EPIDEMIOLOGY OF STROKE IN THE REPUBLIC OF KAZAKHSTAN
Introduction. According to WHO, in 2019, 17.9 million people died from cardiovascular diseases (CVD), which accounted for 31% of the total structure of causes of death, in 2000 this figure was 16%. 85% of these deaths are related to heart attacks and strokes. The costs of noncommunicable diseases represent a global barrier to economic and social development. According to calculations, with an increase in mortality by 10%, economic growth decreases by 0.5%[3]. By 2030, deaths from CVD are projected to increase by more than 23.6 million people. In addition to cardiovascular disease, stroke is the 5th leading cause of death in the world after heart disease, cancer, respiratory disease and unintentional injury. Aim. To study the incidence and mortality of stroke in Kazakhstan. Materials and methods. A comparative retrospective analysis of the incidence and mortality from stroke in the context of the regions of the Republic of Kazakhstan for 2010-2020 was carried out according to the statistical collections "Health of the population of the Republic of Kazakhstan and the activities of healthcare organizations". Results. Incidence of stroke in the Republic of Kazakhstan increases 2.3 times from 189 in 2011 to 433.7 per 100,000 population in 2020. In 2020, the average republican incidence rate was 433.7 per 100,000 population. The incidence of stroke per 100,000 population by region prevails in the East Kazakhstan region (625). And the lowest rate was recorded in Atyrau (221), Aktobe (249) and Almaty (279) regions. It can be seen that the dynamics of the mortality rate has relatively decreased. By the way, compared to 2011, in 2020 (78.49) there was a decrease of 15%. In 2011, death rates were registered 92.36 per 100,000 population. This is the maximum point of the studied time interval. The lowest death rate was recorded in 2012 (51.53). Conclusion. Thus, in Kazakhstan for the study period (2011-2020), there is a decrease in mortality from stroke in dynamics. Thanks to the introduction of a screening program for the detection of arterial hypertension, diabetes mellitus in Kazakhstan, the detection rate of the incidence of stroke has sharply increased.
Gulnaz K. Kairatova¹, https://orcid.org/0000-0002-8879-564X Asylzhan S. Kuanyshkalieva², https://orcid.org/0000-0003-3857-7473 Venera S. Rakhmetova³, https://orcid.org/0000-0001-5721-6409 Alida Sh. Kaskabayeva1, http://orcid.org/0000-0002-5184-214X Zaituna A. Khismetova¹, https://orcid.org/0000-0001-5937-3045 Dariga S. Smailova², https://orcid.org/0000-0002-7152-7104 ¹ NCJSC «Semey Medical University», Semey, Republic of Kazakhstan; ² Kazakhstan’s Medical University «Kazakhstan School of Public Health», Almaty, Republic of Kazakhstan; ³ NCJSC «Astana Medical University», Astana, Republic of Kazakhstan.
1. Акимжанова А.К., Хайбуллин Т.Н., Гржибовский А.М. Факторы риска 28-дневной летальности после инсульта в Казахстане: когортное исследование // Экология человека. 2016. №3. С.52-58. URL: https://cyberleninka.ru/article/n/faktory-riska-28-dnevnoy-letalnosti-posle-insulta-v-kazahstane-kogortnoe-issledovanie (дата обращения: 10.01.2022). 2. Ахметжанова З.Б., Медуханова С.Г., Жумабаева Г.К., Адильбеков Е.Б. Инсульт в Казахстане // Нейрохирургия и неврология Казахстана. 2019. №2. С.8-44. URL: https://cyberleninka.ru/article/n/insult-v-kazahstane (дата обращения: 15.11.2022). 3. Всемирная Организация здравоохранения / Сердечно-сосудистые заболевания/ https://www.who.int/ru/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). (дата обращения: 10.01.2022). 4. Еркебаева С.К., Нургужаев Е.С., Гафуров Б.Г., Жаркинбекова Н.А., Абасова Г.Б. Эпидемиология и климатогеографические факторы риска инсульта в Южно-Казахстанской области // Журнал Неврологии и Психиатрии имени С.С. Корсакова. 2013. №3. С.3-8. PMID: 23612391. 5. Кастей Р.М., Дюсембеков Е.К., Зетов А.