Register of stroke in the desert-steppe zones of Uzbekistan

Abstract

Purpose of the study: to conduct a register of stroke in the desert-steppe zones of Uzbekistan on the example of the Khorezm region and to identify the influence of a complex of weather-climatic factors on the course and outcomes of cerebral strokes. To determine the prognosis of cerebral strokes in the near future, a “Register of cerebral strokes” was conducted in the desert-steppe zones of Uzbekistan – using the example of the Khorezm region for 2019. The conducted register of strokes in 2019 in the desert-steppe zones of Uzbekistan revealed 3569 cases of stroke, of which 1967 (55.1%) in men and 1602 (44.9%) in women. The population aged 20 years and older was 1,150,135 people, of which 565,722 men (49.2%) and 584,413 women (50.8%). The mean age of patients with stroke was 63.85±0.2 years, in men - 62.9±0.3 years, in women - 65.1±0.3 years. The incidence of cerebral strokes corresponded to 194.43 cases per 100,000 population. The incidence of cerebral strokes at the age of 20 and older was 310.32 cases per 100,000 populationThe main risk factors for stroke are: arterial hypertension (62.3%), atherosclerosis (19.5%), coronary heart disease (7.5%), diabetes mellitus (3.8%). Seasonality of strokes in the region - ischemic and hemorrhagic strokes prevailed in winter (28.1% and 29.7%) and spring (31.7% and 25.0%) months, respectively. Subarachnoid hemorrhages prevailed in summer (36.8%) months. In winter and spring, the “spastic” type of heart is a provoking meteorological risk factor for the development of ischemic and hemorrhagic strokes. In summer - “hypoxic”, and in autumn - “unstable weather with the transition from indifferent to” spastic “weather types are provoking meteorological factors for the development of subarachnoid hemorrhages.