Secular trend in the incidence of hemorrhagicstroke in the Osijek area, East Croatia, during the 1988-2000 period: A Hospital - based Study (CROSBI ID 739336)
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Podaci o odgovornosti
Kadojić, Dragutin ; Barac, Boško
engleski
Secular trend in the incidence of hemorrhagicstroke in the Osijek area, East Croatia, during the 1988-2000 period: A Hospital - based Study
The purpose of the study was to establish the possible environmental influences in the peculiar rising and falling trends in the number of hemorrhagic stroke (HS) recorded in east Croatia (Osijek area) during the last thirteen-year period (1988-2000). In this period, 1222 HS were recorded and treated. A constant increase in the incidence of HS was observed, from 60 in 1988 to 139 in 1998, with a mean annual rate of 16, 5% of all stroke cases. A sharp increase in the rate of HS in total stroke incidence was recorded during the war in Croatia (1991-1995), with a peak incidence of 27, 4 % in 1993. Typical hypertensive intracerebral hemorrhage (ICH) was most common (57, 1%), followed by atypical ICH in 16, 5% of cases. Analysis of the annual incidence of hypertensive ICH and SAH revealed peculiar rising and falling trends. These variations were in correlation with difficult living conditions. During the war period, the SAH incidence sharply rose. Immediately after the war it suddenly decreased. The authors named this phenomenon a "pool depletion", supposing the relatively stable proportion of the those with aneurysms in the population. The observed variations seemed to be the consequence of war stress and other negative psychosocial and economic factors during the post-war period, which increased the risk of SAH and typical hypertensive ICH through complex pathophysiological mechanisms.
hemorrhagic stroke; hypertensive intracerebral hemorrhage
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Podaci o prilogu
58-59-x.
2002.
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objavljeno
Podaci o matičnoj publikaciji
Acta clinica Croatica. Supplement
0353-9474
Podaci o skupu
Nepoznat skup
ostalo
29.02.1904-29.02.2096