First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina

M. Cecilia Bahit, Mariano L. Coppola, Patricia M. Riccio, Lauren E. Cipriano, Gregory A. Roth, Renato D. Lopes, Valery L. Feigin, Brenda Borrego Guerrero, Maximiliano De Martino, Alejandro Díaz, Daniel Ferrante, Fernando Funaro, Pablo Lavados, M. Laura Lewin, Daniel H. López, Patricia Macarrone, Rafael Marciello, Diego Marino, Cecilia Martens, Paula MartínezGuillermo Odriozola, Alejandro Rabinstein, Gustavo Saposnik, Damián Silva, Ramón Suasnabar, Thomas Truelsen, Araceli Uzcudun, Carlos A. Viviani, Luciano A. Sposato

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background and Purpose - Epidemiological data about stroke are scarce in low- and middle-income Latin-American countries. We investigated annual incidence of first-ever stroke and transient ischemic attack (TIA) and 30-day case-fatality rates in a population-based setting in Tandil, Argentina. Methods - We prospectively identified all first-ever stroke and TIA cases from overlapping sources between January 5, 2013, and April 30, 2015, in Tandil, Argentina. We calculated crude and standardized incidence rates. We estimated 30-day case-fatality rates. Results - We identified 334 first-ever strokes and 108 TIAs. Age-standardized incidence rate per 100 000 for Segi's World population was 76.5 (95% confidence interval [CI], 67.8-85.9) for first-ever stroke and 25.1 (95% CI, 20.2-30.7) for first-ever TIA, 56.1 (95% CI, 48.8-64.2) for ischemic stroke, 13.5 (95% CI, 9.9-17.9) for intracerebral hemorrhage, and 4.9 (95% CI, 2.7-8.1) for subarachnoid hemorrhage. Stroke incidence was slightly higher for men (87.8; 95% CI, 74.6-102.6) than for women (73.2; 95% CI, 61.7-86.1) when standardized for the Argentinean population. Thirty-day case-fatality rate was 14.7% (95% CI, 10.8-19.5) for ischemic stroke, 24.1% (95% CI, 14.2-36.6) for intracerebral hemorrhage, and 1.9% (95% CI, 0.4-5.8) for TIA. Conclusions - This study provides the first prospective population-based stroke and TIA incidence and case-fatality estimate in Argentina. First-ever stroke incidence was lower than that reported in previous Latin-American studies, but first-ever TIA incidence was higher. Thirty-day case-fatality rates were similar to those of other population-based Latin-American studies.

Original languageEnglish (US)
Pages (from-to)1640-1642
Number of pages3
JournalStroke
Volume47
Issue number6
DOIs
StatePublished - Jun 1 2016

Fingerprint

Transient Ischemic Attack
Argentina
Stroke
Confidence Intervals
Mortality
Incidence
Population
Cerebral Hemorrhage
Subarachnoid Hemorrhage

Keywords

  • death
  • incidence
  • population
  • stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

Bahit, M. C., Coppola, M. L., Riccio, P. M., Cipriano, L. E., Roth, G. A., Lopes, R. D., ... Sposato, L. A. (2016). First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina. Stroke, 47(6), 1640-1642. https://doi.org/10.1161/STROKEAHA.116.013637

First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina. / Bahit, M. Cecilia; Coppola, Mariano L.; Riccio, Patricia M.; Cipriano, Lauren E.; Roth, Gregory A.; Lopes, Renato D.; Feigin, Valery L.; Borrego Guerrero, Brenda; De Martino, Maximiliano; Díaz, Alejandro; Ferrante, Daniel; Funaro, Fernando; Lavados, Pablo; Lewin, M. Laura; López, Daniel H.; Macarrone, Patricia; Marciello, Rafael; Marino, Diego; Martens, Cecilia; Martínez, Paula; Odriozola, Guillermo; Rabinstein, Alejandro; Saposnik, Gustavo; Silva, Damián; Suasnabar, Ramón; Truelsen, Thomas; Uzcudun, Araceli; Viviani, Carlos A.; Sposato, Luciano A.

In: Stroke, Vol. 47, No. 6, 01.06.2016, p. 1640-1642.

