Prevalence of stroke and related burden among older people living in Latin America, India and China.
Fecha
2011Autor
Ferri, Cleusa P.
Schoenborn, Claudia
Kalra, Lalit
Acosta, Daisy
Guerra, Mariella
Huang, Yueqin
Jacob, K. S.
Llibre Rodríguez, Juan J.
Salas, Aquiles
Sosa, Ana Luisa
Williams, Joseph D.
Liu, Zhaorui
Moriyama, Tais
Valhuerdi, Adolfo
Prince, Martin J.
Metadatos
Mostrar el registro completo del ítemResumen
Despite the growing importance of stroke in developing countries, little is known of stroke burden in survivors. The authors investigated the prevalence of selfreported stroke, stroke-related disability, dependence and care-giver strain in
Latin America (LA), China and India. Methods: Cross-sectional surveys were conducted on individuals aged 65+ (n=15 022)
living in specified catchment areas. Self-reported stroke diagnosis, disability, care needs and care giver burden were assessed using a standardised protocol. For those reporting stroke, the correlates of disability, dependence and care-giver burden were estimated at each site using Poisson or linear regression, and combined meta-analytically. Results: The prevalence of self-reported stroke ranged between 6% and 9% across most LA sites and urban China, but was much lower
in urban India (1.9%), and in rural sites in India (1.1%), China (1.6%) and Peru (2.7%). The proportion of stroke survivors needing care varied between 20% and 39% in LA sites but was higher in rural China (44%), urban China (54%) and rural
India (73%). Comorbid dementia and depression were the main correlates of disability and dependence. Conclusion: The prevalence of stroke in urban LA and Chinese sites is nearly as high as in industrialised countries. High levels of disability
and dependence in the other mainly rural and less-developed sites suggest underascertainment of less severe cases as one likely explanation for the lower prevalence in those settings. As the health transition proceeds, a further increase in numbers of older stroke survivors is to be anticipated. In addition to prevention, stroke rehabilitation and long-term care needs should be addressed.
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