Increase of Stroke Incidence in Young Adults in a Middle-Income Country
| Autor: | Juliana Safanelli, Vivian Nagel, Nayara Fernanda Barros dos Santos, Adriana Bastos Conforto, Vanessa V. Guesser, Norberto Luiz Cabral, Felipe Ibiapina dos Reis, Aracélli Tavares Freire, Alexandre Longo |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics 030204 cardiovascular system & hematology Brain Ischemia Young Adult 03 medical and health sciences symbols.namesake 0302 clinical medicine Risk Factors Case fatality rate Epidemiology medicine Humans Poisson regression Young adult Stroke Cerebral Hemorrhage Retrospective Studies Advanced and Specialized Nursing Intracerebral hemorrhage business.industry Incidence Incidence (epidemiology) Retrospective cohort study Middle Aged medicine.disease symbols Neurology (clinical) Cardiology and Cardiovascular Medicine business Brazil 030217 neurology & neurosurgery |
| Zdroj: | Stroke. 48:2925-2930 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/strokeaha.117.018531 |
| Popis: | Background and Purpose— The incidence of stroke is on the rise in young adults in high-income countries. However, there is a gap of knowledge about trends in stroke incidence in young adults from low- and middle-income countries. We aimed to measure trends in incidence of ischemic stroke (IS) and intracerebral hemorrhage (IH) in young people from 2005 to 2015 in Joinville, Brazil. Methods— We retrospectively ascertained all first-ever IS subtypes and IH that occurred in Joinville in the periods of 2005 to 2006, 2010 to 2011, and 2014 to 2015. Poisson regression was used to calculate incidence rate ratios of all strokes, IS, and IH. We also compared the prevalence of risk factors and extension of diagnostic work-up across the 3 periods. Results— For 10 years, we registered 2483 patients (7.5% aged Conclusions— Stroke incidence is rising in young adults in Joinville, Brazil, because of increase in rates of ischemic but not hemorrhagic strokes. We urgently need better policies of cardiovascular prevention in the young. |
| Databáze: | OpenAIRE |
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