Stroke epidemiology in Novi Sad

Institute for Neurology, Psychiatry and Mental Health, Medical Faculty, Novi Sad.
Neurologia croatica: glasilo Udruzenja neurologa Jugoslavije = official journal of Yugoslav Neurological Association 01/1991; 40:171- 179.

ABSTRACT Since the organization of CINDI (Countrywide Integrated Non-Communicable Disease Intervention Programme) and MONICA (Monitoring of Trends and Determinants of Cardiovascular Disease) in 1983 over the whole territory of Novi Sad community it has been found that the incidence of stroke has decreased from 2.68 to 2.36%, the mortality from 67.1 to 42.2% and the number of registered stroke survivors (morbidity prevalence) has increased almost three times. The subjects, material and methods as well as the results obtained so far are presented in this paper.

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    ABSTRACT: Contemporary civilization has gone wrong era of mass infection, and greeted her massive epidemic of chronic non-communicable diseases, among which are the leading cardiovascular diseases (CVD). In our country, as in other industrialized countries, are represented more than half of all deaths. Share of all forms of vascular diseases of the brain, represented by stroke, take the mortality statistics at least a quarter of all deaths, and matched with the number of deaths caused by heart attack. Thus, cerebrovascular diseases (CVD) are the leading cause of neurological disability in the contemporary world. Their occurrence is recorded on a scale of epidemic character and is a leading mass non-infectious disease (MNID). In order to highlight their seriousness and close relationship with the group their basic causes - conventional cardio -and cerebrovascular risk factors, often used as a contrast figure of speech in a sentence: Vascular disease is not contagious but is infectious everyday harmful habits that have been found to represent risk factors in their formation. It is estimated that in ten years, coronary heart disease and stroke will be the leading cause of death in all countries, regardless of their geographic location or achieved level of industrial development. The term CVD refers to all of the morphological and brain function disorders of vascular origin. The article also presents detailed information on the classification and definitions of types and subtypes of stroke, as well as conventional risk factors responsible for their occurrence. It is particularly emphasized by the fact that knowing the devastating information from the world of mortality statistics that only in 1990 from cardiovascular (CVD) disease lost more than 70 million years of human life, or 11% of the total number of years lost in a world of all-cause, highlighting their the importance of getting the right dimension disaster if the status quo, with a positive prefix in the case of effective preventive actions taken to lower rates of morbidity and mortality. Then the following possibilities for disease control in the community, prevention and control of stroke with contributions to the international and national epidemiological study, the assumption of successful planning prevention programs and measures to include, and activities for its implementation. Presented the analysis of the main risk factors and their assessment and evaluation of the degree of risk of overt forms of the disease, results experience studies in Novi Sad in the period in 1975 - 1983- 1992 -1998, and a final comment on the possible prevention of stroke, as well as the economic damage that the community suffer if these preventive actions have not been completed and realize their positive effects.
    Prevention and control of noncommunicable diseases in primary care, ECPD program: Prevencija i kontrola nezaraznih bolesti edited by Jakovljević Đ, Planojević M., 06/1998: chapter Prevencija i kontrola cerebrovaskularnih oboljenja: pages 1-12; The European Center for Peace and Development (ECPD) of the University for Peace of the United Nations, Belgrade and the Medical Center Novi Sad., ISBN: Re-Print and Supplemented Issue, Novi Sad, 1998
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    ABSTRACT: Although strokes have been documented since about 3 millennia, they remain today as one of the leading causes of mortality, as well as of subsequent serious long-term physical and mental morbidity, among patients in many different countries all over the world. Greece presents an increase in mortality rates according to World Health Organization, and this fact underlines the need for early diagnosis and treatment, as well as, the need to implement effective prevention strategies for strokes. This review makes an effort to describe the current status of stroke epidemiological features, as well as to present the risk factors prevalent in Greece. The incidence rate is 261–319/100,000 based on the recent population based registry. Stroke appears to be more prevalent in men than in women, and the mean age of stroke onset in Greece is at 70 years of age. Hypertension, atrial fibrillation, dyslipidaemia and diabetes mellitus are the major risk factors of stroke in the Greek population, while smoking is the most commonly documented modifiable risk factor in young adults with ischemic stroke. Similar to other parts of the world, ischemic stroke is the most common stroke type. The 28-day case fatality rate for men and women was 26.5%. The mean in-hospital cost per stroke patient was 3624.9 € and the mean rehabilitation cost of outpatients with stroke was 5553.3 €, while the cost proportion of hemorrhagic stroke is higher when compared to ischemic stroke. Stroke is a devastating condition with recognized challenges in identifying effective prevention programs. In Greece, limited data exists regarding the epidemiology of strokes. As a result, the need to conduct new studies and researches across the country is well documented.
    Neurologia i neurochirurgia polska 11/2014; 48(6):449-457. DOI:10.1016/j.pjnns.2014.11.001 · 0.54 Impact Factor
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    ABSTRACT: The paper presents data on mortality of stroke in contemporary world, and documented research and data relating to the region which is linked to the general hospital in Doboj (Republic of Srpska, Bosnia and Herzegovina). In a study included all patients who were hospitalized with a diagnosis of acute stroke, both sexes and all ages. Registered epidemiological data were analyzed and compared with the results of other scientific research and epidemiological studies. Details are processed and the information relating to the outcome of the disease, complications from the point registered in the degree of disability of survivors after its acute phase. Statistical processing, analysis and commentary, registered epidemiologic data conducted research studies, were confirmed both hypotheses: the significant mortality of stroke in the territory of the General Hospital of Doboj, and the hypothesis of high-present disability in survivors. Key words Stroke; Lethality; Complications and Disability after Stroke;


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Jun 4, 2014