伊朗脑卒中的发病频率及临床特征——系统回顾与评价。
Frequency and clinical patterns of stroke in Iran - Systematic and critical review.
机构信息
Neurology Department, University Hospital Coventry and Warwickshire, Coventry, UK.
出版信息
BMC Neurol. 2010 Aug 23;10:72. doi: 10.1186/1471-2377-10-72.
BACKGROUND
Cerebrovascular disease is the second commonest cause of death, and over a third of stroke deaths occur in developing countries. To fulfil the current gap on data, this systematic review is focused on the frequency of stroke, risk factors, stroke types and mortality in Iran.
METHODS
Thirteen relevant articles were identified by keyword searching of PubMed, Iranmedex, Iranian University index Libraries and the official national data on burden of diseases.
RESULTS
The publication dates ranged from 1990 to 2008. The annual stroke incidence of various ages ranged from 23 to 103 per 100,000 population. This is comparable to the figures from Arab Countries, higher than sub-Saharan Africa, but lower than developed countries, India, the Caribbean, Latin America, and China. Similarly to other countries, ischaemic stroke was the commonest subtype. Likewise, the most common related risk factor is hypertension in adults, but cardiac causes in young stroke. The 28-day case fatality rate is reported at 19-31%.
CONCLUSIONS
Data on the epidemiology of stroke, its pattern and risk factors from Iran is scarce, but the available data highlights relatively low incidence of stroke. This may reflect a similarity towards the neighbouring nations, and a contrast with the West.
背景
脑血管疾病是第二大常见死因，超过三分之一的中风死亡发生在发展中国家。为了满足当前数据的空白，本系统评价专注于伊朗中风的频率、危险因素、中风类型和死亡率。
方法
通过关键词搜索 PubMed、Iranmedex、伊朗大学索引图书馆和国家疾病负担的官方数据，确定了 13 篇相关文章。
结果
发表日期从 1990 年到 2008 年不等。各种年龄的年中风发病率为每 10 万人 23 至 103 例。这与阿拉伯国家的数字相当，高于撒哈拉以南非洲，但低于发达国家、印度、加勒比、拉丁美洲和中国。与其他国家一样，缺血性中风是最常见的亚型。同样，最常见的相关危险因素是成年人的高血压，但年轻人中风的病因是心脏病。28 天病死率报告为 19-31%。
结论
来自伊朗的中风流行病学、模式和危险因素的数据很少，但现有数据突出了相对较低的中风发病率。这可能反映了与邻国的相似性，以及与西方的差异。
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