Ш., и др. Эпидемиологические аспекты и факторы развития острых нарушений мозгового кровообращения (Литературный обзор) // Вестник КазНМУ. 2020. №2-1. С.591-596. URL: https://cyberleninka.ru/article/n/epidemiologicheskie-aspekty-i-faktory-razvitiya-ostryh-narusheniy-mozgovogo-krovoobrascheniya-literaturnyy-obzor (дата обращения: 13.11.2022). 6. Конысбаева К.К., Токмурзиева Г.Ж., Попова Т.В., и др. Организация и состояние инсультной службы в Республике Казахстан // Журнал развития здравоохранения. 2018. №28. С.46-56.URL:https://cyberleninka.ru/article/n/organizatsiya-i-sostoyanie-insultnoy-sluzhby-v-respublike-kazahstan-1 (дата обращения: 12.11.2022). 7. Смаилов Н.С. Профилактика инсультов и оценка информированности о факторах риска // Наука и здравоохранение. 2014. №1. С.67-69. 8. Шамрай В.Ю., Махмутова А.М., Ерубаева Б.Б. Сравнительный анализ основных факторов риска инсульта // Нейрохирургия и неврология Казахстана. 2019. №2. С.85-89. URL: https://cyberleninka.ru/article/n/sravnitelnyy-analiz-osnovnyh-faktorov-riska-insulta (дата обращения: 12.11.2022). 9. Appelros P., Stegmire B., Terent A. Sex differences in the epidemiology of stroke: a systematicreview.//Stroke. 2019. №4. P.1082-1090.URL:http:doi.org/10.1161/strokeaha.108.540781 . 10. Arnao V., Acciaresi M., Cittadini E., Caso V. Incidence, prevalence, and mortality from stroke in women worldwide // International Journal of Stroke. 2016. №3. P.287-301. doi: 10.1177/1747493016632245. PMID: 26984193. 11. Béjot Y., Daubail B., Giroud M. Epidemiology of stroke and transient ischemic attacks: current knowledge and perspectives // Revue Neurologique (Paris). 2016. №1. P.59-68. doi: 10.1016/j.neurol.2015.07.013. PMID: 26718592. 12. Benjamin E.J., Virani S.S., Callaway C.W. et al. Statistical Committee of the American Heart Association Council on Epidemiology and Prevention and Subcommittee on Stroke Statistics 2018 Cardiovascular Disease and Stroke Statistics Update: Report from the American Heart Association // Circulation. 2018. №137. P.56-528. doi: 10.1161/CIR.0000000000000558. PMID: 29386200. 13. Feigin V.L., Krishnamurti R.V., Parmar P. et al. Update on the global burden of ischemic and hemorrhagic stroke 1990-2013: 2013 GBD study // Neuroepidemiology. 2015. №3. P.161-176. doi: 10.1159/000441085. PMCID: PMC4633282. 14. Feigin V.L., Nichols E., Alam T. et al. Global, Regional and National Burden of Neurological Disorders, 1990–2016: A Systematic Analysis for the Global Burden of Disease Study 2016 // The Lancet Neurology. 2019. №5. P.459-480. doi: 10.1016/S1474-4422(18)30499-X. PMID: 30879893. 15. Guzik A., Bushnell S. Stroke epidemiology and risk factor management: Continuity: lifelong learning in neuroscience // AAN publications. 2017. №1. P.15-39. doi: 10.1212/CON.0000000000000416. PMID: 28157742. 16. Konermann S. HHS Public Access // Physiology & behavior. 2019. №1. P.665–676. 17. Krishnamurthi R.V., Moran A.E., Forouzanfar M.H., et al. The global burden of hemorrhagic stroke: a summary of the results of the 2010 GBD study // Global Heart. 2014. №1. P.101-106. doi: 10.1016/j.gheart.2014.01.003. PMID: 25432119. 18. Krishnamurti R.V., Feigin V.L., Foruzanfar M.Kh. et al. Global and regional burden of first ever ischemic and hemorrhagic stroke 1990-2010: results from the 2010 Global Burden of Disease Study // The Lancet Global Health. 2013.№5. P.245-254. 19. Mozaffarian D, Benjamin E.J., Go A.S., et al. Heart Disease and Stroke Statistics - 2016 Update // Circulation. 2016. №4. P.38-360. doi: 10.1016/s0140-6736(13)61953-4. PMC4181600. 20. Siepmann T., Sedghi A., Barlinn J. Association of history of cerebrovascular disease with severity of COVID-19 // Journal of Neurology. 2021 март; 268(3) Р.773-784. doi: 10.1007/s00415-020-10121-0. Epub 2020 6 21. Venketasubramanian N., Yun B.V., Pandian J., Navarro J.S. The epidemiology of stroke in South, Oriental and SouthOriental Asia: a review // Journal of Stroke. 2017.№3. P.286-294. PMID: 29037005; PMCID: PMC5647629. 