STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY

Çubuk, Can; Efe Sayın, Ceren

doi:10.5505/tbdhd.2021.82474

STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY

Can ÇUBUK, (Çankırı Devlet Hastanesi, Nöroloji Kliniği, Çankırı, Türkiye)

Ceren EFE (Kahramanmaraş Sütçü İmam Üniversitesi, Biyoistatistik ve Tıp Bilişimi Anabilim Dalı, Kahramanmaraş, Türkiye)

Türk Beyin Damar Hastalıkları Dergisi

9 1

Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 34 - 41 Metin Dili: İngilizce DOI: 10.5505/tbdhd.2021.82474 İndeks Tarihi: 21-07-2022

STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY

Öz:

INTRODUCTION: This study aims to determine stroke incidence in Cankiri province and show demographic, etiologic, clinical presentations, risk factors and, clinical outcomes of patients with stroke followed up at Cankiri State Hospital in 2019. Thus it is aimed to contribute stroke data of Turkey and the world. METHODS: The study was conducted retrospectively and was included the stroke patients follow in Cankiri State Hospital Clinic of Neurology between January 1, 2019, and December 31, 2019. RESULTS: A total of 265 patients with stroke followed in our hospital in one year period. Of these patients, 84.5% had an ischemic stroke, 8.3% transient ischemic attack, 6.8% hemorrhagic stroke, 0.4% subarachnoid hemorrhage. The incidence of stroke was 124/100.000 per person-year in Cankiri province. The incidence of ischemic stroke was 114/100.000 per person-year, hemorrhagic stroke was 9/100.000 per person-year, the transient ischemic attack was 11/100.000 per person-year. When the ischemic and hemorrhagic strokes were compared according to mRS (modified Rankin Scale) scores before stroke, first week/discharge, and 3rd-month, no statistical difference was found (p>0.05). We assessed that the 30-day mortality rate of 3.8% in stroke patients. DISCUSSION AND CONCLUSION: In our study, stroke incidence was found lower according to Turkey and world data. Moreover, it was determined that stroke patients' mean age was higher when compared to other studies. When we compare with other studies, our study's demographic, etiologic, and clinical features also have differences. The lower rates of the 30-day mortality of stroke patients draw attention.

Anahtar Kelime:

ÇANKIRI İLİ İNME EPİDEMİYOLOJİSİ VE KLİNİK SONUÇLARI

Öz:

GİRİŞ ve AMAÇ: Çalışmamızda Çankırı ilinin inme insidansının hesaplanması ve 2019 yılı içerisinde Çankırı Devlet Hastanesi'nde inme tanısı ile takip edilen hastaların demografik, etyolojik, klinik özellikleri, risk faktörlerinin saptanması ve klinik sonuçlarının incelenmesi planlanmıştır. Bu sayede ülkemiz ve dünya inme verilerine katkıda bulunulması amaçlanmıştır. YÖNTEM ve GEREÇLER: Çalışma retrospektif olarak yapılmış olup, 1 Ocak 2019-31 Aralık 2019 tarihleri arasında inme nedeniyle Çankırı Devlet Hastanesi Nöroloji Kliniğinde takip edilen hastalar dahil edilmiştir. BULGULAR: Bir yıllık süre içerisinde hastanemizde 265 akut inme hastasının takip edildiği saptandı. İnme hastalarının %84.5'i iskemik inme, %8.3'ü geçici iskemik atak, %6.8'i hemorajik inme, %0.4'ü subaraknoid kanama olarak saptandı. İlin inme insidansı 124/100.000 kişi/yıl olarak saptandı. İskemik inme insidansı 114/100.000 kişi/yıl, hemorajik inme insidansı 9/100.000 kişi/yıl, geçici iskemik atak insidansı 11/100.000 kişi/yıl olarak değerlendirildi. İskemik inme ve hemorajik inmeler, inme öncesi, 1.hafta/taburcu ve 3.ay mRS (modified Rankin Scale) skorlarına göre karşılaştırıldığında anlamlı farklılık gözlenmedi (p>0.05). İnme hastalarının 30 günlük mortalite oranı %3.8 olarak saptandı. TARTIŞMA ve SONUÇ: Çalışmamızda inme insidansı ülke ve dünya verilerine göre düşük olarak saptanmıştır. Ayrıca, inme hastalarının yaş ortalaması diğer çalışmalara göre yüksek olarak gözlenmiştir. Demografik, etyolojik, klinik veriler literatür sonuçları ile karşılaştırıldığında benzer özellikleri yanında farklılıkları da mevcuttur. İnme hastalarının 30 günlük mortalite oranı da çalışmamızda düşük olarak dikkati çekmektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Feigin VL, Krishnamurthi RV, Parmar P, et al. Update on the global burden of ıschemic and hemorrhagic stroke in 1990- 2013: The GBD 2013 Study. Neuroepidemiology 2015; 45(3): 161-176.
2. Arsava M. Beyin damar hastalıkları ve demans. Ulusal hastalık yükü ve çözümleri 2017; 9.
3. Krishnamurthi RV, Ikeda T, Feigin VL. Global, regional and country-specific burden of ischaemic stroke, intracerebral haemorrhage and subarachnoid haemorrhage: A systematic analysis of the global burden of disease study 2017. Neuroepidemiology 2020; 54(2): 171-179.
4. https://cankiri.ktb.gov.tr/TR-70595/cografya.html
5. https://www.tuik.gov.tr/tr/
6. Adams HP Jr, Bendixen BH, Kappelle LJ, et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke 1993; 24(1): 35-41.
7. Stroke-1989. Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke 1989; 20(10): 1407–1431.
8. Warlow C. Stroke Practical management. 3rd Edition. Blackwell Publishing, Oxford 2008.
9. Guzik A, Bushnell C. Stroke Epidemiology and risk factor management. Continuum (Minneap Minn) 2017; 23(1, Cerebrovascular Disease): 15-39.
10. Padir Şensöz N, Türk Börü Ü, Bölük C, et al. Stroke epidemiology in Karabük city Turkey: Community based study. eNeurologicalSci 2017; 10: 12-15.
11. Altun Y, Aydın İ, Algın A. Adıyaman ilinde inme tiplerinin demografik özellikleri. Turk J Neurol 2018; 24(1); 26-31.
12. İnanç Y, Ay H, İnanç Y, et al. Şanlıurfa ilinde inme tiplerinin demografik özellikleri. J Clin Anal Med 2015; 6(Suppl 3): 257-260.
13. Hamamcı M. ardahan ilinin inme insidansı ve ildeki inme hastalarının demografik özellikleri. Turk J Neurol 2019; 25(3): 129-134.
14. O'Donnell MJ, Chin SL, Rangarajan S, et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): A case-control study. Lancet 2016; 388(10046): 761-775.
15. Béjot Y, Bailly H, Durier J, et al. Epidemiology of stroke in Europe and trends for the 21st century. Presse Med 2016; 45: e391-e398.
16. Lee BC, Hwang SH, Jung S, et al. The Hallym Stroke Registry: A web-based stroke data bank with an analysis of 1,654 consecutive patients with acute stroke. Eur Neuro. 2005; 54(2): 81-87.
17. Grau AJ, Weimar C, Buggle F, et al. Risk factors, outcome, and treatment in subtypes of ischemic stroke: the German stroke data bank. Stroke 2001; 32(11): 2559-2566.
18. Liu X, Zhang D, Liu Y, et al. A J-shaped relation of BMI and stroke: Systematic review and dose-response meta-analysis of 4.43 million participants. Nutr Metab Cardiovasc Dis 2018; 28(11): 1092-1099.
19. Khatib R, Arevalo YA, Berendsen MA, et al. Presentation, evaluation, management, and outcomes of acute stroke in low- and middle-ıncome countries: A systematic review and meta-analysis. Neuroepidemiology 2018; 51: 104-112.
20. https://data.worldbank.org/country/turkey
21. Kannel WB, Wolf PA, Benjamin EJ, et al. Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol 1998; 82(8A): 2N-9N.
22. Reeves MJ, Grau-Sepulveda MV, Fonarow GC, et al. Are quality improvements in the get with the guidelines: stroke program related to better care or better data documentation? Circ Cardiovasc Qual Outcomes 2011; 4: 503–511.
23. Kumral E, Ozkaya B, Sagduyu A, et al. The Ege Stroke Registry: a hospital-based study in the Aegean region, Izmir, Turkey. Analysis of 2,000 stroke patients. Cerebrovasc Dis 1998; 8(5): 278-288.
24. Thrift AG, Thayabaranathan T, Howard G, et al. Global stroke statistics. Int J Stroke 2017; 12(1): 13-32.

