Mortality due to cerebrovascular accidents in East Kazakhstan over the period of 2013-2017

Yuliya M. Semenova, Lyudmila M. Pivina, Т И Белихина, A Manatova, Abisheva A.S., E Ainabekova, Nurlan Aukenov

2018

Closed access Metadata (CSL-JSON)
DOI 10.1093/eurpub/cky218.164
Data confidence 70 medium
How this score is calculated

It is built from checkable properties of the record itself: whether the article has a DOI, how many independent sources confirmed its data, whether the required fields are filled in, and how recent the latest confirmation is. Disagreement between sources and a missing identifier lower it. A value of 80 or above means the record was published without further checking; 60 to 79 means it is published at reduced confidence, with a manual check advisable. A record verified by an editor by hand is never pushed below 90 by a recalculation. This scores our data about the article, not the article itself.

Abstract

Background: Globally, ischemic cardiac disease along with cerebrovascular accidents take more than half of human lives. Increasing mortality and morbidity are attributed to growing life span, common spread of risk factors and latest advances in treatment. This study aimed to assess mortality due to cerebrovascular pathology in the ecologically disadvantaged territory of East Kazakhstan region in comparison with national data for the period of 2013-2017. Methods: We analyzed regional and national statistics on cases of cerebrovascular accidents over a period of 5 years (2013-2017), which were extracted from the Ministry of Health annual reports. The data on the population number to estimate the mortality per 100,000 of population were obtained from the National Statistical Committee. The study design was ecological. Results: Cerebrovascular mortality in East Kazakhstan region exceeds the national rate and is equal to 71.58 per 100,000 population. Stroke-associated mortality in in-hospital settings of East Kazakhstan constitutes 17%, which is 5% above the national rate. Although hemorrhagic stroke accounts for 20% out of the total stroke number, the hospital mortality is as high as 30%. This is likely to be due to population aging, poor ecological situation in the cities of industrial East Kazakhstan, inadequate detection and management of patients with arterial hypertension (AH) at the level of primary healthcare services and insufficient number of neurosurgical interventions provided. Conclusions: The mortality rates from cerebrovascular accidents in ecologically unfavorable territory of East Kazakhstan remain high and show the trend for growth. There is a need to envisage a range of activities targeted on timely identification of stroke-associated pathologies and optimal provision of stroke surgery Key messages: The mortality from cerebrovascular accidents in East Kazakhstan exceeds the national rate. A range of activities aimed at optimal screening for AH is recommended to facilitate the timely stroke management.