Case Fatality Rate of First-Ever Stroke in Erbil City

Authors

  • Kameran H. Ismail Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq
  • Namir G. Al Tawil Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq
  • Tariq S. Al- Hadithi Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq

Keywords:

Stroke, case-fatality, Erbil city

Abstract

Background and objective: Stroke is the third most common cause of death. The objective of this study was to find out the case fatality rate of first-ever stroke in Erbil city.    

Methods: This cross-sectional study included 228 first-ever stroke patients hospitalized to teaching hospitals in Erbil city from January, 1st 2009 to August, 31st 2009. Stroke was diagnosed by the consultant internist or neurologist and confirmed by brain CT-scan. Patients were followed-up and one month case-fatality rate was calculated.

Results: The one month case-fatality rate was 23.7% with a higher proportion of deaths occurred in females (26.4%) than in males (21.2%) (P= 0.358). The case-fatality increased with age (P = 0.019); around 75% of deaths occurred in the 7th and 8th decades of life and more than 95% occurred among those 60 years and more. More deaths occurred from haemorrhagic (31.3%) than ischaemic (20.7%) strokes (P= 0.093). The mean ± SD ages of dead and alive were 68.56 ±11.52 and 61.32 ±12.91 years, respectively (P<0.001). Multiple logistic regression revealed significant association of stroke outcome with age (P= 0.037) and atrial fibrillation (P<0.001).

Conclusion: The one month case-fatality rate was relatively comparable to that reported in other developing countries.

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References

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Published

2018-10-30

How to Cite

Ismail, K. H., Al Tawil, N. G., & Al- Hadithi, T. S. (2018). Case Fatality Rate of First-Ever Stroke in Erbil City. Zanco Journal of Medical Sciences (Zanco J Med Sci), 14(1 Special), 90–96. Retrieved from https://zjms.hmu.edu.krd/index.php/zjms/article/view/518

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Original Articles