Сlinical-epidemiological study of stroke in the city of Yakutsk
The study of epidemiological characteristics of stroke in Yakutsk was carried out within the population register (20022004). 1495 patients with acute stroke have been verified. Among them, 81.5% patients were hospitalized, and CT/MRI was performed in 73.2% of patients. Such high percentage of the CT...
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Research Center of Neurology
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ftdoajarticles:oai:doaj.org/article:189ea2d41bd04f79a3be79cb2ac41b19 2023-05-15T18:45:16+02:00 Сlinical-epidemiological study of stroke in the city of Yakutsk N. N. Tretyakova Yu. Ya. Varakin Z. M. Kuzmina N. G. Chuprova M. P. Gogolev 2017-02-01T00:00:00Z https://doi.org/10.17816/psaic407 https://doaj.org/article/189ea2d41bd04f79a3be79cb2ac41b19 EN RU eng rus Research Center of Neurology https://annaly-nevrologii.com/journal/pathID/article/viewFile/407/306 https://doaj.org/toc/2075-5473 https://doaj.org/toc/2409-2533 2075-5473 2409-2533 doi:10.17816/psaic407 https://doaj.org/article/189ea2d41bd04f79a3be79cb2ac41b19 Анналы клинической и экспериментальной неврологии, Vol 2, Iss 2, Pp 18-22 (2017) stroke epidemiology population register neuroimaging character of the stroke Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 article 2017 ftdoajarticles https://doi.org/10.17816/psaic407 2022-12-30T23:08:23Z The study of epidemiological characteristics of stroke in Yakutsk was carried out within the population register (20022004). 1495 patients with acute stroke have been verified. Among them, 81.5% patients were hospitalized, and CT/MRI was performed in 73.2% of patients. Such high percentage of the CT/MRI exams was a prominent feature of this register; this allowed to verify surely the diagnosis of stroke and to define its character and pathogenic subtype. It was shown that the use of neuroimaging methods in the diagnostics of stroke character led to a twofold increase in percentage of patients with cerebral hemorrhages (CH) 38% vs. 18% initial frequency of CH (i.e. first diagnosed only by clinical data). Large cerebral infarctions in thepopulation were found in 32.8% of cases and, clinically, they could be similar to CH. Thus, on clinical definition of stroke character, in 1/3 of cases there might be some diagnostic difficulties. Lacunar infarctions were found in 16.3% of patients. Severe conditions, such as brainstem and cerebellar hemorrhages, were shown to occur in the population with equal frequency (5.6%); ventricular hemorrhage was also frequent (35.7%). The frequency of CH in natives and non-natives was identical (0.74 and 0.79 per 1000 inhabitants in a year, correspondingly). The frequency of ischemic stroke in the non-native population was significantly higher compared to natives (1.96 and 1.12, correspondingly), which results from lower severity of atherosclerosis in Yakuts. Article in Journal/Newspaper Yakuts Yakutsk Directory of Open Access Journals: DOAJ Articles Yakutsk |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Russian |
topic |
stroke epidemiology population register neuroimaging character of the stroke Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 |
spellingShingle |
stroke epidemiology population register neuroimaging character of the stroke Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 N. N. Tretyakova Yu. Ya. Varakin Z. M. Kuzmina N. G. Chuprova M. P. Gogolev Сlinical-epidemiological study of stroke in the city of Yakutsk |
topic_facet |
stroke epidemiology population register neuroimaging character of the stroke Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 |
description |
The study of epidemiological characteristics of stroke in Yakutsk was carried out within the population register (20022004). 1495 patients with acute stroke have been verified. Among them, 81.5% patients were hospitalized, and CT/MRI was performed in 73.2% of patients. Such high percentage of the CT/MRI exams was a prominent feature of this register; this allowed to verify surely the diagnosis of stroke and to define its character and pathogenic subtype. It was shown that the use of neuroimaging methods in the diagnostics of stroke character led to a twofold increase in percentage of patients with cerebral hemorrhages (CH) 38% vs. 18% initial frequency of CH (i.e. first diagnosed only by clinical data). Large cerebral infarctions in thepopulation were found in 32.8% of cases and, clinically, they could be similar to CH. Thus, on clinical definition of stroke character, in 1/3 of cases there might be some diagnostic difficulties. Lacunar infarctions were found in 16.3% of patients. Severe conditions, such as brainstem and cerebellar hemorrhages, were shown to occur in the population with equal frequency (5.6%); ventricular hemorrhage was also frequent (35.7%). The frequency of CH in natives and non-natives was identical (0.74 and 0.79 per 1000 inhabitants in a year, correspondingly). The frequency of ischemic stroke in the non-native population was significantly higher compared to natives (1.96 and 1.12, correspondingly), which results from lower severity of atherosclerosis in Yakuts. |
format |
Article in Journal/Newspaper |
author |
N. N. Tretyakova Yu. Ya. Varakin Z. M. Kuzmina N. G. Chuprova M. P. Gogolev |
author_facet |
N. N. Tretyakova Yu. Ya. Varakin Z. M. Kuzmina N. G. Chuprova M. P. Gogolev |
author_sort |
N. N. Tretyakova |
title |
Сlinical-epidemiological study of stroke in the city of Yakutsk |
title_short |
Сlinical-epidemiological study of stroke in the city of Yakutsk |
title_full |
Сlinical-epidemiological study of stroke in the city of Yakutsk |
title_fullStr |
Сlinical-epidemiological study of stroke in the city of Yakutsk |
title_full_unstemmed |
Сlinical-epidemiological study of stroke in the city of Yakutsk |
title_sort |
сlinical-epidemiological study of stroke in the city of yakutsk |
publisher |
Research Center of Neurology |
publishDate |
2017 |
url |
https://doi.org/10.17816/psaic407 https://doaj.org/article/189ea2d41bd04f79a3be79cb2ac41b19 |
geographic |
Yakutsk |
geographic_facet |
Yakutsk |
genre |
Yakuts Yakutsk |
genre_facet |
Yakuts Yakutsk |
op_source |
Анналы клинической и экспериментальной неврологии, Vol 2, Iss 2, Pp 18-22 (2017) |
op_relation |
https://annaly-nevrologii.com/journal/pathID/article/viewFile/407/306 https://doaj.org/toc/2075-5473 https://doaj.org/toc/2409-2533 2075-5473 2409-2533 doi:10.17816/psaic407 https://doaj.org/article/189ea2d41bd04f79a3be79cb2ac41b19 |
op_doi |
https://doi.org/10.17816/psaic407 |
_version_ |
1766236311581097984 |