization world population of first-ever-stroke is 155 and 101 per 100,000 person-years in Pakistanis and Whites respectively. Four hundred and thirty-eight patients (81%) were Whites, 83 (15.3%) were Pakistanis, 11 (2%) were Indian and Bangladeshis, and 9 (1.7%) were of other ethnic origin. Pakistanis were significantly younger and had more obesity ( p = 0.049), and diabetes mellitus (DM) ( p = Conclusions The incidence of first-ever-stroke is higher in the Pakistanis compared with the Whites in Bradford, UK. Etiology and vascular risk factors vary between the ethnic groups. This information should be considered when investigating stroke etiology, and when planning prevention and care provision to improve outcomes after stroke. |
| Databáze: | OpenAIRE |
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