Roberto Machado (United States of America)
Harvard Medical School Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Boston, USA.Author Of 1 Presentation
THE IMPACT OF STROKE IN LATIN AMERICA: A LONGITUDINAL ANALYSIS OF THE BURDEN OF DISEASE AND RISK FACTORS (1990-2019).
- Stefano Giannoni-Luza (Switzerland)
Abstract
Background and Aims:
Stroke is one of the leading causes of burden of disease worldwide. We aim to analyze the changes in the burden of stroke in Latin America (LA) between 1990 and 2019 and evaluate them by type and their risk factors.
Methods:
We systematically evaluated the Global Burden of Diseases Database 2019. The measure of burden used was Disability-adjusted life years (DALYs), which were adjusted for comorbidity and were estimated with 95% uncertainty intervals. Data were selected for Latin America (36 countries) in 1990 and 2019, per year, stroke type, and risk factors.
Results:
In 2019, the burden of stroke in LA was 6’957,676.91 DALYs (6’064,946.96 – 7’973,092.68; CI 95%) which corresponded to an increase of 15.5% from 1990. The increase is mainly due to disability (an increase of 68.18%). Hemorrhagic type generated the highest-burden across time, but the ischemic type has increased by more than 30%. High systolic blood pressure and high body mass index are the most important risk factors (26.31% increase from 1990). Regionally in 1990, Guyana was the country with the highest burden per 100,000 inhabitants, while Haiti in 2019.
Conclusions:
The burden of Stroke in LA has increased between 1990 and 2019, mainly due to ischemic type and associated disability. Regional demography and attribution of modifiable risk factors of stroke burden have changed across time in LA. Priority actions should be taken to adapt prevention policies and offer timely rehabilitation to reduce the burden of stroke in LA.