engleski

The Changing Incidence of Cerebrovascular Disease in Zagreb Over a Ten– year Period

During the last decade Croatia was faced with war and population migration that entailed socioeconomic changes, modification of lifesryle, risk factors and health care, thus influencing the incidence and outcome of stroke. Data on patients admitted to Universiry Department of Neurology in the years 1990 and 1999 were compared to estimate the incidence and prevalence of stroke and stroke subrypes, risk factors and outcome. In 1999, the number of stroke patients was almost twofold that recorded in 1990 and stroke patients were by 5 years younger In 1999, there were more first-ever strokes (the incidence of crude first stroke inereased by 57%), whereas the number of recurrent strokes increased in men and decreased in women. The proportion of ischemic stroke and subarachnoid hemorrhage did not significantly change, whereas parenchymatous hemorrhage inereased in women. Hypertension was more common (83% ver.sus 62%), whereas the prevalence of other risk factors did not change significantly Patients were more often discharged for home care instead of rehabilitation center care. Mortality decreased in men and inereased in women, whereas case fataliry and crude mortality decreased leading to an increaseđ stroke burden.

Cerebrovascular accident - epidemiology; Cerebrovascular accident - mortality; Cause of death; Blood pressure - prevention and control; Risk factors; Croatia

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