Epidemiology and clinical presentation of stroke in Upper Egypt (desert area)
Hamdy N El Tallawy,1 Wafaa M Farghaly,1 Reda Badry,1 Nermin A Hamdy,2 Ghaydaa A Shehata,1 Tarek A Rageh,1 Nabil A Metwally,3 Enas M Hassan,2 Sayed S Elsayed,2 Mohamed A Yehia,2 Wael T Soliman2 1Department of Neurology and Psychiatry, Assiut University, Assiut, 2Department of Neurology, El Minia Uni...
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Dove Medical Press
2015
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oai:doaj.org-article:d5910a9b459f4941b37592e10173b8bb2021-12-02T08:48:51ZEpidemiology and clinical presentation of stroke in Upper Egypt (desert area)1178-2021https://doaj.org/article/d5910a9b459f4941b37592e10173b8bb2015-08-01T00:00:00Zhttp://www.dovepress.com/epidemiology-and-clinical-presentation-of-stroke-in-upper-egypt-desert-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hamdy N El Tallawy,1 Wafaa M Farghaly,1 Reda Badry,1 Nermin A Hamdy,2 Ghaydaa A Shehata,1 Tarek A Rageh,1 Nabil A Metwally,3 Enas M Hassan,2 Sayed S Elsayed,2 Mohamed A Yehia,2 Wael T Soliman2 1Department of Neurology and Psychiatry, Assiut University, Assiut, 2Department of Neurology, El Minia University, El-Minia City, 3Department of Neurology, Al-Azhar University (Assuit Branch), Assiut, Egypt Background: Stroke is a common cause of morbidity and mortality worldwide. Four out of five strokes occur in the low- and middle-income countries. This study aims to find lifetime prevalence of stroke in Upper Egypt and to identify clinical presentations and possible risk factors of stroke in this population.Methods: This is a door-to-door (every door) study conducted on all inhabitants in Al Kharga district (representative of western desert) and Al Quseir city (representative of eastern desert). The study was conducted in two stages, and every stage consisted of three phases (screening, diagnostic, and investigatory).Results: The total lifetime prevalence of stroke was 8.5/1,000 in the population aged 20 years and more. It increased with advancing age and was higher among males than females among all age groups except in the childbearing period (20 years to <40 years of age). Lifetime prevalence of ischemic stroke (7.2/1,000) was higher than hemorrhagic stroke (1.1/1,000). Hemiparesis and hemiplegia were the commonest presentation of stroke. Headache, vomiting, and vertigo were found to be significantly more common accompaniments of hemorrhagic stroke. The most common risk factor was hypertension, followed by hyperlipidemia and diabetes mellitus.Conclusion: The total lifetime prevalence of stroke in the population aged 20 years and more in Upper Egypt (desert area) lies within the range that is recorded in developing countries. Clinical presentation and risk factors are similar to those recorded from developing and developed countries. Keywords: stroke, epidemiology, Upper Egypt, desert areaEl Tallawy HNFarghaly WMBadry RHamdy NAShehata GARageh TAMetwally NAHassan EMElsayed SSYehia MASoliman WTDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 2177-2183 (2015) |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 El Tallawy HN Farghaly WM Badry R Hamdy NA Shehata GA Rageh TA Metwally NA Hassan EM Elsayed SS Yehia MA Soliman WT Epidemiology and clinical presentation of stroke in Upper Egypt (desert area) |
| description |
Hamdy N El Tallawy,1 Wafaa M Farghaly,1 Reda Badry,1 Nermin A Hamdy,2 Ghaydaa A Shehata,1 Tarek A Rageh,1 Nabil A Metwally,3 Enas M Hassan,2 Sayed S Elsayed,2 Mohamed A Yehia,2 Wael T Soliman2 1Department of Neurology and Psychiatry, Assiut University, Assiut, 2Department of Neurology, El Minia University, El-Minia City, 3Department of Neurology, Al-Azhar University (Assuit Branch), Assiut, Egypt Background: Stroke is a common cause of morbidity and mortality worldwide. Four out of five strokes occur in the low- and middle-income countries. This study aims to find lifetime prevalence of stroke in Upper Egypt and to identify clinical presentations and possible risk factors of stroke in this population.Methods: This is a door-to-door (every door) study conducted on all inhabitants in Al Kharga district (representative of western desert) and Al Quseir city (representative of eastern desert). The study was conducted in two stages, and every stage consisted of three phases (screening, diagnostic, and investigatory).Results: The total lifetime prevalence of stroke was 8.5/1,000 in the population aged 20 years and more. It increased with advancing age and was higher among males than females among all age groups except in the childbearing period (20 years to <40 years of age). Lifetime prevalence of ischemic stroke (7.2/1,000) was higher than hemorrhagic stroke (1.1/1,000). Hemiparesis and hemiplegia were the commonest presentation of stroke. Headache, vomiting, and vertigo were found to be significantly more common accompaniments of hemorrhagic stroke. The most common risk factor was hypertension, followed by hyperlipidemia and diabetes mellitus.Conclusion: The total lifetime prevalence of stroke in the population aged 20 years and more in Upper Egypt (desert area) lies within the range that is recorded in developing countries. Clinical presentation and risk factors are similar to those recorded from developing and developed countries. Keywords: stroke, epidemiology, Upper Egypt, desert area |
| format |
article |
| author |
El Tallawy HN Farghaly WM Badry R Hamdy NA Shehata GA Rageh TA Metwally NA Hassan EM Elsayed SS Yehia MA Soliman WT |
| author_facet |
El Tallawy HN Farghaly WM Badry R Hamdy NA Shehata GA Rageh TA Metwally NA Hassan EM Elsayed SS Yehia MA Soliman WT |
| author_sort |
El Tallawy HN |
| title |
Epidemiology and clinical presentation of stroke in Upper Egypt (desert area) |
| title_short |
Epidemiology and clinical presentation of stroke in Upper Egypt (desert area) |
| title_full |
Epidemiology and clinical presentation of stroke in Upper Egypt (desert area) |
| title_fullStr |
Epidemiology and clinical presentation of stroke in Upper Egypt (desert area) |
| title_full_unstemmed |
Epidemiology and clinical presentation of stroke in Upper Egypt (desert area) |
| title_sort |
epidemiology and clinical presentation of stroke in upper egypt (desert area) |
| publisher |
Dove Medical Press |
| publishDate |
2015 |
| url |
https://doaj.org/article/d5910a9b459f4941b37592e10173b8bb |
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