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First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina

Show simple item record Bahit, Cecilia Coppola, Mariano Riccio, Patricia Cipriano, Lauren Roth, Gregory lopes, Renato Feigin, Valery Borrego, Brenda De Martino, Maximiliano Díaz, Alejandro Ferrante, Daniel Funaro, Fernando Lavados, Pablo Lewin, Laura López, Daniel Macarrone, Patricia Marciello, Rafael Marino, Diego Martens, Cecilia Martínez, Paula Odriozola, Guillermo Rabinstein, Alejandro Saposnik, Gustavo Silva, Damián Suasnabar, Ramón Truelsen, Thomas Uzcudun, Araceli Viviani, Carlos Sposato, Luciano 2017-01-04T19:15:44Z 2017-01-04T19:15:44Z 2016
dc.identifier.citation Stroke, june2016, vol.47,n°6,p.1640-2
dc.identifier.uri 10.1161/STROKEAHA.116.013637
dc.description.abstract Epidemiological data about stroke are scarce in low- and middle-income Latin-American countries. We investigated annual incidence of first-ever stroke and transient ischemic attack (TIA) and 30-day case-fatality rates in a population-based setting in Tandil, Argentina. METHODS: We prospectively identified all first-ever stroke and TIA cases from overlapping sources between January 5, 2013, and April 30, 2015, in Tandil, Argentina. We calculated crude and standardized incidence rates. We estimated 30-day case-fatality rates. RESULTS: We identified 334 first-ever strokes and 108 TIAs. Age-standardized incidence rate per 100 000 for Segi's World population was 76.5 (95% confidence interval [CI], 67.8-85.9) for first-ever stroke and 25.1 (95% CI, 20.2-30.7) for first-ever TIA, 56.1 (95% CI, 48.8-64.2) for ischemic stroke, 13.5 (95% CI, 9.9-17.9) for intracerebral hemorrhage, and 4.9 (95% CI, 2.7-8.1) for subarachnoid hemorrhage. Stroke incidence was slightly higher for men (87.8; 95% CI, 74.6-102.6) than for women (73.2; 95% CI, 61.7-86.1) when standardized for the Argentinean population. Thirty-day case-fatality rate was 14.7% (95% CI, 10.8-19.5) for ischemic stroke, 24.1% (95% CI, 14.2-36.6) for intracerebral hemorrhage, and 1.9% (95% CI, 0.4-5.8) for TIA. CONCLUSIONS: This study provides the first prospective population-based stroke and TIA incidence and case-fatality estimate in Argentina. First-ever stroke incidence was lower than that reported in previous Latin-American studies, but first-ever TIA incidence was higher. Thirty-day case-fatality rates were similar to those of other population-based Latin-American studies.
dc.language.iso en_US
dc.publisher American Heart Association, Inc.
dc.subject Death
dc.subject Incidence
dc.subject Population
dc.subject Stroke
dc.title First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina
dc.type Artículo

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