Shaheen Hala A, Abdel Wahed Wafaa Y, Hasaneen Sharbat T
Neurology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Public Health and Community Medicine Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
J Stroke Cerebrovasc Dis. 2019 Sep;28(9):2414-2420. doi: 10.1016/j.jstrokecerebrovasdis.2019.06.031. Epub 2019 Jul 11.
Stroke is a highly prevalent disease with consequent mortality and morbidity. Few community based studies have been conducted only in upper Egypt to estimate prevalence of stroke.
This study was designed to find out the prevalence of stroke in Fayoum Governorate & to study some associated risk factors.
through this community based cross-sectional study 4784 participants aged more than or equal to 18 years old were enrolled. A multi-stage random sample technique was followed to choose the study sample. A predesigned interviewer-administered structured questionnaire was used. Suspected stroke case by screening questionnaire was referred to the neurologist.
The Crude prevalence of stroke was 16 out of 1000 with confidence interval of proportion (12.6%-19.7%). The age adjusted local (Fayoum 2017 census) prevalence rate was 7.97 out of 1000, age adjusted prevalence rate (Egypt population 2017) was 1.05 out of 1000. Age-adjusted World Health Organization standard world population prevalence rate was 1.69 out of 1000. The crude prevalence of ischemic stroke was significantly higher than hemorrhagic stroke 11.9 versus 3.9 out of 1000 population. The most prevalent risk factor was smoking among males, followed by obesity then hypertension. The prevalence of stroke was significantly higher among participants affected with hypertension, diabetes, heart diseases, obesity, and smoking. Logistic regression analysis showed that having hypertension, diabetes, heart diseases, atrial fibrillation, obesity, and smoking were reported risk factors of stroke.
The prevalence of stroke in Fayoum governorate was 1.6%. Hypertension, diabetes, heart diseases, obesity, and smoking were reported risk factors of stroke.
中风是一种高发性疾病，会导致死亡率和发病率上升。在上埃及地区，仅有少数基于社区的研究对中风患病率进行了估算。
本研究旨在查明法尤姆省中风的患病率，并研究一些相关风险因素。
通过这项基于社区的横断面研究，招募了4784名年龄大于或等于18岁的参与者。采用多阶段随机抽样技术选取研究样本。使用预先设计的由访谈员实施的结构化问卷。通过筛查问卷怀疑为中风的病例被转诊给神经科医生。
中风的粗患病率为千分之16，比例的置信区间为（12.6%-19.7%）。年龄调整后的当地（法尤姆2017年人口普查）患病率为千分之7.97，年龄调整后的患病率（埃及2017年人口）为千分之1.05。年龄调整后的世界卫生组织标准世界人口患病率为千分之1.69。缺血性中风的粗患病率显著高于出血性中风，分别为每千人口11.9例和3.9例。最常见的风险因素在男性中是吸烟，其次是肥胖，然后是高血压。在患有高血压、糖尿病、心脏病、肥胖症和吸烟的参与者中，中风的患病率显著更高。逻辑回归分析表明，患有高血压、糖尿病、心脏病、心房颤动、肥胖症和吸烟是报告的中风风险因素。
法尤姆省中风的患病率为1.6%。高血压、糖尿病、心脏病、肥胖症和吸烟是报告的中风风险因素。