Research output: Contribution to journalArticle

Bahit, MC, Coppola, ML, Riccio, PM, Cipriano, LE, Roth, GA, Lopes, RD, Feigin, VL, Borrego Guerrero, B, De Martino, M, Díaz, A, Ferrante, D, Funaro, F, Lavados, P, Lewin, ML, López, DH, Macarrone, P, Marciello, R, Marino, D, Martens, C, Martínez, P, Odriozola, G, Rabinstein, A, Saposnik, G, Silva, D, Suasnabar, R, Truelsen, T, Uzcudun, A, Viviani, CA & Sposato, LA 2016, 'First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina', Stroke, vol. 47, no. 6, pp. 1640-1642. https://doi.org/10.1161/STROKEAHA.116.013637
Bahit, M. Cecilia ; Coppola, Mariano L. ; Riccio, Patricia M. ; Cipriano, Lauren E. ; Roth, Gregory A. ; Lopes, Renato D. ; Feigin, Valery L. ; Borrego Guerrero, Brenda ; De Martino, Maximiliano ; Díaz, Alejandro ; Ferrante, Daniel ; Funaro, Fernando ; Lavados, Pablo ; Lewin, M. Laura ; López, Daniel H. ; Macarrone, Patricia ; Marciello, Rafael ; Marino, Diego ; Martens, Cecilia ; Martínez, Paula ; Odriozola, Guillermo ; Rabinstein, Alejandro ; Saposnik, Gustavo ; Silva, Damián ; Suasnabar, Ramón ; Truelsen, Thomas ; Uzcudun, Araceli ; Viviani, Carlos A. ; Sposato, Luciano A. / First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina. In: Stroke. 2016 ; Vol. 47, No. 6. pp. 1640-1642.
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abstract = "Background and Purpose - Epidemiological data about stroke are scarce in low- and middle-income Latin-American countries. We investigated annual incidence of first-ever stroke and transient ischemic attack (TIA) and 30-day case-fatality rates in a population-based setting in Tandil, Argentina. Methods - We prospectively identified all first-ever stroke and TIA cases from overlapping sources between January 5, 2013, and April 30, 2015, in Tandil, Argentina. We calculated crude and standardized incidence rates. We estimated 30-day case-fatality rates. Results - We identified 334 first-ever strokes and 108 TIAs. Age-standardized incidence rate per 100 000 for Segi's World population was 76.5 (95{\%} confidence interval [CI], 67.8-85.9) for first-ever stroke and 25.1 (95{\%} CI, 20.2-30.7) for first-ever TIA, 56.1 (95{\%} CI, 48.8-64.2) for ischemic stroke, 13.5 (95{\%} CI, 9.9-17.9) for intracerebral hemorrhage, and 4.9 (95{\%} CI, 2.7-8.1) for subarachnoid hemorrhage. Stroke incidence was slightly higher for men (87.8; 95{\%} CI, 74.6-102.6) than for women (73.2; 95{\%} CI, 61.7-86.1) when standardized for the Argentinean population. Thirty-day case-fatality rate was 14.7{\%} (95{\%} CI, 10.8-19.5) for ischemic stroke, 24.1{\%} (95{\%} CI, 14.2-36.6) for intracerebral hemorrhage, and 1.9{\%} (95{\%} CI, 0.4-5.8) for TIA. Conclusions - This study provides the first prospective population-based stroke and TIA incidence and case-fatality estimate in Argentina. First-ever stroke incidence was lower than that reported in previous Latin-American studies, but first-ever TIA incidence was higher. Thirty-day case-fatality rates were similar to those of other population-based Latin-American studies.",
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author = "Bahit, {M. Cecilia} and Coppola, {Mariano L.} and Riccio, {Patricia M.} and Cipriano, {Lauren E.} and Roth, {Gregory A.} and Lopes, {Renato D.} and Feigin, {Valery L.} and {Borrego Guerrero}, Brenda and {De Martino}, Maximiliano and Alejandro D{\'i}az and Daniel Ferrante and Fernando Funaro and Pablo Lavados and Lewin, {M. Laura} and L{\'o}pez, {Daniel H.} and Patricia Macarrone and Rafael Marciello and Diego Marino and Cecilia Martens and Paula Mart{\'i}nez and Guillermo Odriozola and Alejandro Rabinstein and Gustavo Saposnik and Dami{\'a}n Silva and Ram{\'o}n Suasnabar and Thomas Truelsen and Araceli Uzcudun and Viviani, {Carlos A.} and Sposato, {Luciano A.}",
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T1 - First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina

AU - Bahit, M. Cecilia

AU - Coppola, Mariano L.

AU - Riccio, Patricia M.

AU - Cipriano, Lauren E.

