Prospective Analysis of the Epidemiology of Cerebrovascular Disease and Stroke Among the Adult Population of Kyiv City, Ukraine

Abstract

The aim: We aimed to conduct a prospective analysis of the epidemiology of cerebrovascular disease and stroke among the adult population of Kyiv City, Ukraine the last 12 years. Materials and methods: We analyzed sectoral statistical reports of cerebrovascular disease and stroke in Kyiv City for 2009-2020. The statistical method and the method of system approach were used in this study. Results: We established that during the last 12 years there was a decrease in the incidence of cerebrovascular disease and stroke among the adult population of Kyiv (reduction of 1.83 times (p <0.05) with t reliability criteria 26.89). However, the incidence remains high (476.62 per 100,000 population). At the same time, the prevalence of cerebrovascular isease remains stable, and among the working-age population tends to increase. The incidence of stroke indicates a positive trend (251.3 per 100,000 adult population of Kyiv in 2009 and 95.0 – in 2020, respectively). In particular, the number of primary registered strokes decreased 2.64 times (p ≤0.05) with a reliability criterion of 5.7 which is 1.94 (p≤0.05) times lower than in Ukraine generally. During the study period, 27,928 people died in Kyiv from a stroke. The mortality rate of stroke among the adult population in the city decreased from 96.14 per 100,000 in 2009 to 57.17 in 2020. This significant decline occurred over the past two years. Conclusions: A significant reduction in the incidence of cerebrovascular disease and stroke in the adult population of Kyiv during the last 12 years has been established. This might be caused by increased stroke prevention work, provided to the city population, and by a higher level of availability and quality of medical care in recent years.

Особливості Нелакунарного Інсульту Варолієвого Моста: Результати Госпітального Проспективного Когортного Дослідження І Презентація Серії Клінічних Випадків У Білих Дорослих Європейців

“…The pons is the largest component of the brain stem [1,2]. Pontine stroke (PS) is catastrophic and the most common ischemic stroke of the brainstem [3][4][5]. PS has complex symptoms that often differ from the hallmark symptoms of a stroke, ranging from the classical crossed syndromes to severe respiratory and cardiac dysfunction [6][7][8].…”

Клінічні Прояви Гострих Інфарктів Варолієвого Мосту: Огляд

“…Clinical presentation of PI ranges from the classical crossed syndrome, the less common pure motor or pure sensory stroke to respiratory and cardiac dysfunction and the rare condition known as locked-in syndrome [1][2][3][4]. Early diagnosis is critical as PI is associated with high mortality and morbidity [5][6][7]. An adequate understanding of anatomy and clinical presentation is required for evaluating and managing the disease [8,9].…”

Особливості Лакунарного Інсульту Варолієвого Моста: Результати Госпітального Проспективного Когортного Дослідження

“…Pontine stroke is the most common ischemic stroke of the brainstem [1][2][3]. Isolated pontine infarctions are classified as either paramedian or lacunar pontine infarctions (LPI) [4][5][6].…”