Abstract
Morbidity and mortality of cerebrovascular events in Belgium Stroke is one of the leading causes of death and disability. The objective of this study was to estimate its incidence and mortality in Belgium. The data were recorded in 1998 and ’99 by the Belgian sentinel network of general practitioners (GP). All events, including those for which medical care was immediately obtained in a clinic, were included. Stroke as well as transient ischemic attacks (TIA) were recorded. Not only the firstever events but also recurrent ones were recorded. After a month the GPs received a follow-up questionnaire for all included patients and after 6 and 12 months for those included with a stroke. In total 511 strokes and 257 TIAs were recorded. The yearly incidence per 100,000 inhabitants was estimated at 185 for stroke and at 93 for TIA. During the 12-months follow-up, 47,5% of the patients died. Applying a forward stepwise logistic regression especially coma, diabetes and hemorrhagic stroke but also stroke history, swallow deficit and urinary incontinence exerted a negative influence on stroke survival. Motoric deficit was recorded for 81% of the patients and still remained in 55% of the cases after 12 months. Stroke causes a high morbidity and mortality. Since 1984 the age-and-gender-adjusted incidence decreased significantly.
Published Version
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