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Stroke Burden in Malaysia.

Kay Sin Tan1, Narayanaswamy Venketasubramanian2

  • 1Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Cerebrovascular Diseases Extra
|March 24, 2022
PubMed
Summary
This summary is machine-generated.

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Stroke is a major cause of death in Malaysia, with rising risk factors and incidence in younger adults. Improving stroke care and prevention is crucial, especially for rural populations.

Area of Science:

  • Public Health
  • Epidemiology
  • Neurology

Background:

  • Stroke is Malaysia's third leading cause of death, with significant case numbers, deaths, and disability-adjusted life years (DALYs) lost in 2019.
  • Prevalence of stroke risk factors like diabetes, hyperlipidaemia, and obesity has steadily increased since 2006.
  • Stroke incidence is rising in individuals under 65, notably in the 35-39 age group, with substantial increases in both men and women.

Discussion:

  • Malaysia faces challenges in stroke care, including limited neurologist access in rural areas and low rates of ischaemic stroke thrombolysis.
  • The high out-of-pocket cost of thrombectomy devices for large vessel occlusions presents a significant barrier to advanced treatment.
  • Concurrent use of traditional and complementary medicine is common, indicating a need for integrated healthcare approaches.
Keywords:
BurdenEpidemiologyMalaysiaStrokeSystems of care

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Key Insights:

  • A growing burden of stroke in Malaysia is driven by increasing modifiable risk factors and an ageing population.
  • Disparities in healthcare access exist, with a concentration of neurologists in urban centers impacting rural stroke patient care.
  • The rising incidence of stroke among younger adults necessitates a re-evaluation of prevention and early intervention strategies.

Outlook:

  • Future stroke care improvement requires strategic planning, enhanced inter-hospital collaboration, and increased government resource allocation.
  • Continued focus on primary and secondary stroke prevention strategies is essential to mitigate future disease burden.
  • Addressing healthcare access disparities and the affordability of advanced treatments like thrombectomy is critical for equitable stroke care.