Daneshfard Babak, Izadi Sadegh, Shariat Abdolhamid, Toudaji Mohammad Amin, Beyzavi Zahra, Niknam Leila
Research Center for Traditional Medicine and History of Medicine AND Essence of Parsiyan Wisdom Institute, Traditional Medicine and Medicinal Plant Incubator, Shiraz University of Medical Sciences, Shiraz, Iran.
Shiraz Neuroscience Research Center AND Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Neurol. 2015 Jul 6;14(3):158-63.
Stroke is the main cause of physical disability and the second leading cause of death worldwide. Two-thirds of all strokes occur in the developing countries. Despite being preventable, stroke is increasingly becoming a major health issue in these countries. The aim of this study was to evaluate the epidemiology of stroke in Shiraz, Iran, one of the main referral centers in the southwestern part of Iran.
A cross-sectional study was conducted on all stroke patients admitted to the Namazee Hospital, affiliated to Shiraz University of Medical Sciences, between August 2010 and January 2011. Patients' demographic data, atherosclerosis risk factors, type of stroke, drug history, outcomes, and neurological signs were recorded. Chi-square test, Kolmogorov-Smirnov test, t-test, and Mann-Whitney U-test were used to analyze the data.
A total of 305 patients with stroke, aged 27-97 years (mean ± SD = 68.33 ± 12.99), 269 patients (88.2%) had ischemic stroke (IS) and 36 (11.8%) had hemorrhagic stroke (HS). 133 patients (43.6%) were men and 172 (56.4%) were women. 11.4% of the patients with IS and 40.6% with HS died during hospitalization, causing 12.1% death in all stroke patients [Odds ratio (Or) = 5.34, 95% Confidence intervals (CI) = 2.35-12.11]. Hypertension, ischemic heart disease, diabetes, and recurrent stroke were the most common risk factors.
This study provides evidence that the epidemiology of stroke in the southwestern part of Iran may be similar to other places. However, it seems necessary and helpful to design a registration system for patients with stroke in Shiraz Namazee Hospital.
中风是全球身体残疾的主要原因，也是第二大致死原因。所有中风病例中有三分之二发生在发展中国家。尽管中风是可预防的，但在这些国家，中风正日益成为一个主要的健康问题。本研究的目的是评估伊朗设拉子（伊朗西南部主要转诊中心之一）中风的流行病学情况。
对2010年8月至2011年1月期间入住设拉子医科大学附属纳马齐医院的所有中风患者进行了一项横断面研究。记录了患者的人口统计学数据、动脉粥样硬化危险因素、中风类型、用药史、结局和神经体征。采用卡方检验、柯尔莫哥洛夫-斯米尔诺夫检验、t检验和曼-惠特尼U检验对数据进行分析。
共有305例中风患者，年龄在27 - 97岁之间（平均±标准差=68.33±12.99），其中269例（88.2%）为缺血性中风（IS），36例（11.8%）为出血性中风（HS）。133例（43.6%）患者为男性，172例（56.4%）为女性。缺血性中风患者中有11.4%、出血性中风患者中有40.6%在住院期间死亡，导致所有中风患者中有12.1%死亡[比值比（Or）=5.34，95%置信区间（CI）=2.35 - 12.11]。高血压、缺血性心脏病、糖尿病和复发性中风是最常见的危险因素。
本研究提供的证据表明，伊朗西南部中风的流行病学情况可能与其他地区相似。然而，在设拉子纳马齐医院为中风患者设计一个登记系统似乎是必要且有帮助的。
