Current trends in the incidence of cerebrovascular accidents in Accra.
The incidence of cerebrovascular accidents (CVA) in Accra during three periods--1960-1968, 1976-1983, and 1990-1993, was compared. There was dramatic increase in the incidence between 1990-1993. Uncontrolled hypertension due to non-compliance with drug therapy seems to be the main cause. The economic plight of the people may explain the non compliance. The case fatality was between 41.9% to 50.3% for the years 1990-1993. Cardiovascular diseases, notably hypertension and CVA, have become the major causes of morbidity and mortality in Accra.
Nyame
P K
PK
University of Ghana Medical School, Accra.
Bonsu-Bruce
N
N
Amoah
A G
AG
Adjei
S
S
Nyarko
E
E
Amuah
E A
EA
Biritwum
R B
RB
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death / Q000639:trends; D002561:Cerebrovascular Disorders / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005869:Ghana / Q000453:epidemiology; D006760:Hospitalization / Q000639:trends; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D016312:Treatment Refusal; D014504:Urban Health