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Published on: August 18, 2015
Stroke in Arab countries: a systematic literature review
Hani T S Benamer1, Donald Grosset
1Neurology Department, New Cross Hospital, Wolverhampton, United Kingdom. benamer@doctors.org.uk
Stroke incidence and prevalence in Arab countries are lower than in Western nations but comparable to Chinese populations. Key risk factors include hypertension and diabetes, with ischemic stroke being most common.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Stroke is a leading cause of death globally, with a significant burden in developing countries.
- Arab countries share lifestyle and dietary patterns that may influence stroke characteristics.
- Limited data exists on stroke epidemiology in Arab populations compared to Western and Oriental counterparts.
Purpose of the Study:
- To review and synthesize published data on stroke incidence, prevalence, types, risk factors, and outcomes in Arab countries.
- To establish a baseline understanding for future stroke research in this demographic.
- To identify knowledge gaps and areas for further investigation.
Main Methods:
- Systematic literature search of Medline and Embase databases.
- Inclusion of 31 articles published between 1983 and 2008.
- Data extraction on stroke incidence, prevalence, subtypes, risk factors, and case-fatality rates.
Main Results:
- Stroke incidence ranged from 27.5 to 63 per 100,000; prevalence was 42 to 68 per 100,000.
- Ischemic stroke was the most frequent subtype, though one study showed high intracerebral hemorrhage rates.
- Common risk factors identified were hypertension, diabetes mellitus, hyperlipidemia, and cardiac disease.
Conclusions:
- Stroke burden in Arab countries is lower than in the West but similar to East Asian populations.
- Stroke types and risk factors are generally consistent, but lacunar infarction rates warrant further study.
- Significant opportunities exist for stroke research in underrepresented Arab nations like Egypt, Algeria, Syria, and Morocco.
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