Affiliation:
1. Dom zdravlja Doljevac, Doljevac
2. Klinički centar Niš, Institut za javno zdravlje, Niš
Abstract
Introduction. Cerebrovascular diseases have drawn great public attention
recently due to a high death rate and an even higher disability rate. The aim
of the research was to determine the basic descriptive-epidemic
characteristics of patients with cerebrovascular diseases, to assess the
incidence rate according to the gender and age, as well as mortality and the
disease prognosis after one-year follow up period. Material and Methods. A
prospective survey was conducted, and the study included all registered
patients with cerebrovascular diseases from the municipality of Doljevac in
the period from 2005-2007, who were monitored for 1 year since the onset of
the disease. Results. During the period monitored, there were a total of 230
patients suffering from this disease. The average standardised incidence rate
in both genders was 274.67. Ischemic brain stroke occurred in 146 (63.4%)
subjects, the intracerebral haemorrhage in 39 (17%) and the subarachnoid
haemorrhage occurred in 9 (3.9%). The 90-day lethality was 14.8%; 1-year
lethality was 21.7%. Out of 123 patients (53.4%), who were recorded to have
various degrees of disability, 44 (35.8%) were independent in everyday
activities, 41 (33.3%) needed assistance while walking and maintaining
personal hygiene, where-as 38 (30.9) were bedridden. After a year of
monitoring, 30 (13.1%) patients suffered a recurrent brain stroke.
Conclusion. Cerebrovascular disease morbidity rate was found to be
increasing. However, there were no statistically significant differences in
morbidity by diagnosis and the disease outcome between genders.
Publisher
National Library of Serbia