Sapna E. Sridharan|Janardhanan P. Unnikrishnan|Sajith Sukumaran|PN Sylaja|S. Dinesh Nayak|P. Sankara Sarma|Kurupath Radhakrishnan
Incidence, Types, Risk Factors, and Outcome of Stroke in a Developing Country
Sree Chitra Thirunal Institute for Medical Sciences and Technology|Sree Chitra Thirunal Institute for Medical Sciences and Technology|Sree Chitra Thirunal Institute for Medical Sciences and Technology|Sree Chitra Thirunal Institute for Medical Sciences and Technology|Sree Chitra Thirunal Institute for Medical Sciences and Technology|Sree Chitra Thirunal Institute for Medical Sciences and Technology|Sree Chitra Thirunal Institute for Medical Sciences and Technology
background purpose despite increasing burden stroke developing countries populationbased data rare trivandrum stroke registry intend assess incidence types risk factors outcome stroke among urban rural dwellers south indian community methods ascertained firstever strokes occurring among 741 000 urban 185 000 rural inhabitants trivandrum kerala addition steps 1 2 world health organization steps stroke manual used multiple supplementary methods maximize ascertainment nonfatal nonhospitalized fatal stroke events community results 6month period 541 strokes registered 431 urban 110 rural communities stroke occurred median age 67 years 38 patients aged 40 years adjusted annual incidence rates per 100 000 135 95 confidence interval 123 146 total 135 122148 urban 138 112164 rural populations 748 663 832 101 70 132 42 22 61 ischemic stroke intracerebral hemorrhage subarachnoid hemorrhage respectively stroke undetermined type rural community one modifiable risk factors identified 90 patients rural male patients smoked tobacco 28th day case fatality rate 245 urban 371 rural populations p 0011 conclusions similarities differences developing developed countries epidemiology stroke compared urban stroke patients rural ones less likely optimally investigated treated