Incidence, short-term outcome, and spatial distribution of stroke patients in Ludhiana, India
| Autor: | Harish Sehgal, Sandeep S Pawar, Gagandeep Singh, Shweta J Verma, Sukhdeep Singh Jhawar, Tushar Arora, Arun K Dhanuka, Manoj K Sobti, Praveen Sikka, Paramdeep Kaur, T N Shadangi, Monika Singla, Shavinder Singh, Gagandeep Mehmi, Sarvpreet Singh Grewal, Ashish Saxena, Jeyaraj D Pandian, Jeetamol S Gill, Meenakshi Sharma, Clarence Samuel, Amber Sharma, Om P Arora, Ramandeep S Brar, Gaurav Sachdeva, Rajinder Bansal, P. K. Litoria, Gurmeet Singh, Premjeeth Moodbidri, Sandeep Singh Bakshi, Birinder Singh Paul, Anakhvir Gill, Mohanjeet Kaur |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Stroke patient Adolescent Urban Population Population India Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Case fatality rate Medicine Humans Cumulative incidence 030212 general & internal medicine Prospective Studies education Prospective cohort study Aged Demography Aged 80 and over education.field_of_study business.industry Incidence (epidemiology) Public health Incidence Middle Aged Confidence interval Stroke Treatment Outcome Physical therapy Feasibility Studies Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Neurology. 86(5) |
| ISSN: | 1526-632X |
| Popis: | Objective: To estimate the incidence, short-term outcome, and spatial distribution of stroke patients and to evaluate the completeness of case ascertainment in Ludhiana. Methods: This population-based prospective cohort study was conducted in Ludhiana, Punjab, Northwest India. All first-ever stroke patients (≥18 years) were included between March 2010 and March 2013 using WHO Stepwise Approach Surveillance methodology from the city. Stroke patient data were obtained from hospitals, scan centers, and general practitioners, and details of deaths from the Municipal Corporation. Results: Out of 7,199 stroke patients recruited, 3,441 were included in final analysis. The mean age was 59 ± 15 years. The annual incidence rate was 140/100,000 (95% confidence interval [CI] 133–147) and age-adjusted incidence rate was 130/100,000 (95% CI 123–137). The annual incidence rate for stroke in the young (18–49 years) was 46/100,000 (95% CI 41–51). The case fatality at 28 days was 22%. Patients above 60 years of age ( p = 0.03) and patients who were managed in public hospitals had poor survival ( p = 0.01). Hot spots for cumulative incidence were seen in central and southern parts of the city, and hot spots for poor outcome were seen in the outskirts of the city. Conclusions: The incidence rates are similar to other studies from India. Stroke patient survival is poor in public hospitals. The finding of spatial analysis is of public health significance for stroke prevention and strengthening of stroke services. |
| Databáze: | OpenAIRE |
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