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Burden of Stroke in North Africa and Middle East, 1990 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019 Publisher Pubmed



Shahbandi A1 ; Shobeiri P1 ; Azadnajafabad S1 ; Saeedi Moghaddam S1 ; Sharifnejad Tehrani Y1 ; Ebrahimi N1 ; Rezaei N1 ; Rashidi MM1 ; Ghamari SH1 ; Abbasikangevari M1 ; Koolaji S1 ; Haghshenas R1 ; Rezaei N1 ; Larijani B2 Show All Authors
Authors
  1. Shahbandi A1
  2. Shobeiri P1
  3. Azadnajafabad S1
  4. Saeedi Moghaddam S1
  5. Sharifnejad Tehrani Y1
  6. Ebrahimi N1
  7. Rezaei N1
  8. Rashidi MM1
  9. Ghamari SH1
  10. Abbasikangevari M1
  11. Koolaji S1
  12. Haghshenas R1
  13. Rezaei N1
  14. Larijani B2
  15. Farzadfar F1, 2
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Jalal Al-e-Ahmad Highway, Tehran, 1411713119, Iran
  2. 2. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Neurology Published:2022


Abstract

Background: While several studies investigated the epidemiology and burden of stroke in the North Africa and Middle East region, no study has comprehensively evaluated the age-standardized attributable burden to all stroke subtypes and their risk factors yet. Objective: The aim of the present study is to explore the regional distribution of the burden of stroke, including ischemic stroke, subarachnoid hemorrhage, and intracerebral hemorrhage, and the attributable burden to its risk factors in 2019 among the 21 countries of North Africa and Middle East super-region. Methods: The data of the Global Burden of Disease Study (GBD) 2019 on stroke incidence, prevalence, death, disability-adjusted life years (DALYs), years of life lost (YLLs), years lived with disability (YLDs) rates, and attributed deaths, DALYs, YLLs, and YLDs to stroke risk factors were used for the present study. Results: The age-standardized deaths, DALYs, and YLLs rates were diminished statistically significant by 27.8, 32.0, and 35.1% from 1990 to 2019, respectively. Attributed deaths, DALYs, and YLLs to stroke risk factors, including high systolic blood pressure, high body-mass index, and high fasting plasma glucose shrank statistically significant by 24.9, 25.8, and 28.8%, respectively. Conclusion: While the age-standardized stroke burden has reduced during these 30 years, it is still a concerning issue due to its increased burden in all-age numbers. Well-developed primary prevention, timely diagnosis and management of the stroke and its risk factors might be appreciated for further decreasing the burden of stroke and its risk factors and reaching Sustainable Development Goal 3.4 target for reducing premature mortality from non-communicable diseases. © 2022, The Author(s).
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