Related Experiment Video
Updated: May 30, 2026
05:23
Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
Published on: March 11, 2021
Long-term outcome after stroke in Belarus: the Grodno stroke study
Sergey D Kulesh1, Tatsiana M Kastsinevich, Liudmila A Kliatskova
1Department of Neurology, Grodno State Medical University, Gorkogo Str, 80, 230009 Grodno, Belarus. s_kulesh@yahoo.com
Stroke
|August 13, 2011
Summary
Stroke in Belarus has a high mortality rate, with nearly 60% of patients dying within five years. Among survivors, over half experience significant disability, highlighting a substantial long-term burden of stroke.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Limited data exists on long-term stroke prognosis in low- and middle-income countries.
- Understanding stroke outcomes in diverse healthcare settings is crucial for global health initiatives.
Purpose of the Study:
- To determine the 5-year survival and dependency rates after a first-ever stroke in Grodno, Belarus.
- To provide essential data on stroke outcomes in Eastern Europe.
Main Methods:
- Prospective registration and assessment of all suspected acute stroke cases in Grodno over 12 months in 2001.
- Annual follow-up of patients for up to 5 years post-stroke, assessing survival and functional dependency using the modified Rankin scale.
Main Results:
- A total of 671 first-ever strokes were recorded, with 5-year follow-up data for 653 patients (97.3%).
- The 5-year case fatality rate was 58.8% (384/653).
- Of the survivors at 5 years, 51.7% had significant disability (modified Rankin score ≥3), resulting in a cumulative risk of death or disability of 80.1%.
Conclusions:
- Stroke in Belarus presents a very high risk of mortality and dependency at the 5-year mark.
- These findings underscore the significant burden of stroke in this region and the need for improved stroke care and prevention strategies.
Related Concept Videos
01:15Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
01:17Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...