APA	Çubuk C, Efe Sayın C (2021). STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. , 34 - 41. 10.5505/tbdhd.2021.82474
Chicago	Çubuk Can,Efe Sayın Ceren STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. (2021): 34 - 41. 10.5505/tbdhd.2021.82474
MLA	Çubuk Can,Efe Sayın Ceren STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. , 2021, ss.34 - 41. 10.5505/tbdhd.2021.82474
AMA	Çubuk C,Efe Sayın C STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. . 2021; 34 - 41. 10.5505/tbdhd.2021.82474
Vancouver	Çubuk C,Efe Sayın C STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. . 2021; 34 - 41. 10.5505/tbdhd.2021.82474
IEEE	Çubuk C,Efe Sayın C "STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY." , ss.34 - 41, 2021. 10.5505/tbdhd.2021.82474
ISNAD	Çubuk, Can - Efe Sayın, Ceren. "STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY". (2021), 34-41. https://doi.org/10.5505/tbdhd.2021.82474

APA	Çubuk C, Efe Sayın C (2021). STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. Türk Beyin Damar Hastalıkları Dergisi, 27(1), 34 - 41. 10.5505/tbdhd.2021.82474
Chicago	Çubuk Can,Efe Sayın Ceren STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. Türk Beyin Damar Hastalıkları Dergisi 27, no.1 (2021): 34 - 41. 10.5505/tbdhd.2021.82474
MLA	Çubuk Can,Efe Sayın Ceren STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. Türk Beyin Damar Hastalıkları Dergisi, vol.27, no.1, 2021, ss.34 - 41. 10.5505/tbdhd.2021.82474
AMA	Çubuk C,Efe Sayın C STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. Türk Beyin Damar Hastalıkları Dergisi. 2021; 27(1): 34 - 41. 10.5505/tbdhd.2021.82474
Vancouver	Çubuk C,Efe Sayın C STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY. Türk Beyin Damar Hastalıkları Dergisi. 2021; 27(1): 34 - 41. 10.5505/tbdhd.2021.82474
IEEE	Çubuk C,Efe Sayın C "STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY." Türk Beyin Damar Hastalıkları Dergisi, 27, ss.34 - 41, 2021. 10.5505/tbdhd.2021.82474
ISNAD	Çubuk, Can - Efe Sayın, Ceren. "STROKE EPIDEMIOLOGY AND CLINICAL OUTCOMES IN ÇANKIRI CITY". Türk Beyin Damar Hastalıkları Dergisi 27/1 (2021), 34-41. https://doi.org/10.5505/tbdhd.2021.82474