Stroke in a Saudi Arabian National Guard community. Analysis of 500 consecutive cases from a population-based hospital.

Rajeh, Saad Al; Awada, A.; Niazi, Gulzar A.; Larbi, E.

doi:10.1161/01.str.24.11.1635

Cited by 86 publications

(115 citation statements)

References 27 publications

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“…Alike other countries, stroke, in Saudi Arabia was reported to be 90% [30]: haemorrhage being 10%, lacunar infarction-33% and subarachnoid haemorrhage-3%-which is consistent with Al-Rajeh et al [10] who mentioned that incidence of stroke in Saudi Arabia remains low his comparison to that of industrialized countries [10], which well may vary due to age group distributions of study subjects.…”

Section: Discussionsupporting

confidence: 69%

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Comparative Outcome of Qualitative and Quantitative Methods in Assessing Static Body Balance among Post-Stroke Male Patients in Saudi Arabia

AL-Hussinan¹

2017

MOJOR

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Stroke affects body-balance performance in elderly who falls. Best-suited-rehabilitation for post-stroke/ hemiplegics (PSH) patients depends on the accuracy and reliability of methods in assessing their static body balance. This prospectively designed single blinded study was conducted to compare the outcome of balance assessment among male PSH patients between quantitative (computerized Balance Master System: BMS) and qualitative (Tinetti`s Balance & Mobility Subscale Score: TBMS and Barthel Index Score: BIS) methods. Data were analyzed using SPSS Windows 12.0. Results of BMS and TBMS/BIS methods demonstrated high interrater-reliability and concurrent validity of findings based on Limit of Stability(LOS) and Target Sway(TS) tests, when performed on a foam-platform to assess 3 types of sensory organization tests: eyeopen(EO), eye-closed(EC) & central-target(CT). Mean post-stroke duration of 30 patients studied was 10.7+-8.6 weeks from onset. Of them (mean age 62.3±14.5years), 90% sustained a cerebral infarction and 10% hemorrhage. And, 53% had a right while 47% had left-sided hemiplegia. While, TBMS correlated with BIS, positively (r=0.83, p<0.01), it correlated with BMS negatively, in terms of (i) LOS for EO (r=-0.36,p<0.03), and, EC (r=-0.35,p<0.03) on foam platforms; and (ii) CT for TS (r=-0.48,p<0.001) on firm platform. Similarly, BIS was negatively correlated with BMS: in terms of (i) LOS of EO performed on foam platform (r=-0.41,p<0.012) and (ii) LOS of EC (r=-0.30, p<0.05) and CT/TS of EC(r=-0.40,p<0.01), both performed on firm platform. However, a highly positive correlation existed among all BMS findings: with EC LOS (r=0.721,p<0.01)] and E0 LOS (r= 0.0.604,p<0.001) correlated on both firm and foam platforms.In conclusion, BMS method proved to be more reliable and valid in LOS parameters including TS for CT, than qualitative assessments of TBMS and BIS. Moreover, findings of BMS is not affected by the psychological aspects of the therapist carrying on the test on PSH-patients which may confounded the findings of qualitative analytic methods.

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Section: Discussionsupporting

confidence: 69%

“…However, stroke, is reportedly, more prevalent among men and in their 60s [6,[9][10][11][12], though it was observed in younger Arabians more than in the western world (5). Stroke leaves >50% patients physically disabled [1]/handicapped due to problem in their body-balance, mostly within the first 3 post -stroke weeks [13].…”

Section: Introductionmentioning

confidence: 99%

Comparative Outcome of Qualitative and Quantitative Methods in Assessing Static Body Balance among Post-Stroke Male Patients in Saudi Arabia

AL-Hussinan¹

2017

MOJOR

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“…Our sample size was comparable to other published series in Saudi Arabia. 8,9 Most studies on stroke indicate a male preponderance with a male:female ratio of about 2.1:1. These contrast with our ratio of 1:1, which we also observed in all stroke subtypes, except for hemorrhagic strokes, where the ratio is 2.1:1.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Stroke in Hofuf, Saudi Arabia