22. Vos T., Barber R.M., Bell B. et al. Global, regional and national incidence, prevalence, and years of disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for research global burden of disease 2013 // The Lancet. 2015.№9995. P.743-800. doi: 10.1016/S0140-6736(15)60692-4. PMID: 26063472. 23. Zhukov Yu., Dyusembekov Yu.K.K., Aringazina A. et al. Dynamics of the epidemiology of hemorrhagic stroke among the urban population of Kazakhstan over time // Open Access Macedonian Journal of Medical Sciences. 2022. P.402-408. https://oamjms.eu/index.php/mjms/article/view/8688 References: 1. Akimzhanova A.K., Khaybullin T.N., Grzhibovskiy A.M. Faktory riska 28-dnevnoy letal'nosti posle insul'ta v Kazakhstane: kogortnoe issledovanie[Risk factors for 28-day mortality in Kazakhstan: a cohort study]. Ekologiya cheloveka [Human Ecology]. 2016. №3. pp.52-58. URL: https://cyberleninka.ru/article/n/faktory-riska-28-dnevnoy-letalnosti-posle-insulta-v-kazahstane-kogortnoe-issledovanie (acecced: 10.01.2022). [in Russian]. 2. Akhmetzhanova Z.B., Medukhanova S.G., Zhumabaeva G.K., Adil'bekov E.B. Insul't v Kazakhstane [Stroke in Kazakhstan]. Neyrokhirurgiya i nevrologiya Kazakhstana [Neurosurgery and Neurology of Kazakhstan]. 2019. №2. pp.8-44. URL: https://cyberleninka.ru/article/n/insult-v-kazahstane (acecced:15.11.2022).[in Russian]. 3. Vsemirnaya Organizatsiya Zdravookhraneniya / Serdechno-sosudistye zabolevaniya [WHO /Cardiovascular diseases]/ https://www.who.int/ru/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) . 4. Erkebaeva S.K., Nurguzhaev E.S., Gafurov B.G., Zharkinbekova N.A., Abasova G.B. Epidemiologiya i klimatogeograficheskie faktory riska insul'ta v Yuzhno-Kazakhstanskoy oblasti [Epidemiology and climatogeographic risk factors of stroke in South Kazakhstan region]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [Journal of Neurology and Psychiatry named after S.S. Korsakov]. 2013. №3. pp.3-8. PMID: 23612391. [in Russian]. 5. Kastey R.M., Dyusembekov E.K., Zetov A.Sh. et al. Epidemiologicheskie aspekty i faktory razvitiya ostrykh narusheniy mozgovogo krovoobrashcheniya (Literaturnyy obzor) [Epidemiological aspects and factors of development of acute disorders of cerebral circulation (Literary review)]. Vestnik KazNMU [Bulletin of KazNMU]. 2020. №2-1. pp.591-596. URL: https://cyberleninka.ru/article/n/epidemiologicheskie-aspekty-i-faktory-razvitiya-ostryh-narusheniy-mozgovogo-krovoobrascheniya-literaturnyy-obzor (acecced: 13.11.2022). [in Russian]. 6. Konysbaeva K.K., Tokmurzieva G.Zh., Popova T.V. et al. Organizatsiya i sostoyanie insul'tnoy sluzhby v Respublike Kazakhstan [Organization and condition of stroke service in the Republic of Kazakhstan]. Zhurnal razvitiya zdravookhraneniya [Journal of Healthcare Development]. 2018. №3. pp.28. URL:https://cyberleninka.ru/article/n/organizatsiya-i-sostoyanie-insultnoy-sluzhby-v-respublike-kazahstan-1 (acecced: 12.11.2022). [in Russian]. 7. Smailov N.S. Profilaktika insul'tov i otsenka informirovannosti o faktorakh riska [Stroke prevention and risk factor awareness assessment]. Nauka i zdravookhranenie [Science and healthcare]. 2014. №1. pp.67-69. [in Russian]. 8. Shamray V.Yu., Makhmutova A.M., Erubaeva B.B. Sravnitel'nyy analiz osnovnykh faktorov riska insul'ta [Comparative analysis of the main risk factors for stroke]. Neyrokhirurgiya i nevrologiya Kazakhstana [Neurosurgery and neurology of Kazakhstan]. 2019. №2. pp.85-89. URL: https://cyberleninka.ru/article/n/sravnitelnyy-analiz-osnovnyh-faktorov-riska-insulta (acecced: 12.11.2022). [in Russian].
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Kairatova G.K., Kuanyshkalieva A.S., Rakhmetova V.S., Kaskabayeva А.Sh., Khismetova Z.A., Smailova D.S., Epidemiology of stroke in the Republic of Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 5, pp. 105-112. doi 10.34689/SH.2022.24.5.014

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