Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study

Abstract Stroke is a significant cause of death and disability. In Thailand, it imposes a major health burden, and the prevalence of stroke is increasing, particularly in patients with hypertension (HT), diabetes mellitus (DM), and dyslipidemia (DLP). We aimed to determine the trends in the prevalen...

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Autores principales:	Wittawat Chantkran, Janeyuth Chaisakul, Ram Rangsin, Mathirut Mungthin, Boonsub Sakboonyarat
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/16f0479e787a4bafbf46020eef4dbe8c
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spelling	oai:doaj.org-article:16f0479e787a4bafbf46020eef4dbe8c2021-12-02T16:38:48ZPrevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study10.1038/s41598-021-96878-42045-2322https://doaj.org/article/16f0479e787a4bafbf46020eef4dbe8c2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96878-4https://doaj.org/toc/2045-2322Abstract Stroke is a significant cause of death and disability. In Thailand, it imposes a major health burden, and the prevalence of stroke is increasing, particularly in patients with hypertension (HT), diabetes mellitus (DM), and dyslipidemia (DLP). We aimed to determine the trends in the prevalence of stroke and the associated factors among Thai patients with HT. Nationwide cross-sectional studies were conducted annually in 2014, 2015 and 2018 based on data obtained from the Thailand DM/HT study. Nationally, representative patients with HT in Thailand were sampled with stratified one-stage cluster sampling. A total of 104,028 participants were included in this study. The prevalence of stroke remained constant, with prevalence rates of 4.0%, 3.8%, and 3.9% in 2014, 2015 and 2018, respectively (p for trend = 0.221). Our findings suggested that the management of stroke patients who are covered by the universal coverage scheme should be evaluated. Effective interventions, including promoting smoking cessation, attenuating cholesterol levels, and controlling blood pressure should be provided to hypertensive patients to prevent ischemic stroke. Young adults with HT should be more concerned about the possibility of stroke. The use of prophylactic low-dose aspirin should be carefully monitored to prevent hemorrhagic stroke.Wittawat ChantkranJaneyuth ChaisakulRam RangsinMathirut MungthinBoonsub SakboonyaratNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wittawat Chantkran Janeyuth Chaisakul Ram Rangsin Mathirut Mungthin Boonsub Sakboonyarat Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study
description	Abstract Stroke is a significant cause of death and disability. In Thailand, it imposes a major health burden, and the prevalence of stroke is increasing, particularly in patients with hypertension (HT), diabetes mellitus (DM), and dyslipidemia (DLP). We aimed to determine the trends in the prevalence of stroke and the associated factors among Thai patients with HT. Nationwide cross-sectional studies were conducted annually in 2014, 2015 and 2018 based on data obtained from the Thailand DM/HT study. Nationally, representative patients with HT in Thailand were sampled with stratified one-stage cluster sampling. A total of 104,028 participants were included in this study. The prevalence of stroke remained constant, with prevalence rates of 4.0%, 3.8%, and 3.9% in 2014, 2015 and 2018, respectively (p for trend = 0.221). Our findings suggested that the management of stroke patients who are covered by the universal coverage scheme should be evaluated. Effective interventions, including promoting smoking cessation, attenuating cholesterol levels, and controlling blood pressure should be provided to hypertensive patients to prevent ischemic stroke. Young adults with HT should be more concerned about the possibility of stroke. The use of prophylactic low-dose aspirin should be carefully monitored to prevent hemorrhagic stroke.
format	article
author	Wittawat Chantkran Janeyuth Chaisakul Ram Rangsin Mathirut Mungthin Boonsub Sakboonyarat
author_facet	Wittawat Chantkran Janeyuth Chaisakul Ram Rangsin Mathirut Mungthin Boonsub Sakboonyarat
author_sort	Wittawat Chantkran
title	Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study
title_short	Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study
title_full	Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study
title_fullStr	Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study
title_full_unstemmed	Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study
title_sort	prevalence of and factors associated with stroke in hypertensive patients in thailand from 2014 to 2018: a nationwide cross-sectional study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/16f0479e787a4bafbf46020eef4dbe8c
work_keys_str_mv	AT wittawatchantkran prevalenceofandfactorsassociatedwithstrokeinhypertensivepatientsinthailandfrom2014to2018anationwidecrosssectionalstudy AT janeyuthchaisakul prevalenceofandfactorsassociatedwithstrokeinhypertensivepatientsinthailandfrom2014to2018anationwidecrosssectionalstudy AT ramrangsin prevalenceofandfactorsassociatedwithstrokeinhypertensivepatientsinthailandfrom2014to2018anationwidecrosssectionalstudy AT mathirutmungthin prevalenceofandfactorsassociatedwithstrokeinhypertensivepatientsinthailandfrom2014to2018anationwidecrosssectionalstudy AT boonsubsakboonyarat prevalenceofandfactorsassociatedwithstrokeinhypertensivepatientsinthailandfrom2014to2018anationwidecrosssectionalstudy
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Prevalence of and factors associated with stroke in hypertensive patients in Thailand from 2014 to 2018: A nationwide cross-sectional study

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