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[First results of stroke register in Krasnodar]
Insights
Male stroke morbidity and mortality rates are higher than females, particularly before age 70. Despite awareness, many patients refuse hypertension treatment, impacting stroke outcomes.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Stroke presents a significant public health challenge with varying epidemiological patterns.
- Understanding risk factors and treatment adherence is crucial for improving patient outcomes.
Purpose of the Study:
- To analyze stroke morbidity and mortality trends in Krasnodar.
- To identify key risk factors and assess treatment adherence for stroke patients.
Main Methods:
- Retrospective analysis of a stroke register data from Krasnodar.
- Comparison of stroke incidence, mortality, and risk factors between genders and age groups.
Main Results:
- Higher age-standardized stroke morbidity and mortality observed in males compared to females.
- Hypertension identified as the primary risk factor (65.7%).
- Despite high awareness (81.8%), a significant proportion of patients (65.2%) refused antihypertensive therapy, leading to poorer outcomes in severe stroke cases.
Conclusions:
- Male patients exhibit higher stroke morbidity and mortality, especially before age 70.
- Low adherence to antihypertensive therapy is a critical issue, necessitating targeted interventions.
- Effective management of hypertension is paramount in reducing stroke burden.
Abstract:
The stroke register started in Krasnodar revealed that the age-standardized stroke morbidity in male patients was 232.3 in 1998, among female--146.6 per 100,000 (p < 0.01), and mortality--90.4 and 69.5 for 100,000, respectively (p < 0.05). At the age before 50 mortality among males is 1.8 times higher, aged 50-69--in 1.4 times higher than in females of the same ages, but after 70 years old, vice versa, it is 1.6 times lower. 39.7% patients were admitted to the hospital, 62.1% of them had mild and moderate stroke. 74.7% patients with severe stroke were treated. In these cases mortality was 61.4% while that in in-patient, 17.8% (p < 0.01). Hypertension appeared to be the main risk factor of stroke (65.7%). Despite the patient's well awareness of this disease (81.8%) 65.2% patients refused to take hypotensive therapy and only 16.9% afflicted with stroke later were regularly treated in appropriate way.