Cerebrovascular Diseases and Associated Risk Factors in WHO Eastern Mediterranean Countries

Boutayeb, Abdesslam; Derouich, Mohamed; Boutayeb, Wiam; Lamlili, Mohamed E. N.

doi:10.9734/ca/2014/9731

Cited by 14 publications

(16 citation statements)

References 36 publications

(140 reference statements)

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“…Which joins the results of the literature review of studies conducted in the Middle East between 1980 and 2015, showing that HBP was the most common risk factor, followed by diabetes [52]. These findings are also consistent with data collected in the Eastern Mediterranean countries, where the prevalence of HBP was above 50% in 38 studies, diabetes percentage was higher than 25% in 36 studies, and smoking was higher than 15% in 26 studies [51].…”

Section: The Percentage Of Patients With Thrombolyzed Ischemic Strokesupporting

confidence: 88%

Ischemic stroke in Morocco: A systematic review

Kharbach

Obtel

Lahlou

et al. 2019

Preprint

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Background: The aim of this systematic review is to determine; the epidemiological and etiological profiles, the influential factors of the prehospital delay, thrombolysis management, the acute and 3-month mortality rate and the genetic aspect of ischemic stroke in Morocco.Methods: The present work is a systematic review that was conducted according to the recommendations of the "Preferred reporting items for systematic reviews and meta-analysis". We used Pubmed, Sciencedirect, Scopus, Clinicalkey, and Google scholar databases for the raking of the gray literature during the period between 2009 and 2018. The protocol of the review was registered in the PROSPERO register (CRD42018115206). These studies were analyzed based on: Age, sex ratio, risk factors, etiological profile according to Trial of ORG classification 10172 in Acute Stroke Treatment, prehospital delay average and it’s influential factors, thrombolyzed patients proportion, acute and 3-month mortality and the genetic factors of ischemic stroke in Morocco. Results: Twenty-nine (n = 29) studies were selected. The average age ranged from 49±15.2 to 67.3 ± 9.9 years old. Moreover, we reported male predominance within all ages in 13 studies. High blood pressure, diabetes, smoking and heart disease were the four identified main risk factors by these studies. Atherosclerosis and cardioembolic were the main described etiologies of cerebral ischemia, and the average prehospital time ranged from 26 to 61.9 hours. The proportion of thrombolysed patients ranged from 1.8% to 2.9%, the mortality rate varied in the acute phase from 3 to 13%, and the 3-month mortality ranged from 4.3 to 32.5%. It is also important to highlight that most of these studies have a reduced sample size, conducted in hospital environment, and no confidence interval was reported. Conclusions: Ischemic stroke is affecting more likely the young population with male predominance. Moreover, the long prehospital delay and the low proportion of thrombolysed patients are alarming. Indicating, thus, the need to investigate in depth the key factors influencing the access to care for Moroccan patients in order to improve the management of this neurologic deficit in Morocco. Key words: Ischemic stroke, Trial of ORG classification 10172 in Acute Stroke Treatment classification, prehospital delay, thrombolysis, Morocco.

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Section: The Percentage Of Patients With Thrombolyzed Ischemic Strokesupporting

confidence: 88%

Ischemic stroke in Morocco: A systematic review

Kharbach

Obtel

Lahlou

et al. 2019

Preprint

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“…Hypertension and diabetes mellitus are major clinical and public health problem in Kingdom of Saudi Arabia and the Middle East28,29,30 ) . The findings of this study showed also a high proportion of recurrent stroke patients had both of them as coexistent risk factors.…”

Section: Discussionmentioning

confidence: 99%

Risk factors and types of recurrent stroke: a Saudi hospital based study

et al. 2019

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[Purpose] To identify the risk factors and the stroke types in recurrent stroke patients of Madinah Al-Munawarah city. [Participants and Methods] A prospective research hospital based study was conducted through the year of 2014. The patients were entered in the study when they had recurrent cerebrovascular accident led to hospital admission. All details of patients were obtained include history, demographic data, risk factors and stroke types. [Results] Ninety-four (83.9%) ischaemic strokes, 12 (10.7%) intercerebral hemorrhage strokes and 6 (5.4%) undefined out of 112 patients had recurrent stroke found in this study. Hypertension was the most prevalent risk factors (90.2%) followed by diabetes mellitus (62.5%) and ischaemic heart disease (51.8%). [Conclusion] Hypertension, diabetes, and ischaemic heart disease in particular were exhibited to be crucial risk factors for stroke recurrence in this study. Future studies are needed for secondary prevention planning.

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“…is section deals with the numerical methods used in this paper without restrictions of the time interval. In the beginning, we intend to solve model (1) in the absence of control u by the following discrete method, which offers accurate solutions during a long time interval.…”

Section: Description Of the Numerical Methodsmentioning

confidence: 99%

“…However, some people may need to take medications after undergoing medical procedures. CHD can be prevented by addressing risk factors, which is divided into uncontrollable risk: gender (in middle age, common in males than females due to estrogen protective effect, but after menopause, the percentage will be equal), age (incidence increases by age), congenital predisposition (positive family history), and controllable risk: metabolic risk factors such as hypertension, diabetes, obesity, and dyslipidemia (the most common forms of dyslipidemia involve high levels of low-density lipoproteins (LDL) or bad cholesterol and low levels of high-density lipoproteins (HDL) or good cholesterol), and behavioural risk factors such as smoking, alcohol, physical inactivity, and unhealthy diet (see for details [1]).…”

Section: Introductionmentioning

confidence: 99%

Fractional Optimal Control with Fish Consumption to Prevent the Risk of Coronary Heart Disease

et al. 2020

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According to the World Health Organization (WHO), Chronic Heart Disease (CHD) is one of the greatest defies currently confronting humankind which is sweeping the whole globe, with an expanding trend in developing countries. In this paper, a mathematical model (MM) was proposed to study the connection between fish consumption and CHD mortality in Egypt, by considering a system of ordinary differential equations (ODEs) involving time-fractional derivative (FD). We considered here the study on Egypt for the ease of obtaining real data, but the method and approach adopted here is not limited to Egypt only and can be applied to any country in the world with the information of the real data related to the subject of the study. Additionally, the control function which represents the metabolic and the behavioural risk factors of CHD that help to reduce the number of mortality due to CHD is incorporated in the proposed MM. A fractional optimal control problem (FOCP) with a proposed control is formulated and studied theoretically using the Pontryagin maximum principle, to minimize the susceptible population and also to decrease the mortality rate of CHD. Moreover, firstly we discussed the positivity and boundedness of solutions; then, the model equilibria are determined and their local stability analysis was investigated; furthermore, we use the improved forward-backward sweep method (FBSM) based on the predictor-corrector method (PCM) in order to obtain the solution of proposed FOCP. In addition, some numerical simulations were performed to show the effect of the proposed optimal control (OC) besides the impact of fish consumption on the mortality of CHD.

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Cerebrovascular Diseases and Associated Risk Factors in WHO Eastern Mediterranean Countries

Cited by 14 publications

References 36 publications

Ischemic stroke in Morocco: A systematic review

Ischemic stroke in Morocco: A systematic review

Risk factors and types of recurrent stroke: a Saudi hospital based study

Fractional Optimal Control with Fish Consumption to Prevent the Risk of Coronary Heart Disease

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