Department of Internal Medicine, College of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia.
Department of Family and Community Medicine, College of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia.
Int J Environ Res Public Health. 2018 Jan 26;15(2):215. doi: 10.3390/ijerph15020215.
Recent data regarding first-stroke incidence in Saudi Arabia in general and in the Aseer region in particular are scarce and even lacking. The aim of this work was to study the first-time stroke incidence in the Aseer region, southwestern Saudi Arabia. All first-stroke patients admitted to all hospitals in the Aseer region over a one-year period (January through December 2016) were included. Stroke patients outside the Aseer region were excluded from the study. The incidence per 100,000 patients and the concomitant 95% CI (Confidence Intervals) were computed. The present study included 1249 first-time stroke patients and calculated an overall minimal incidence rate of hospitalized first-time stroke of 57.64 per 100,000 persons per year (95% CI: 57.57-57.70). A steady increase was noticed depending on the patients' age, reaching a figure of 851.81 (95% CI: 849.2-854.5) for those patients aged 70 years and more. Overall, the incidence rate for females (48.14; 95% CI: 48.04-48.24) was lower compared to males (65.52; 95% CI: 65.1-66.0). Taking into consideration the expected rise of the elderly because of the prominent medical services provided by the Saudi government, leading to a subsequent change in the horizontal and vertical age distribution structure of the population, an increase in the number of stroke patients is expected. It is suggested to establish a nationwide stroke surveillance system in the Kingdom, with the objective to report, analyze, and maintain an updated overview of the stroke status in Saudi Arabia.
目前有关沙特阿拉伯，特别是阿西尔地区首次中风发病率的数据很少，甚至缺乏。本研究的目的是研究沙特阿拉伯西南部阿西尔地区的首次中风发病率。所有在阿西尔地区所有医院住院的首次中风患者（2016 年 1 月至 12 月）均纳入研究。排除了来自阿西尔地区以外的中风患者。计算了每 10 万人的发病率和伴随的 95%置信区间（CI）。本研究共纳入 1249 例首次中风患者，计算出每年每 10 万人中有 57.64 例（95%CI：57.57-57.70）的住院首次中风最小发病率。根据患者年龄，发病率呈稳步上升趋势，达到 70 岁及以上患者的 851.81 （95%CI：849.2-854.5）。总体而言，女性的发病率（48.14；95%CI：48.04-48.24）低于男性（65.52；95%CI：65.1-66.0）。考虑到沙特政府提供的突出医疗服务导致老年人口增加，人口的水平和垂直年龄分布结构发生变化，预计中风患者数量将会增加。建议在王国建立一个全国性的中风监测系统，旨在报告、分析和维护沙特阿拉伯中风状况的最新概况。
