Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month

BackgroundPrevious studies have not shown any significant effect on stroke incidence during Ramadan. We aimed to investigate the association between ischemic stroke incident hospitalizations and Ramadan, accounting for seasonality and temperature. Methods and ResultsThis retrospective cohort study i...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Noa Zimhony, Ibrahim Abu‐Salameh, Iftach Sagy, Yotam Dizitzer, Liat Oxman, Maayan Yitshak‐Sade, Victor Novack, Anat Horev, Gal Ifergane
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2018
Materias:	ethnicity ischemic stroke risk factor Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/f207f3892b4748cb92bdfe02e07cefe5
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f207f3892b4748cb92bdfe02e07cefe5
record_format	dspace
spelling	oai:doaj.org-article:f207f3892b4748cb92bdfe02e07cefe52021-11-12T17:01:48ZIncrease in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month10.1161/JAHA.117.0080182047-9980https://doaj.org/article/f207f3892b4748cb92bdfe02e07cefe52018-05-01T00:00:00Zhttps://www.ahajournals.org/doi/10.1161/JAHA.117.008018https://doaj.org/toc/2047-9980BackgroundPrevious studies have not shown any significant effect on stroke incidence during Ramadan. We aimed to investigate the association between ischemic stroke incident hospitalizations and Ramadan, accounting for seasonality and temperature. Methods and ResultsThis retrospective cohort study included all patients admitted with acute ischemic stroke to Soroka University Medical Center from June 2012 to June 2016. We obtained daily mean temperatures and relative humidity rates from 2 monitoring stations in South Israel. We analyzed the association between stroke incidence and Ramadan month, adjusting for weekly temperature and seasonality using Poisson regression models. We compared the first versus the last Ramadan fortnight. We performed an effect specificity analysis by assessing stroke incidence in the non‐Bedouin population. We identified 4727 cases of ischemic stroke, 564 cases of which were Bedouin Arabs. Fifty‐one cases occurred during Ramadan. Ramadan was significantly associated with an increased risk for ischemic stroke (RR 1.48; 95% confidence interval, 1.04–2.09), mainly during the first fortnight (RR 1.73, 95% confidence interval, 1.13–2.66) when compared with non‐Ramadan periods. Mean weekly temperatures and the summer season were not associated with stroke incidence among Bedouin Arabs (RR 0.98; 95% confidence interval, 0.82–1.18 and RR 0.77; confidence interval 0.56–1.06 accordingly). Such association was not observed in the non‐Bedouin population. ConclusionThe Ramadan month, particularly in its first 2 weeks, is an independent and ethnicity specific risk factor for ischemic stroke hospitalizations among the Bedouin Arab fasting population.Noa ZimhonyIbrahim Abu‐SalamehIftach SagyYotam DizitzerLiat OxmanMaayan Yitshak‐SadeVictor NovackAnat HorevGal IferganeWileyarticleethnicityischemic strokerisk factorDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 7, Iss 10 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	ethnicity ischemic stroke risk factor Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	ethnicity ischemic stroke risk factor Diseases of the circulatory (Cardiovascular) system RC666-701 Noa Zimhony Ibrahim Abu‐Salameh Iftach Sagy Yotam Dizitzer Liat Oxman Maayan Yitshak‐Sade Victor Novack Anat Horev Gal Ifergane Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month
description	BackgroundPrevious studies have not shown any significant effect on stroke incidence during Ramadan. We aimed to investigate the association between ischemic stroke incident hospitalizations and Ramadan, accounting for seasonality and temperature. Methods and ResultsThis retrospective cohort study included all patients admitted with acute ischemic stroke to Soroka University Medical Center from June 2012 to June 2016. We obtained daily mean temperatures and relative humidity rates from 2 monitoring stations in South Israel. We analyzed the association between stroke incidence and Ramadan month, adjusting for weekly temperature and seasonality using Poisson regression models. We compared the first versus the last Ramadan fortnight. We performed an effect specificity analysis by assessing stroke incidence in the non‐Bedouin population. We identified 4727 cases of ischemic stroke, 564 cases of which were Bedouin Arabs. Fifty‐one cases occurred during Ramadan. Ramadan was significantly associated with an increased risk for ischemic stroke (RR 1.48; 95% confidence interval, 1.04–2.09), mainly during the first fortnight (RR 1.73, 95% confidence interval, 1.13–2.66) when compared with non‐Ramadan periods. Mean weekly temperatures and the summer season were not associated with stroke incidence among Bedouin Arabs (RR 0.98; 95% confidence interval, 0.82–1.18 and RR 0.77; confidence interval 0.56–1.06 accordingly). Such association was not observed in the non‐Bedouin population. ConclusionThe Ramadan month, particularly in its first 2 weeks, is an independent and ethnicity specific risk factor for ischemic stroke hospitalizations among the Bedouin Arab fasting population.
format	article
author	Noa Zimhony Ibrahim Abu‐Salameh Iftach Sagy Yotam Dizitzer Liat Oxman Maayan Yitshak‐Sade Victor Novack Anat Horev Gal Ifergane
author_facet	Noa Zimhony Ibrahim Abu‐Salameh Iftach Sagy Yotam Dizitzer Liat Oxman Maayan Yitshak‐Sade Victor Novack Anat Horev Gal Ifergane
author_sort	Noa Zimhony
title	Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month
title_short	Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month
title_full	Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month
title_fullStr	Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month
title_full_unstemmed	Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month
title_sort	increase in ischemic stroke incident hospitalizations among bedouin arabs during ramadan month
publisher	Wiley
publishDate	2018
url	https://doaj.org/article/f207f3892b4748cb92bdfe02e07cefe5
work_keys_str_mv	AT noazimhony increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT ibrahimabusalameh increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT iftachsagy increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT yotamdizitzer increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT liatoxman increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT maayanyitshaksade increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT victornovack increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT anathorev increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth AT galifergane increaseinischemicstrokeincidenthospitalizationsamongbedouinarabsduringramadanmonth
_version_	1718430408691941376

Increase in Ischemic Stroke Incident Hospitalizations Among Bedouin Arabs During Ramadan Month

Ejemplares similares