AU - Roth, Gregory A.

AU - Lopes, Renato D.

AU - Feigin, Valery L.

AU - Borrego Guerrero, Brenda

AU - De Martino, Maximiliano

AU - Díaz, Alejandro

AU - Ferrante, Daniel

AU - Funaro, Fernando

AU - Lavados, Pablo

AU - Lewin, M. Laura

AU - López, Daniel H.

AU - Macarrone, Patricia

AU - Marciello, Rafael

AU - Marino, Diego

AU - Martens, Cecilia

AU - Martínez, Paula

AU - Odriozola, Guillermo

AU - Rabinstein, Alejandro

AU - Saposnik, Gustavo

AU - Silva, Damián

AU - Suasnabar, Ramón

AU - Truelsen, Thomas

AU - Uzcudun, Araceli

AU - Viviani, Carlos A.

AU - Sposato, Luciano A.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Background and Purpose - Epidemiological data about stroke are scarce in low- and middle-income Latin-American countries. We investigated annual incidence of first-ever stroke and transient ischemic attack (TIA) and 30-day case-fatality rates in a population-based setting in Tandil, Argentina. Methods - We prospectively identified all first-ever stroke and TIA cases from overlapping sources between January 5, 2013, and April 30, 2015, in Tandil, Argentina. We calculated crude and standardized incidence rates. We estimated 30-day case-fatality rates. Results - We identified 334 first-ever strokes and 108 TIAs. Age-standardized incidence rate per 100 000 for Segi's World population was 76.5 (95% confidence interval [CI], 67.8-85.9) for first-ever stroke and 25.1 (95% CI, 20.2-30.7) for first-ever TIA, 56.1 (95% CI, 48.8-64.2) for ischemic stroke, 13.5 (95% CI, 9.9-17.9) for intracerebral hemorrhage, and 4.9 (95% CI, 2.7-8.1) for subarachnoid hemorrhage. Stroke incidence was slightly higher for men (87.8; 95% CI, 74.6-102.6) than for women (73.2; 95% CI, 61.7-86.1) when standardized for the Argentinean population. Thirty-day case-fatality rate was 14.7% (95% CI, 10.8-19.5) for ischemic stroke, 24.1% (95% CI, 14.2-36.6) for intracerebral hemorrhage, and 1.9% (95% CI, 0.4-5.8) for TIA. Conclusions - This study provides the first prospective population-based stroke and TIA incidence and case-fatality estimate in Argentina. First-ever stroke incidence was lower than that reported in previous Latin-American studies, but first-ever TIA incidence was higher. Thirty-day case-fatality rates were similar to those of other population-based Latin-American studies.

AB - Background and Purpose - Epidemiological data about stroke are scarce in low- and middle-income Latin-American countries. We investigated annual incidence of first-ever stroke and transient ischemic attack (TIA) and 30-day case-fatality rates in a population-based setting in Tandil, Argentina. Methods - We prospectively identified all first-ever stroke and TIA cases from overlapping sources between January 5, 2013, and April 30, 2015, in Tandil, Argentina. We calculated crude and standardized incidence rates. We estimated 30-day case-fatality rates. Results - We identified 334 first-ever strokes and 108 TIAs. Age-standardized incidence rate per 100 000 for Segi's World population was 76.5 (95% confidence interval [CI], 67.8-85.9) for first-ever stroke and 25.1 (95% CI, 20.2-30.7) for first-ever TIA, 56.1 (95% CI, 48.8-64.2) for ischemic stroke, 13.5 (95% CI, 9.9-17.9) for intracerebral hemorrhage, and 4.9 (95% CI, 2.7-8.1) for subarachnoid hemorrhage. Stroke incidence was slightly higher for men (87.8; 95% CI, 74.6-102.6) than for women (73.2; 95% CI, 61.7-86.1) when standardized for the Argentinean population. Thirty-day case-fatality rate was 14.7% (95% CI, 10.8-19.5) for ischemic stroke, 24.1% (95% CI, 14.2-36.6) for intracerebral hemorrhage, and 1.9% (95% CI, 0.4-5.8) for TIA. Conclusions - This study provides the first prospective population-based stroke and TIA incidence and case-fatality estimate in Argentina. First-ever stroke incidence was lower than that reported in previous Latin-American studies, but first-ever TIA incidence was higher. Thirty-day case-fatality rates were similar to those of other population-based Latin-American studies.

KW - death

KW - incidence

KW - population

KW - stroke

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