Stroke epidemiology based on experience from Krasnik county in eastern Poland.

Area of Science:

• Neurology
• Public Health
• Epidemiology

Background:

• Cerebrovascular diseases pose a significant health threat in Poland, particularly for men over 60.
• Stroke is a leading cause of long-term disability, impacting daily activities and independence.
• Rural populations experience higher stroke mortality rates compared to urban areas.

Purpose of the Study:

• To analyze stroke incidence, types, and mortality in a Polish population.
• To identify demographic differences in stroke occurrence and outcomes.
• To evaluate the impact of urbanization on stroke hospitalization and mortality.

Main Methods:

• Retrospective analysis of 1,500 patient records (2011-2016) from a healthcare institution in Kraśnik, Poland.
• Inclusion of patients diagnosed with cerebral infarction across various hospital wards.
• Data collection on patient demographics, stroke type, and hospitalization outcomes.

Main Results:

• Stroke patients were predominantly from urban communes (59.1%).
• Embolic stroke (I63.4) was most common in women (63.48%), while thrombotic stroke (I63.3) was most common in men (51.33%).
• Female stroke patients had a higher mortality rate (36.15%) compared to males (26.11%).

Conclusions:

• Women typically experienced stroke around age 78, while men experienced it around age 70.
• Despite higher hospitalization rates in urban areas, rural residents showed higher stroke-related mortality.
• Primary stroke prevention is essential for reducing morbidity and premature mortality.