Stroke epidemiology in Krasnoyarsk Region

Abstract

Aim. To study stroke risk factors (RF), morbidity, mortality, and lethality in the Krasnoyarsk Region. Material and methods. The Stroke Register (National Stroke Association Form 01) was used for adult population (25-74 years) of Krasnoyarsk Region pilot territories in 2001-2003. Results. Leading RF for stroke were arterial hypertension (51.4%-82%) and heart disease, including atrial fibrillation (40.7%-60%). Stroke morbidity varied from 4.1 to 5.8 per 1000 people annually, both in big industrial cities and country districts, and tended to be increasing. Mortality varied from 0.77 to 2.01 per 1000, and was significantly higher in country districts. At-home lethality was 35.5% in Krasnoyarsk City and 86.4% in country districts, due to deficit in neurologists and hospital places for patients with acute cerebrovascular pathology in city and country clinics. Percentage of ante-mortem acute stroke verification was 8-10% in Krasnoyarsk City and Achinsk, and 0% in country districts. Conclusion. In 2001-2003, cerebrovascular pathology, RF prevalence, stroke morbidity and mortality remained high in Krasnoyarsk Region.

Keywords

• инсульт
• факторы риска
• эпидемиология
• красноярский край