Abstract
Background and aims: Cerebrovascular accidents are a major cause of death and disability in many countries. Therefore, the epidemiological indicators are highly important in the case of these patients’ mortality. The present study aimed to determine the epidemiology of mortality due to cerebrovascular accidents in patients admitted to Sina (Farshchian) hospital of Hamadan within 2018-2019. Methods: In this descriptive cross-sectional study, data of deceased patients were collected from one-year medical records in the neurology wards of Sina (Farshchian) hospital in Hamadan using the census method and a researcher-made checklist. The exclusion criteria were the cause of death except for cerebrovascular accident and incompleteness of data in patient’s medical record. Data were analyzed by descriptive statistical methods and SPSS 21. Results: Out of the 1196 patients admitted to the neurology wards, 159 cases died, and this rate was nearly equal between men and women. The highest mortality frequency belonged to ischemic type (83%), people over 60 years old (83%), illiterate (77.4%), urban (69.2%), self-employed (42.8%) individuals, and those with a history of underlying disease (73.6%), no history of smoking (90.6%), previous stroke (78.6%), and family history of stroke (99.4%). Conclusion: The findings of the present study showed that certain groups such as the elderly, illiterates, urban residents, self-employed, and people with underlying diseases had a higher mortality rate due to cerebrovascular accidents. Thus, special attention to these groups in health planning can be efficient in reducing the mortality of these accidents.
Highlights
Cerebrovascular lesions are recognized as one of the leading causes of mortality and disability in developing and developed societies, imposing heavy diagnostic and therapeutic costs on patients and health care systems.[1]
Due to the importance of stroke, its costs, and preventability and unavailability of accurate statistics on stroke in the country, the present study sought to determine the epidemiology of mortality due to cerebrovascular accidents in patients admitted to Sina (Farshchian) hospital of Hamadan in 2018-2019
Out of the total number of 1196 patients admitted to the Neurology Ward of Farshchian hospital, 159 patients had died due to cerebrovascular accidents, and the hospital case fatality rate was equal to 13.2%
Summary
Cerebrovascular lesions are recognized as one of the leading causes of mortality and disability in developing and developed societies, imposing heavy diagnostic and therapeutic costs on patients and health care systems.[1]. In a study in Latin America, India, and China (2011), the prevalence of stroke in urban areas was generally higher compared to rural areas, and the levels of disability and dependency in stroke survivors were higher in urban areas.[13] These patients may have a genetic risk factor that can lead to stroke under certain environmental conditions.[14]. Due to the importance of stroke, its costs, and preventability and unavailability of accurate statistics on stroke in the country, the present study sought to determine the epidemiology of mortality due to cerebrovascular accidents in patients admitted to Sina (Farshchian) hospital of Hamadan in 2018-2019. The present study aimed to determine the epidemiology of mortality due to cerebrovascular accidents in patients admitted to Sina (Farshchian) hospital of Hamadan within 2018-2019. Conclusion: The findings of the present study showed that certain groups such as the elderly, illiterates, urban residents, self-employed, and people with underlying diseases had a higher mortality rate due to cerebrovascular accidents.
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