An Epidemiological Study of Stroke Hospitalizations in Maputo, Mozambique A High Burden of Disease in a Resource-Poor Country
Maputo; S. n; 2021. 7 p. Tab., Fig..
Não convencional
em Inglês
| RDSM
| ID: biblio-1344446
Biblioteca responsável:
MZ1.1
ABSTRACT
Already a major cause of death and disability in high-income countries, the burden of stroke in sub-Saharan Africa is also expected to be high. However, specific stroke data are scarce from resource-poor countries. We studied the incidence, characteristics, and short-term consequences of hospitalizations for stroke in Maputo, Mozambique. MethodsOver 12 months, comprehensive data from all local patients admitted to any hospital in Maputo with a new stroke event were prospectively captured according to the World Health Organization's STEPwise approach to stroke surveillance program. Disability levels (pre- and posthospital discharge) and short-term case-fatality (in-hospital and 28 days) were also studied. ResultsOverall, 651 new stroke events (mean age 59.113.2 years and 53% men) were captured by the registry with 601 confirmed by CT scan (83.4%) or necropsy (8.9%). Crude and adjusted (world reference population) annual incidence rates of stroke were 148.7 per 100 000 and 260.1 per 100 000 aged 25 years, respectively. Of these, 531 (81.6%) represented a first-ever stroke event comprising 254 ischemic (42.0%) and 217 (36.1%) an intracerebral hemorrhage. Before admission, 561 patients (86.2%) had hypertension and 271 (41.6%) had symptoms for 24 hours. In-hospital and 28-day case-fatality were 33.3% and 49.6% (72.3% for hemorrhagic stroke), respectively. From almost no preadmission disability, 64.4% of 370 survivors at 28 days had moderate-to-severe disability. ConclusionsThe burden of disease associated with stroke is high in Maputo, emphasizing the importance of primary prevention and improvement of the standards of care in a developing country under epidemiological transition
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
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Moçambique
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
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ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Meta 3.8 Atingir a cobertura universal de saúde
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Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
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Hipertensão Arterial
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Doença Cardiovascular
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Doença Cerebrovascular
Base de dados:
RDSM
Assunto principal:
Pacientes
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Países em Desenvolvimento
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Acidente Vascular Cerebral Hemorrágico
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Hipertensão
Tipo de estudo:
Estudo de incidência
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Estudo observacional
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Estudo prognóstico
Aspecto:
Determinantes sociais da saúde
Idioma:
Inglês
Ano de publicação:
2021
Tipo de documento:
Não convencional