Sayed

El-Nahrawy

et al. 1999

Ann Saudi Med

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Background: Stroke is a common neurological disorder that is encountered in most hospitals in both developed and developing countries. This two-year study was designed to show the characteristics of the problem at the King Fahad Hospital, Hofuf, Saudi Arabia. Patients and Method: This was a prospective study of all Saudi stroke patients admitted to the medical wards in the study period. All patients were assessed individually by one of the two available neurologists. Data was collected on pre-designed protocol, and analysis was performed using tables and figures, and EpiInfo ® computer software. Results: The 329 Saudi patients studied fulfilled the criteria for stroke. The male:female ratio of the patients was 1:1, and their ages ranged between 42 and 92 years (mean 62.8±11.1) for males, and between 20 and 100 years (mean 59.6±15.4) for females. The relative frequencies of stroke subtypes were ischemic infarcts (79%), of which 46% were lacunar infarcts, intracerebral hemorrhage (18.8%), and subarachnoid hemorrhage (2.2%). The most common risk factor was concomitant hypertension with diabetes mellitus (40.4%), hypertension alone (24.9%), diabetes alone (11.6%), atrial fibrillation (5.8%), other cardiac factors (5.5%), transient ischemic attack (TIA) and prior stroke (2.1% each), and smoking (1.8%). No risk factor was detected in 5.8% of the patients. The overall inhospital mortality was 10.0%, with a significant male preponderance. Conclusion: This study demonstrated that stroke is a common neurological condition in the Al-Hassa region of the Kingdom. The male:female ratio was dissimilar from that observed in other parts of Saudi Arabia. The study also showed that hypertension with diabetes constituted a potent risk factor. Sickle cell anemia was not found to be a risk factor. The case fatality was low and both the incidence and mortality showed seasonal preference. We believe that there is a need to establish a Stroke Register at the King Fahad Hospital at Hofuf for the Al-Hassa region.

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“…Most of the studied elderly (55.9%) were females [10]. In Al Rajeh et al, in a hospital that exclusively treated the Saudi Arabian National Guard hospital, the mean age of the patients was 63 (±17) years [11]. In a study conducted on elderly in Dubai, United Arab Emirates, the gender ratio of the elderly patients in the study was 2.1 female: 1.0 male.…”

Section: Discussionmentioning

confidence: 99%

“…In both male and female groups the most likely stroke-prone age was 60 to 70 years. Hypertension (56%), diabetes mellitus (42%), and cardiopathy (33%) were common risk factors [11]. In Thugbah community in the Eastern Province of Saudi Arabia to determine its point prevalence of neurological diseases.…”

mentioning

confidence: 99%

Neurological Diseases Among Geriatric Population of Arar City, Kingdom of Saudi Arabia: A Cross Sectional Study.

Fetoh.¹,

Mourad.²,

Mjlad.³

et al. 2017

IJAR

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Stroke in a Saudi Arabian National Guard community. Analysis of 500 consecutive cases from a population-based hospital.

Abstract: Background and Purpose: We sought to determine the crude incidence rate, patterns, and risk factors associated with different types of stroke in a defined Saudi population.Methods: Records of 500 (342 male, 158 female) consecutive patients with first-ever stroke admitted from

Cited by 86 publications

References 27 publications

Comparative Outcome of Qualitative and Quantitative Methods in Assessing Static Body Balance among Post-Stroke Male Patients in Saudi Arabia

Comparative Outcome of Qualitative and Quantitative Methods in Assessing Static Body Balance among Post-Stroke Male Patients in Saudi Arabia

Characteristics of Stroke in Hofuf, Saudi Arabia

Neurological Diseases Among Geriatric Population of Arar City, Kingdom of Saudi Arabia: A Cross Sectional Study.

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