Centre for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya,
Centre for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya.
Neuroepidemiology. 2019;53(1-2):48-54. doi: 10.1159/000498970. Epub 2019 Apr 15.
There is little information on stroke morbidity in Kenya to inform health care planning. The disability-adjusted life-years (DALYs) are a time-based measure of health status that incorporates both disability and mortality.
This was a multicenter prospective study in Kenya's public tertiary hospitals conducted in 2015-2017. Data on sex, age, and global disability outcome were collected and used to calculate the sum of years of life lost prematurely due to stroke (YLL), the years of healthy life lost due to disability (YLD), and the DALYs.
Up to 719 adult stroke patients participated in the study. The peak age group for stroke was 60-64 years, with ischemic stroke accounting for 56.1% of the stroke cases. After 1-year follow-up, the YLD were 2,402.50, YLL were 5,335.99, and the DALYs were 7,738.49. YLD contributed 31% of the total DALYs. The DALYs varied by sex (male: 2,835.79; female: 4,902.70 years) and by stroke type (ischemic stroke: 4,652.98; hemorrhagic stroke: 3,085.51). The young age group (< 45 years) bore a greater burden accounting for 35.6% of the total DALYs.
The YLD, YLL, and DALYs observed reinforce the need for targeted prevention of risk factors and comprehensive stroke care initiatives in Kenya.
肯尼亚有关中风发病率的信息很少，无法为医疗保健规划提供信息。残疾调整生命年（DALYs）是一种基于时间的健康状况衡量标准，结合了残疾和死亡率。
这是 2015 年至 2017 年在肯尼亚公立三级医院进行的多中心前瞻性研究。收集了有关性别、年龄和全球残疾结果的数据，并用于计算因中风而提前失去的生命年（YLL）、因残疾而失去的健康生命年（YLD）和 DALYs。
多达 719 名成年中风患者参与了这项研究。中风的高发年龄组为 60-64 岁，缺血性中风占中风病例的 56.1%。经过 1 年的随访，YLD 为 2402.50 年，YLL 为 5335.99 年，DALYs 为 7738.49 年。YLD 占总 DALYs 的 31%。DALYs 因性别（男性：2835.79 年；女性：4902.70 年）和中风类型（缺血性中风：4652.98 年；出血性中风：3085.51 年）而异。年轻年龄组（<45 岁）负担更重，占总 DALYs 的 35.6%。
观察到的 YLD、YLL 和 DALYs 强化了在肯尼亚有针对性地预防危险因素和全面的中风护理计划的必要性。
