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(3):171- 179.


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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    Full-text · Article · Jan 1995
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    ABSTRACT: The term CVD refers to all of the morphological and brain function disorders of vascular origin. The article 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. 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 - 1993, 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.
    Full-text · Chapter · Jan 1996
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    ABSTRACT: Introduction: Due to disastrous effects, the occurrence of stroke signifies tragic admission to daily routine of the gravely disabled, of the diseased, their fellow men and community as a whole. The character of the disease is complex and perilous. Most often it is merely a climax of primary disease of long standing and pathologic conditions commonly denoted as risk factors. Analysis of clinical morbidity and death rate suggest that during clinically advanced stages of the disease even most sophisticated management tends to yield moderate results. Hypotheses and aims: This vicious disease can be kept in check by improved living standard, application of modern diagnostic and prophylactic procedures, keener public awareness of the necessity of healthy living and prerequisites for preventive measures. The aims of measures taken can be achieved if and when their fundamental effects are enforced decreased rates of infection and death. Methods: • specify territory in which to carry out the Project • motivate members of community and professional teams • provide funds and arrange activities • monitor overall health and fully register basic risk factors • connect closely primary care with specialist health services • apply prevention, control and timely management of risk factors • establish Register of Diseased and update data input and statistical processing • monitor major epidemiologic parameters of the disease • cooperate with international community and administrative centers in terms of financial, political and professional assistance Results and Discussion: The WHO MONICA prevention Project was carried out on schedule from 1983-1992, in the period of stable and reasonably desirable economic, social and political circumstances at home, and with considerable success: decreased incidence for 12%, and mortality for 21%. According to available data for the interval from 1993-1995, it takes no master analyst to notice overwhelming downturn, i.e. increased stroke incidence for 26.6%, and mortality for 2.7%. Conclusion: Familiar events in our society directly related to above periods and results from our research witness a devastating trial on direct influence of stress and termination of treatment of chronic diseases as conventional risk factors on the occurrence of stroke. Keywords: Stroke; Stroke prevention; Stroke control; Risk Factors; Incidence; Mortality; World Health Organization; References: 1. The WHO MONICA Project, Prepared by: Tunstall-Pedoe H for The WHO MONICA Project (include Žikić, M): The World Health Organization MONICA Project (Monitoring Trends and Determinants in Cardiovascular Disease): A major international collaboration, Journal of Clinical Epidemiology, 1988; 41(2):105-114. 2. The WHO MONICA Project, Prepared by: Pajak A, Kuulasmaa K, Tuomilehto J, Ruokokoski E. for The WHO MONICA Project (include Žikić. M): The WHO MONICA Project: A worldwide monitoring system for cardiovascular diseases: Cardovascular mortality and risk factors in selected communities, World Health Statistics Annual, WHO, Geneva, 1989. 27-149 p. ISBN 92 4 067890 5. ISSN 0250-3794. 3. Asplund K, Tuomilehto J,Kuulasmaa K, Torppa J. for the WHO MONICA Project (Žikic, M): Multinational stroke mortality data at the baseline of the WHO MONICA Project. In: Meyer JS et al. eds. Cerebrovascular Disease, Elsavier Science Pub. B.V. (Biomedical Division), 1989; 7:167-170. 4. WHO MONICA Project. Multinational comparison of diagnostic procedures and management of acute stroke. Prepared by Asplund K, Rajakangas A-M, Kuulasmaa K, Thorvaldsen P, Bonita R, Stegmayr B, Suzuki K, Eisenblatter D. (include Žikic M) for the WHO MONICA Project. MNM 280A (06.09.94) 5. Hense HW, Koivisto AM, Kuulasmaa K, Zaborskis A, Kupsc W, Tuomilehto J, for the WHO MONICA Project (include Žikić, M): Assessment of blood pressure measurement quality in the baseline surveys of the WHO MONICA Project, Journal of Human Hypertension, 1995; 9:935- 946. 6. Žikić, M: Report of the basic characteristics of the CVD prophylactic program on the territory of Novi Sad community, The 14th World Congress of Neurology, New Delhi: Neurology-India; 37(suppl), 1989; p. 102. 7. Žikić, M, Jerković M, Ićurup M, Orovčanec K: Epidemiološke karakteristike cerebrovaskularnog inzulta na teritoriji GZO Novi Sad u 1983 godini, VII kongres neurologa Jugoslavije, Herceg Novi: Zbornik radova 1984;47-50. 8. Žikić, M: Epidemiologija cerebrovaskularnog inzulta u osoba trećeg životnog doba- izučavanja na teritoriji GZO Novi Sad u periodu 1983-1985 godine, III Gerontološki kongres Jugoslavije, Zagreb: Kongresni materijali 1988;268-271. 9. Žikić, M, Jerković M, Divjak I, Slankamenac P, Ićurup M: Epidemiology of stroke on the Novi Sad territory, The 8th Yugoslav Congress of neurology with International participation, Novi Sad: Abstracts, 1988, p. 192-192. 10. Đapić T, Žikić M, Planojević M: Epidemiologija i prevencija kardiovaskularnih oboljenja. Novi Sad, Medicinski fakultet UNS Novi Sad 1991. 136 str. Monografija:15. ISBN 86-7197-058-2 CIP katalogizacija Biblioteka Matice srpske, Novi Sad UDC: 616.1-036.22(075.8) 11. Žikić M, Knežević S, Jovanović A, Slankamenac P, Divjak I, Jerković M: Stroke epidemiology in Novi Sad, Neurologia Croatica 1991;40(3):171-179. 12. Žikić M, Đapić T, Planojević M: Epidemiološka analiza obolelih od moždanog udara u vojvođanskoj gradskoj sredini. Srpski Arhiv za celokupno lekarstvo, 1992; 120(suppl.3): 127-128. 13. Slankamenac P, Žikić, M: Algoritam dijagnostičkih testova kod moždanog udara. Aktuelnosti iz neurologije, psihijatrije i graničnih područja, 1995;3(1-2):1-5. 14. Žikić M, Divjak I, Slankamenac P, Planojević M, Šolak Z: Istraživanje etiopatogeneze, učestalosti i prognoze moždanog udara. Aktuelnosti iz neurologije, psihijatrije i graničnih područja 1995;3(1-2):6-15.
    Full-text · Conference Paper · Jun 1997
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