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Published on: January 15, 2017
Mumbai stroke registry (2005-2006)--surveillance using WHO steps stroke instrument--challenges and opportunities
P M Dalal1, Madhumita Bhattacharjee, Jaee Vairale
1Lilavati Hospital and L. K. M. M. Trust Research Centre, A-791, Bandra Reclamation, Mumbai-400 050, India.
The Journal of the Association of Physicians of India
|December 18, 2008
Summary
India
Area of Science:
- Epidemiology
- Public Health
- Neurology
Background:
- Increasing life expectancy in India poses a growing socioeconomic burden due to age-related chronic diseases like stroke.
- Reliable stroke epidemiology data is crucial for effective prevention strategies.
- The World Health Organization (WHO) recommends the STEPS Stroke instrument for standardized, population-based data collection.
Purpose of the Study:
- To determine the incidence and characteristics of stroke in a defined community in Mumbai, India.
- To assess the utility of the WHO STEPwise approach to stroke surveillance (STEPS) in a real-world setting.
- To gather data for planning public health interventions and stroke prevention campaigns.
Main Methods:
- A community-based survey was conducted in H-ward, Mumbai, using the WHO STEPS manual for stroke surveillance.
- Data collection occurred over a two-year period (January 2005 to December 2006).
- Case ascertainment included in-hospital, fatal, and non-fatal community events.
Main Results:
- An annual incidence of first-ever stroke (FES) was 145 per 100,000 persons, with an age-adjusted rate of 152/100,000/year.
- Hypertension was present in 82.8% of FES cases. Ischemic stroke accounted for 80.2% of diagnosed cases.
- The 28-day case fatality rate was 29.8%, and 38.5% of survivors experienced moderate to severe disability.
Conclusions:
- The WHO STEPS stroke surveillance instrument is practical and user-friendly for community surveys.
- The collected data provide valuable insights for developing targeted stroke prevention and public awareness campaigns.
- Emphasis on diet, exercise, blood pressure control, and recognizing early stroke symptoms is vital.
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