Fred Stephen Sarfo|Bruce Ovbiagele|Mulugeta Gebregziabher|Kolawole Wahab|Rufus Akinyemi|Albert Akpalu|Onoja Akpa|Reginald Obiako|Lukman Owolabi|Carolyn Jenkins|Mayowa Owolabi
Stroke Among Young West Africans
Kwame Nkrumah University of Science and Technology|Medical University of South Carolina|Medical University of South Carolina|University of Ilorin Teaching Hospital|University of Ibadan|University of Ghana|University of Ibadan|University of Ibadan|Ahmadu Bello University|Aminu Kano Teaching Hospital|Medical University of South Carolina
stroke lower middleincome countries affects young productive age group data factors associated stroke young sorely lacking lower middleincome countries objective characterize nature stroke risk factors among young west africans aged 50 years oldthe siren stroke investigative research educational network multicenter casecontrol study involving 15 sites nigeria ghana cases included adults aged 18 years computed tomographymagnetic resonance imagingconfirmed stroke controls ageand gendermatched strokefree adults recruited communities catchment areas cases comprehensive evaluation vascular lifestyle psychosocial factors performed used conditional logistic regression estimate odds ratios population attributable risks 95 confidence intervalsfive hundred fifteen 243 2118 cases enrolled 50 years old among subjects 50 years old hemorrhagic stroke proportion 270 525 versus 245 475 ischemic strokes etiologic subtypes ischemic strokes included large artery atherosclerosis 400 small vessel disease 286 cardioembolism 110 undetermined 204 hypertension 917 structural lesions 34 others 49 causally associated hemorrhagic stroke six topmost modifiable factors associated stroke descending order population attributable risk 95 confidence interval hypertension 887 825948 dyslipidemia 482 306659 diabetes mellitus 226 187265 low green vegetable consumption 182 68432 stress 145 49241 cardiac disease 84 58111the high rising burden stroke among young africans curtailed via aggressive populationwide vascular risk factor control