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Stroke in India: A systematic review of the incidence, prevalence, and case fatality

BACKGROUND: The burden of stroke is increasing in India; stroke is now the fourth leading cause of death and the fifth leading cause of disability. Previous research suggests that the incidence of stroke in India ranges between 105 and 152/100,000 people per year. However, there is a paucity of avai...

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Autores principales: Jones, Stephanie P, Baqai, Kamran, Clegg, Andrew, Georgiou, Rachel, Harris, Cath, Holland, Emma-Joy, Kalkonde, Yogeshwar, Lightbody, Catherine E, Maulik, Pallab K, Srivastava, Padma MV, Pandian, Jeyaraj D, Kulsum, Patel, Sylaja, PN, Watkins, Caroline L, Hackett, Maree L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821978/
https://www.ncbi.nlm.nih.gov/pubmed/34114912
http://dx.doi.org/10.1177/17474930211027834
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author Jones, Stephanie P
Baqai, Kamran
Clegg, Andrew
Georgiou, Rachel
Harris, Cath
Holland, Emma-Joy
Kalkonde, Yogeshwar
Lightbody, Catherine E
Maulik, Pallab K
Srivastava, Padma MV
Pandian, Jeyaraj D
Kulsum, Patel
Sylaja, PN
Watkins, Caroline L
Hackett, Maree L
author_facet Jones, Stephanie P
Baqai, Kamran
Clegg, Andrew
Georgiou, Rachel
Harris, Cath
Holland, Emma-Joy
Kalkonde, Yogeshwar
Lightbody, Catherine E
Maulik, Pallab K
Srivastava, Padma MV
Pandian, Jeyaraj D
Kulsum, Patel
Sylaja, PN
Watkins, Caroline L
Hackett, Maree L
author_sort Jones, Stephanie P
collection PubMed
description BACKGROUND: The burden of stroke is increasing in India; stroke is now the fourth leading cause of death and the fifth leading cause of disability. Previous research suggests that the incidence of stroke in India ranges between 105 and 152/100,000 people per year. However, there is a paucity of available data and a lack of uniform methods across published studies. AIM: To identify high-quality prospective studies reporting the epidemiology of stroke in India. SUMMARY OF REVIEW: A search strategy was modified from the Cochrane Stroke Strategy and adapted for a range of bibliographic databases from January 1997 to August 2020. From 7717 identified records, nine studies were selected for inclusion; three population-based registries, a further three population-based registries also using community-based ascertainment and three community-based door-to-door surveys. Studies represented the four cities of Mumbai, Trivandrum, Ludhiana, Kolkata, the state of Punjab, and 12 villages of Baruipur in the state of West Bengal. The total population denominator was 22,479,509 and 11,654 (mean 1294 SD 1710) people were identified with incident stroke. Crude incidence of stroke ranged from 108 to 172/100,000 people per year, crude prevalence from 26 to 757/100,000 people per year, and one-month case fatality rates from 18% to 42%. CONCLUSIONS: Further high-quality evidence is needed across India to guide stroke policy and inform the development and organization of stroke services. Future researchers should consider the World Health Organization STEPwise approach to Surveillance framework, including longitudinal data collection, the inclusion of census population data, and a combination of hospital-registry and comprehensive community ascertainment strategies to ensure complete stroke identification.
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spelling pubmed-88219782022-02-09 Stroke in India: A systematic review of the incidence, prevalence, and case fatality Jones, Stephanie P Baqai, Kamran Clegg, Andrew Georgiou, Rachel Harris, Cath Holland, Emma-Joy Kalkonde, Yogeshwar Lightbody, Catherine E Maulik, Pallab K Srivastava, Padma MV Pandian, Jeyaraj D Kulsum, Patel Sylaja, PN Watkins, Caroline L Hackett, Maree L Int J Stroke Reviews BACKGROUND: The burden of stroke is increasing in India; stroke is now the fourth leading cause of death and the fifth leading cause of disability. Previous research suggests that the incidence of stroke in India ranges between 105 and 152/100,000 people per year. However, there is a paucity of available data and a lack of uniform methods across published studies. AIM: To identify high-quality prospective studies reporting the epidemiology of stroke in India. SUMMARY OF REVIEW: A search strategy was modified from the Cochrane Stroke Strategy and adapted for a range of bibliographic databases from January 1997 to August 2020. From 7717 identified records, nine studies were selected for inclusion; three population-based registries, a further three population-based registries also using community-based ascertainment and three community-based door-to-door surveys. Studies represented the four cities of Mumbai, Trivandrum, Ludhiana, Kolkata, the state of Punjab, and 12 villages of Baruipur in the state of West Bengal. The total population denominator was 22,479,509 and 11,654 (mean 1294 SD 1710) people were identified with incident stroke. Crude incidence of stroke ranged from 108 to 172/100,000 people per year, crude prevalence from 26 to 757/100,000 people per year, and one-month case fatality rates from 18% to 42%. CONCLUSIONS: Further high-quality evidence is needed across India to guide stroke policy and inform the development and organization of stroke services. Future researchers should consider the World Health Organization STEPwise approach to Surveillance framework, including longitudinal data collection, the inclusion of census population data, and a combination of hospital-registry and comprehensive community ascertainment strategies to ensure complete stroke identification. SAGE Publications 2021-07-02 2022-02 /pmc/articles/PMC8821978/ /pubmed/34114912 http://dx.doi.org/10.1177/17474930211027834 Text en © 2021 World Stroke Organization https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Reviews
Jones, Stephanie P
Baqai, Kamran
Clegg, Andrew
Georgiou, Rachel
Harris, Cath
Holland, Emma-Joy
Kalkonde, Yogeshwar
Lightbody, Catherine E
Maulik, Pallab K
Srivastava, Padma MV
Pandian, Jeyaraj D
Kulsum, Patel
Sylaja, PN
Watkins, Caroline L
Hackett, Maree L
Stroke in India: A systematic review of the incidence, prevalence, and case fatality
title Stroke in India: A systematic review of the incidence, prevalence, and case fatality
title_full Stroke in India: A systematic review of the incidence, prevalence, and case fatality
title_fullStr Stroke in India: A systematic review of the incidence, prevalence, and case fatality
title_full_unstemmed Stroke in India: A systematic review of the incidence, prevalence, and case fatality
title_short Stroke in India: A systematic review of the incidence, prevalence, and case fatality
title_sort stroke in india: a systematic review of the incidence, prevalence, and case fatality
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821978/
https://www.ncbi.nlm.nih.gov/pubmed/34114912
http://dx.doi.org/10.1177/17474930211027834
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