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Incidence and mortality rates of strokes in Kazakhstan in 2014–2019
There is a lack of information on the epidemiology of acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in developing countries. This research presents incidence and mortality rates of stroke patients based on hospital admission and discharge status in on...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512804/ https://www.ncbi.nlm.nih.gov/pubmed/36163245 http://dx.doi.org/10.1038/s41598-022-20302-8 |
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author | Zhakhina, Gulnur Zhalmagambetov, Bakhytbek Gusmanov, Arnur Sakko, Yesbolat Yerdessov, Sauran Matmusaeva, Elzar Imanova, Aliya Crape, Byron Sarria-Santamera, Antonio Gaipov, Abduzhappar |
author_facet | Zhakhina, Gulnur Zhalmagambetov, Bakhytbek Gusmanov, Arnur Sakko, Yesbolat Yerdessov, Sauran Matmusaeva, Elzar Imanova, Aliya Crape, Byron Sarria-Santamera, Antonio Gaipov, Abduzhappar |
author_sort | Zhakhina, Gulnur |
collection | PubMed |
description | There is a lack of information on the epidemiology of acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in developing countries. This research presents incidence and mortality rates of stroke patients based on hospital admission and discharge status in one of the Central Asian countries by analysis of large-scale healthcare data. The registry data of 177,947 patients admitted to the hospital with the diagnosis of stroke between 2014 and 2019 were extracted from the National Electronic Health System of Kazakhstan. We provide descriptive statistics and analyze the association of socio-demographic and medical characteristics such as comorbidities and surgical treatments. Among all stroke patients, the incidence rate based on hospital admission of AIS was significantly higher compared to SAH and ICH patients. In 5 year follow-up period, AIS patients had a better outcome than SAH and ICH patients (64.7, 63.1 and 57.3% respectively). The hazard ratio (HR) after the trepanation and decompression surgery was 2.3 and 1.48 for AIS and SAH patients; however, it was protective for ICH (HR = 0.87). The investigation evaluated an increase in the all-cause mortality rates based on the discharge status of stroke patients, while the incidence rate decreased over time. |
format | Online Article Text |
id | pubmed-9512804 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-95128042022-09-28 Incidence and mortality rates of strokes in Kazakhstan in 2014–2019 Zhakhina, Gulnur Zhalmagambetov, Bakhytbek Gusmanov, Arnur Sakko, Yesbolat Yerdessov, Sauran Matmusaeva, Elzar Imanova, Aliya Crape, Byron Sarria-Santamera, Antonio Gaipov, Abduzhappar Sci Rep Article There is a lack of information on the epidemiology of acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in developing countries. This research presents incidence and mortality rates of stroke patients based on hospital admission and discharge status in one of the Central Asian countries by analysis of large-scale healthcare data. The registry data of 177,947 patients admitted to the hospital with the diagnosis of stroke between 2014 and 2019 were extracted from the National Electronic Health System of Kazakhstan. We provide descriptive statistics and analyze the association of socio-demographic and medical characteristics such as comorbidities and surgical treatments. Among all stroke patients, the incidence rate based on hospital admission of AIS was significantly higher compared to SAH and ICH patients. In 5 year follow-up period, AIS patients had a better outcome than SAH and ICH patients (64.7, 63.1 and 57.3% respectively). The hazard ratio (HR) after the trepanation and decompression surgery was 2.3 and 1.48 for AIS and SAH patients; however, it was protective for ICH (HR = 0.87). The investigation evaluated an increase in the all-cause mortality rates based on the discharge status of stroke patients, while the incidence rate decreased over time. Nature Publishing Group UK 2022-09-26 /pmc/articles/PMC9512804/ /pubmed/36163245 http://dx.doi.org/10.1038/s41598-022-20302-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Zhakhina, Gulnur Zhalmagambetov, Bakhytbek Gusmanov, Arnur Sakko, Yesbolat Yerdessov, Sauran Matmusaeva, Elzar Imanova, Aliya Crape, Byron Sarria-Santamera, Antonio Gaipov, Abduzhappar Incidence and mortality rates of strokes in Kazakhstan in 2014–2019 |
title | Incidence and mortality rates of strokes in Kazakhstan in 2014–2019 |
title_full | Incidence and mortality rates of strokes in Kazakhstan in 2014–2019 |
title_fullStr | Incidence and mortality rates of strokes in Kazakhstan in 2014–2019 |
title_full_unstemmed | Incidence and mortality rates of strokes in Kazakhstan in 2014–2019 |
title_short | Incidence and mortality rates of strokes in Kazakhstan in 2014–2019 |
title_sort | incidence and mortality rates of strokes in kazakhstan in 2014–2019 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512804/ https://www.ncbi.nlm.nih.gov/pubmed/36163245 http://dx.doi.org/10.1038/s41598-022-20302-8 |
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