EPIDEMIOLOGY OF STROKE IN THE GISSAR REGION OF TAJIKISTAN

Abstract

Objective: To study the epidemiological features of stroke in the Gissar region of Tajikistan. Methods: This study was carried out between 2015 and 2016 at the Gissar Central District Hospital, where inpatient treatment was carried out for patients with acute cerebral circulatory disorders. With a total population of 280,000 people, 551 patients with stroke were registered. The study includes cases of ischemic and hemorrhagic strokes and subarachnoid hemorrhage Results: Stroke incidence in 2015 and 2016 results 0.94 and 1.03 per 1000 people respectively. Of all reported cases, ischemic stroke was found at 65.1%, hemorrhagic in 25.7%, subarachnoid bleeding at 3.3%, and mixed stroke in 5.9% of observations. More than half of the patients were male (62.3%). Middle-aged people prevailed. Arterial hypertension, long-existing psycho-emotional tension, heart disease and atherosclerosis were the leading risk factors. The death rate from stroke averaged 0.31 per 1,000 population. Depending on the nature of stroke, ischemic stroke mortality rates are 0.2 per thousand in 2015 and 0.22 in 2016 (0.11 and 0.12 for hemorrhagic stroke accordingly). Conclusion: The data of the stroke obtained by the example of a separate region will allow carrying out adequate measures of prevention and timely treatment of patients with acute cerebral circulatory disorders nationwide.

Keywords

• hemorrhagic stroke
• ischemic stroke
• acute cerebral circulatory disorder
• epidemiology
• risk factors.