Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services

Mudasar Aziz1, Naznin Bipasha2, Udit Gupta1

  • 1Sheffield Institute of Translational Neuroscience, University of Sheffield, Sheffield S10 2GF, UK.

Insights

Stroke incidence in Bangladesh is 3 per 1000 people. Addressing cultural risk factors and improving healthcare infrastructure are key to better stroke outcomes in the country.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke is a leading cause of death and disability globally, ranking third in Bangladesh.
  • Stroke epidemiology and risk factors in Bangladesh differ from Western populations due to unique cultural and socioeconomic factors.
  • Understanding these differences is crucial for effective stroke management in the region.

Purpose of the Study:

  • To review the epidemiology of stroke in Bangladesh.
  • To identify prevalent risk factors for stroke in the Bangladeshi population.
  • To explore barriers to improving stroke care services in Bangladesh.

Main Methods:

  • A systematic literature search was performed using PubMed, Mymensingh Medical Journal, Bangladesh Journal of Neuroscience, and Google Scholar.
  • The search focused on articles pertaining to stroke within the context of Bangladesh.
  • Data extraction and synthesis were conducted to summarize findings.

Main Results:

  • The incidence of stroke in Bangladesh is reported as 3 per 1000 people.
  • Haemorrhagic stroke prevalence is higher compared to Western countries.
  • Novel risk factors include squatting and betel nut chewing; barriers include lack of public education and inadequate healthcare infrastructure.

Conclusions:

  • Stroke in Bangladesh is linked to both traditional and culturally ingrained non-traditional risk factors.
  • Improving patient outcomes requires targeted education, consideration of unique risk factors, and enhanced access to evidence-based treatments.
  • Policy interventions are needed to improve equitable access to stroke care services.
Abstract

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