Stroke in Trinidad and Tobago: burden of illness and risk factors
This study describes the burden of stroke on hospital services in a Caribbean community. The settings are the two main acute general hospitals in Trinidad observed over a 12-month period. All subjects were admitted with a clinical diagnosis of acute stroke. The measures were hospital admission rates...
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Pan American Health Organization
1998
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ftdoajarticles:oai:doaj.org/article:410ae13fdea64479a05c2f6618c22f90 2023-05-15T15:10:01+02:00 Stroke in Trinidad and Tobago: burden of illness and risk factors Deepak Mahabir Lydia Bickram Martin C. Gulliford 1998-10-01T00:00:00Z https://doi.org/10.1590/s1020-49891998001000002 https://doaj.org/article/410ae13fdea64479a05c2f6618c22f90 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998001000002&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 doi:10.1590/s1020-49891998001000002 https://doaj.org/article/410ae13fdea64479a05c2f6618c22f90 Revista Panamericana de Salud Pública, Vol 4, Iss 4 (1998) Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 1998 ftdoajarticles https://doi.org/10.1590/s1020-49891998001000002 2022-12-30T22:40:46Z This study describes the burden of stroke on hospital services in a Caribbean community. The settings are the two main acute general hospitals in Trinidad observed over a 12-month period. All subjects were admitted with a clinical diagnosis of acute stroke. The measures were hospital admission rates, length of hospital stay, case-fatality rates, disability at discharge, and risk factors for stroke. There were 1 105 hospital admissions with a diagnosis of stroke. The median length of stay was 4 days, with an interquartile range of 2 to 9, and stroke accounted for approximately 9 478 bed days per annum. The hospital admission fatality rate was 29%. Among surviving patients, 437 (56%) were severely disabled at discharge. Age-standardized admission rates for first strokes in persons aged 35_64 years were 114 (95%CI: 83 to 145) per 100 000 in Afro-Trinidadian men and 144 (109 to 179) in Indo-Trinidadian men. The equivalent rates for women were 115 (84 to 146) and 152 (118 to 186). Among patients with first strokes, 348/531 (66%) reported physician-diagnosed hypertension, but only 226 (65%) of these reported being on antihypertensives at admission. Stroke in Trinidad and Tobago is associated with a high case-fatality rate and severe disability in survivors. Modifiable risk factors were reported in a majority of stroke cases, and there is a need to develop effective preventive strategies. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Trinidad ENVELOPE(-60.734,-60.734,-63.816,-63.816) Revista Panamericana de Salud Pública 4 4 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Deepak Mahabir Lydia Bickram Martin C. Gulliford Stroke in Trinidad and Tobago: burden of illness and risk factors |
topic_facet |
Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
This study describes the burden of stroke on hospital services in a Caribbean community. The settings are the two main acute general hospitals in Trinidad observed over a 12-month period. All subjects were admitted with a clinical diagnosis of acute stroke. The measures were hospital admission rates, length of hospital stay, case-fatality rates, disability at discharge, and risk factors for stroke. There were 1 105 hospital admissions with a diagnosis of stroke. The median length of stay was 4 days, with an interquartile range of 2 to 9, and stroke accounted for approximately 9 478 bed days per annum. The hospital admission fatality rate was 29%. Among surviving patients, 437 (56%) were severely disabled at discharge. Age-standardized admission rates for first strokes in persons aged 35_64 years were 114 (95%CI: 83 to 145) per 100 000 in Afro-Trinidadian men and 144 (109 to 179) in Indo-Trinidadian men. The equivalent rates for women were 115 (84 to 146) and 152 (118 to 186). Among patients with first strokes, 348/531 (66%) reported physician-diagnosed hypertension, but only 226 (65%) of these reported being on antihypertensives at admission. Stroke in Trinidad and Tobago is associated with a high case-fatality rate and severe disability in survivors. Modifiable risk factors were reported in a majority of stroke cases, and there is a need to develop effective preventive strategies. |
format |
Article in Journal/Newspaper |
author |
Deepak Mahabir Lydia Bickram Martin C. Gulliford |
author_facet |
Deepak Mahabir Lydia Bickram Martin C. Gulliford |
author_sort |
Deepak Mahabir |
title |
Stroke in Trinidad and Tobago: burden of illness and risk factors |
title_short |
Stroke in Trinidad and Tobago: burden of illness and risk factors |
title_full |
Stroke in Trinidad and Tobago: burden of illness and risk factors |
title_fullStr |
Stroke in Trinidad and Tobago: burden of illness and risk factors |
title_full_unstemmed |
Stroke in Trinidad and Tobago: burden of illness and risk factors |
title_sort |
stroke in trinidad and tobago: burden of illness and risk factors |
publisher |
Pan American Health Organization |
publishDate |
1998 |
url |
https://doi.org/10.1590/s1020-49891998001000002 https://doaj.org/article/410ae13fdea64479a05c2f6618c22f90 |
long_lat |
ENVELOPE(-60.734,-60.734,-63.816,-63.816) |
geographic |
Arctic Trinidad |
geographic_facet |
Arctic Trinidad |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 4, Iss 4 (1998) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998001000002&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 doi:10.1590/s1020-49891998001000002 https://doaj.org/article/410ae13fdea64479a05c2f6618c22f90 |
op_doi |
https://doi.org/10.1590/s1020-49891998001000002 |
container_title |
Revista Panamericana de Salud Pública |
container_volume |
4 |
container_issue |
4 |
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1766341091028631552 |