Stroke epidemiology in Karabük city Turkey: Community based study

Abstract

IntroductionStroke has been projected to increase in developing countries like Turkey. Information about the prevalence of stroke may uncover the etiology of stroke and overcome its impact burden. However, data is limited due to a lack of studies based in Turkey and neighboring regions. We aimed to investigate the prevalence and risk factors of stroke in the Turkish city of Karabük and to pave the way for future epidemiological studies in Turkey.MethodsThe study was designed as a cross-sectional, door-to-door survey. The questionnaire was completed by a trained team in the presence of the participants according to their answers. Patients who had been diagnosed with stroke prior to the survey were re-examined by a neurologist.Results3131 persons who were above 44 years old were screened. 129 of them were found to have had a stroke previously. The prevalence rate of stroke above 44 years was found to be 4.12% (98% confidence level and ± 2% margin of error). 72.1% of stroke patients had hypertension. Male/female ratio was 0.72.ConclusionThis study showed a high prevalence rate of stroke in Karabük Turkey with a low male/female ratio when compared to other studies.

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“…However, especially in western countries, the male rate is generally higher than the female [ 18 – 20 ]. Our previous study also recorded a similar result [ 8 ]. The equality in the male-female ratio may be down to genetic and other unknown factors.…”

“…The prevalence of stroke in Denizli was 0.9% while the prevalence of stroke in Karabük was found to be 4.1% [ 7 , 8 ]. When compared to these results our prevalence rate falls in the middle.…”

“…We conducted descriptive, cross-sectional, door-to-door surveys in a joint effort with neurologists from Dr. Lütfi Kırdar Kartal Training and Research Hospital and public health specialists from Istanbul Medeniyet University. We followed the methods of Şensöz et al [ 8 ]. This study was conducted after another study that aimed to estimate the prevalence rate of multiple sclerosis.…”

“…Unfortunately, there are only two published studies on the prevalence rate of stroke in Turkey. The prevalence in the ≥45 age group is between 0.9% and 4.1% [ 7 , 8 ].…”

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“…Globally, stroke is the second leading cause of death in people over the age of 60 years and the leading cause of fifth death in people aged 15 to 59 years, common in developing countries [1][2][3].…”