title: Stroke in birjand, iran: a hospital-based study of acute stroke.
abstract: BACKGROUND
  Stroke, or cerebrovascular accident (CVA), is the second leading cause of death in the world and based on the World Health Organization (WHO) report in 2006, it is responsible for 9.9% of all deaths in the world which over 85% of these deaths occurred in developing countries.
  
  
  OBJECTIVE
  The aim of this study was to investigate the data related to the frequency, risk factors, types and mortality of stroke in Birjand city.
  
  
  METHODS
  A retrospective cohort of consecutive patients with diagnosed stroke who were admitted to hospital (the only neurological center of Birjand) between 2002 and 2008 was designed. A stroke was defined according to clinical features and CT-scan which was confirmed by agreement of a staff neurologist. Collected data included date of admission, age, sex, and hospital outcome as well as related risk factors.
  
  
  RESULTS
  Totally, 1219 stroke (85.4% ischemic type) with the mean age of 69.6 ± 12.9 years and female: male ratio of 1.09 was included in over 6 years. The stroke hospital admission rates were 48.6 and 103.4 /100,000 population /year in the first and the last year of the study, respectively. There was an increasing trend in stroke incidence rate during the study (P < 0.01). The most common epidemiological risk factors for stroke in our region were hypertension, cardiac diseases, a history of stroke, diabetes mellitus, dyslipidemia, and smoking (54.7, 24.4, 20.1, 14.9, 12.2, and 9%, respectively). Overall in-hospital mortality rate was 17.1%.
  
  
  CONCLUSIONS
  The stroke hospital admission rate might be increasing in Birjand. Therefore, health care administrators and public health authorities must work harder to promote the knowledge and practice of society about the stroke related risk factors and prevention methods.
authors: Birjand University of Medical Sciences Birjand, IR Iran.
authors: Mohammad
authors: M
authors: Dehghani Firoozabadi
authors: Toba
authors: T
authors: Kazemi
authors: Gholamreza
authors: G
authors: Sharifzadeh
authors: Somayeh
authors: S
authors: Dadbeh
authors: Parvaneh
authors: P
authors: Dehghan
keywords: Hospital Mortality; Iran; Risk Factors; Stroke
references: Stroke. 2001 Oct;32(10):2221-6
references: 11588304
references: Cerebrovasc Dis. 2007;24(6):495-9
references: 17971627
references: Stroke. 2003 Aug;34(8):1833-40
references: 12855832
references: Circ Cardiovasc Qual Outcomes. 2010 May;3(3):291-302
references: 20177051
references: Neuroepidemiology. 2007;29(3-4):235-42
references: 18176080
references: Arch Iran Med. 2007 Jul;10(3):327-34
references: 17604469
references: Lancet. 2006 May 27;367(9524):1747-57
references: 16731270
references: Neuroepidemiology. 2007;29(1-2):78-82
references: 17925598
references: Lancet. 2004 Jun 12;363(9425):1925-33
references: 15194251
references: J Stroke Cerebrovasc Dis. 2002 Mar-Apr;11(2):63-5
references: 17903858
references: BMC Neurol. 2010 Aug 23;10:72
references: 20731823
references: Eur Neurol. 2005;54(2):93-7
references: 16195668
references: Am J Med. 2006 Jan;119(1):42-9
references: 16431183
references: Lancet. 2010 Jul 10;376(9735):112-23
references: 20561675
references: Lancet. 2005 Jun 25-Jul 1;365(9478):2160-1
references: 15978910
references: J Stroke Cerebrovasc Dis. 2008 Mar-Apr;17(2):69-78
references: 18346648
references: Lancet Neurol. 2003 Jan;2(1):43-53
references: 12849300
references: Cerebrovasc Dis. 2007;23(2-3):132-9
references: 17124394
references: Stroke. 2003 Jun;34(6):1353-8
references: 12750535
references: Stroke. 2009 May;40(5):1557-63
references: 19325154