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Stroke in Kuwait: a three-year prospective study

N U Abdul-Ghaffar1, M R el-Sonbaty, M S el-Din Abdul-Baky

  • 1Medical Department, Adan Hospital, Fehahil, Kuwait.

Neuroepidemiology
|January 1, 1997
PubMed

Insights

Stroke incidence in Kuwait is notably low, primarily attributed to the population

Area of Science:

  • Neurology
  • Epidemiology
  • Public Health

Background:

  • Stroke is a leading cause of death and disability worldwide, with incidence rates varying significantly across different populations.
  • Understanding the epidemiological patterns of stroke is crucial for developing targeted prevention and intervention strategies.

Purpose of the Study:

  • To investigate the incidence, patterns, and outcomes of first-ever stroke in Kuwait over a defined period.
  • To determine the demographic and clinical characteristics of stroke patients in Kuwait.
  • To assess the case fatality rate and identify factors influencing mortality.

Main Methods:

  • Prospective data collection from patients admitted with first-ever stroke between 1989, 1992, and 1993.
  • Inclusion of data from primary-care registries and death certificates to ensure comprehensive case ascertainment.
  • Utilized clinical evaluation, computed tomography (CT), electrocardiography (ECG), laboratory tests, and serum chemistry for diagnosis and assessment.

Main Results:

  • Overall annual crude incidence rate of stroke was 27.6 per 100,000 population; age-adjusted rate was 145.6 per 100,000.
  • Carotid-territory large infarction was the most common type (46.5%), followed by intracerebral hemorrhage (19.9%) and lacunar infarction (17%).
  • Overall case fatality rate was 10%, with increased mortality associated with older age and presence of loss of consciousness.

Conclusions:

  • Stroke incidence in Kuwait is low, likely due to the young average age of the population.
  • The study provides valuable epidemiological data on stroke in a Middle Eastern population.
  • Further research is needed to explore long-term trends and specific risk factors in Kuwait.

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