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首页> 外文期刊>Materia Socio Medica >High Burden of Stroke Risk Factors in Developing Country: the Case Study of Bosnia-Herzegovina
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High Burden of Stroke Risk Factors in Developing Country: the Case Study of Bosnia-Herzegovina

机译：发展中国家中风的高风险因素：波斯尼亚和黑塞哥维那的案例研究

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Introduction: The burden of stroke has been increasing worldwide, especially in developing countries. Very few data regarding epidemiology of stroke are available in Bosnia and Herzegovina (BH). Patients and methods: We undertook a retrospective hospital-based study in all hospitals existing in five cantons and one district of BH. The patients were recruited between January 1st, 2014, and December 31st, 2014, and only first-ever-inlifetime strokes (FES) were included for evaluation. Results: A FES was diagnosed in 1479 patients (age 71.83 ± 11.703 years) during the study period. FES occurred in 709 men (47.9%; age 69.64 ±12.002 years) and 770 women (52.1%; age 73.85± 11.051 years). Stroke was categorized into ischemic stroke (IS), primary intracerebral hemorrhage (PICH), subarachnoid hemorrhage (SAH) and cerebral venous thrombosis (CVT), which was diagnosed in 84%, 12,2%, 3,4% and 0,4% cases respectively. Early 28-day case-fatality was 18.5 % for all patients and both sexes combined. Short-term case-fatality was significantly greater in women (P=0.007). Among all patients with FES, 87% had hypertension, 35% diabetes mellitus, 39% hypercholesterolemia and almost 25 % atrial fibrillation. Discussion: This is the first study that provides us with information on epidemiology of stroke in BH. More than 90% of patients had one or more modifiable risk factors and the number would be even higher if we included smoking. The early stroke case-fatality was lower than that observed in other low- to middle-income countries. Conclusion: All modifiable stroke risk factors, especially high blood pressure, should be understood as a major public health problem in BH and efforts should be focused on the primary prevention of stroke. Our emphasis is on the designing of a stroke register in BH for a better health planning
机译：简介：在世界范围内，中风的负担一直在增加，特别是在发展中国家。在波斯尼亚和黑塞哥维那（BH），很少有关于中风流行病学的数据。患者和方法：我们在BH五个州和一个地区的所有医院中进行了一项基于医院的回顾性研究。在2014年1月1日至2014年12月31日之间招募患者，仅纳入终生性中风（FES）进行评估。结果：在研究期间，在1479名患者中诊断出FES（年龄71.83±11.703岁）。 FES发生于709名男性（47.9％; 69.64±12.002岁）和770名女性（52.1％; 73.85±11.051岁）。脑卒中分为缺血性脑卒中（IS），原发性脑内出血（PICH），蛛网膜下腔出血（SAH）和脑静脉血栓形成（CVT），其诊断率分别为84％，12.2％，3.4％和0.4分别为％的情况。所有患者以及两性相加的早期28天病死率为18.5％。女性的短期病死率明显更高（P = 0.007）。在所有FES患者中，有87％患有高血压，35％糖尿病，39％高胆固醇血症和几乎25％的房颤。讨论：这是第一项为我们提供有关BH中风流行病学信息的研究。超过90％的患者具有一种或多种可改变的危险因素，如果包括吸烟，这一数字甚至更高。早期中风的病死率低于其他中低收入国家。结论：所有可改变的中风危险因素，特别是高血压，应被理解为BH的主要公共卫生问题，应将精力集中在中风的一级预防上。我们的重点是在BH中设计中风寄存器以更好地进行健康计划

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