Presenter of 6 Presentations
AGE AND GENDER CHARACTERISTICS OF STROKE IN UZBEKISTAN DURING THE COVID-19 PANDEMIC ACCORDING TO THE STROKE REGISTRY
CLINICAL AND EPIDEMIOLOGICAL DATA OF ACUTE CEREBROVASCULAR ACCIDENT IN UZBEKISTAN FOR THREE (2019,2020,2021) YEARS ACCORDING TO THE STROKE REGISTRY.
Young Investigator Awards
- Zafarjon K. Abdullaev (Uzbekistan)
- Ayush Agarwal (India)
- Vivek Agarwal (India)
- Anvar Azimov (Uzbekistan)
- Ashu Bhasin (India)
- Byambasuren Luvsansuren (Mongolia)
- Surenjav Chimed (Mongolia)
- Nha Dao (Viet Nam)
- Adekunle G. Fakunle (Nigeria)
- Dmytro Filimonov (Ukraine)
- Manisha K Yalapalli (India)
- Soumya Krishnamoorthy (India)
- Pradeep Kumar (India)
- ANKITA MAHESHWARI (India)
- Trung Q. Nguyen (Viet Nam)
- Piyush Ojha (India)
- VISHNU SWARUP (India)
- Faris K. Syah (Indonesia)
- Hang T. Tran (Viet Nam)
- Shriram Varadharajan (India)
AGE AND GENDER CHARACTERISTICS OF STROKE IN UZBEKISTAN DURING THE COVID-19 PANDEMIC ACCORDING TO THE STROKE REGISTRY
Abstract
Background and Aims
To study the epidemiological and clinical data on stroke during the Covid-19 pandemic according to the Stroke Registry.
Methods
To achieve the goal, we developed a questionnaire for the national stroke registry approved by the Ministry of Health of the Republic of Uzbekistan.The work was performed on the basis of the Department of Neurology of the Tashkent Pediatric Medical Institute.Since the study should cover the entire country, which is impossible to conduct a study on the basis of an established one clinic, we created a group of telegram messenger for the main district, city and regional neurologists, with the help of which we recruited more than 200 neurologists working in different parts of our country, which makes it possible to simultaneously distribute an electronic questionnaire throughout the Republic and receive daily information on new and repeated cases of stroke and enter it into a database specially designed for the National Stroke Registry program.
Results
The object of the study was 45,479 stroke patients during the pandemic.The age of the patients ranged from 18 to 78 years and averaged 49.1±10.6 years. Among all registered patients, women were (41.9%), men (58.9%). The percentage of registered patients by age was:18-44 years old - 5.3%, 45-59 years old - 30.8%, 60-74 years old - 36.1%, 75-90 years old 27.8%, 90 and older -0%
Conclusions
The study allows us to develop a scientifically based prognosis of the incidence of stroke among women and men of different ages which will make it possible to compare with the indicators in a non-pandemic
CLINICAL AND EPIDEMIOLOGICAL DATA OF ACUTE CEREBROVASCULAR ACCIDENT IN UZBEKISTAN FOR THREE (2019,2020,2021) YEARS ACCORDING TO THE STROKE REGISTRY.
Abstract
Background and Aims
To study the epidemiology and features of the course of stroke in Uzbekistan according to the register for three years, followed by improvement of the system of prevention of patient care.
Methods
The stroke registry method is the best method not only for detecting new and recurrent cases of stroke among permanent residents of a certain region, but also for determining the main epidemiological indicators such as morbidity, mortality, which makes it possible for health authorities to take into account when planning a health care network.
Results
The stroke registry was conducted throughout the Republic from January 1, 2019 to December 31, 2021.In the first year of the study 63000 cases In the second and third 45479 and 59280 of stroke were registered respectively.The average annual incidence of stroke per 1000 population in 2019 was 1.88, and in 2020 and 2021 this figure was 1.34 and 1.65, respectively. Moreover, the incidence rate tended to decrease from 1.88 to 1.34 per 1000 population in 2019-2020.It should be emphasized that the average annual incidence of stroke in 2020 did not decrease due to a decrease in true incidence rates, but due to the emerging Covid-19 pandemic, in which a large number of patients who had stroke, fearing to contract a viral infection, received treatment at home, without official registration
Conclusions
When studying the mortality rates from stroke in the Republic for the study period, it was found that the average annual mortality per 1000 population was 0.37, 0.36 and 0.34 in 2019, 2020 and 2021, respectively
THE RATIO OF RISK FACTORS FOR THE DEVELOPMENT OF STROKE IN UZBEKISTAN ACCORDING TO RES-Q
Abstract
Background and Aims
To establish the frequency of the most significant risk factors for the development of stroke in Uzbekistan and develop a system for improving stroke prevention
Methods
To achieve the goal, we used RES-Q. RES-Q is a Registry of Stroke Care Quality. Developed as an ESO East initiative.
Results
According to the results of our study, hypertension was the most common of all studied risk factors for stroke and was detected in 81.1% of patients. The second risk factor in terms of frequency of occurrence was heredity in 62.3% of patients. There is evidence that family members of stroke patients are more likely to have strokes, myocardial infarctions, and sudden deaths. In our study, patients with cardiovascular pathologies in the form of atrial fibrillation and a history of myocardial infarction occurred in 11.2% and 5.4% of cases, respectively.In our study, in patients with stroke, overweight was detected in 29.2% of patients. Smoking - this indicator according to the results of our study amounted to 19.8% Alcohol accelerates the development of MI by 4.7 times. This indicator according to the results of our study amounted to 12.4% Diabetes mellitus - according to the results of our study amounted to 9.7% Atherosclerosis increases the risk of stroke by 4.0 times.In our studies, this factor was identified in 4.8% of patients.
Conclusions
Thus, the following factors were identified as the main risk factors for strokes (as the strength of influence decreases): arterial hypertension, aggravated heredity, obesity, smoking, alcohol consumption, atrial fibrillation, diabetes mellitus, myocardial infarction and atherosclerosis