Neurology

doi: 10.25005/2074-0581-2019-21-2-253-257
EPIDEMIOLOGY OF STROKE IN THE GISSAR REGION OF TAJIKISTAN

M.T. Ganieva1, T.B. Todzhiddinov1, R.A. Khoshimov2

1Department of Neurology and Basics of Medical Genetics, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Private Clinic «Asabshinos», Dushanbe, Republic of Tajikistan

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).

Conclusions: 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.

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Authors informations:

Ganieva Manizha Temurovna , Candidate of Medical Sciences, Head of the Department of Neurology and Basics of Medical Genetics, Avicenna Tajik State Medical University ORCID ID: 0000-0001-5865-8954, Researcher ID: E-4389-2019

Todzhiddinov Todzhiddin Bakhruloevich , Assistant of the Department of Neurology and Basics of Medical Genetics, Avicenna Tajik State Medical University ORCID ID: 0000-0002-3774-8026, Researcher ID: E-4356-2019

Khoshimov Rakhim Abdulloevich , Candidate of Medical Sciences, Associate Professor, Neurologist, «Asabshinos» Private Clinic ORCID ID: 0000-0002-0050-6111, Researcher ID: E-4383-2019

Address for correspondence:

Ganieva Manizha Temurovna
Candidate of Medical Sciences, Head of the Department of Neurology and Basics of Medical Genetics, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (918) 668595

E-mail: ganieva.manizha.79@mail.ru

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