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Trends in stroke and acute myocardial infarction in Barbados, 2009–2013
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-17937
Biblioteca responsável: TT2.1
ABSTRACT

OBJECTIVE:

To describe trends in incidence, mortality and 28-day case fatality rate (CFR) for stroke and acute myocardial infarction (MI) in Barbados during the first 5 years of the Barbados National Registry for Chronic Non-communicable Disease (BNR). DESIGN AND

METHODS:

BNR data on strokes and acute MIs diagnosed nationwide were collected prospectively from data sources including public and private healthcare providers. Analyses included annual incidence and mortality rates per 100,000 (IR and MR), and 28 day post-event CFR, with 95% CI and trend estimation (fitting models to data using Poisson regression).

RESULTS:

Approximately 593 strokes and 349 acute MIs were registered annually with the BNR between 2009 and 2013, with a small 5-year decline in acute MI IR and a small 5-year increase in stroke IR by 2013. The MR for acute MI showed a small 5-year decline, but stroke MR increased significantly over the 5 years, from 78.9 (95%CI 68.8–90.0) in 2009 to 131.7 (118.8–145.8) in 2013 (p<0.03). Similar trends to MR were seen in CFR for both stroke and acute MI.

CONCLUSION:

We are cautiously optimistic about the (albeit non-significant) decline in IR, MR and CFR for acute MI, which could imply improvements in healthcare service provision. However, despite little change in stroke annual incidence, significant MR increase highlights the need for improved stroke care in Barbados. Thrombolysis for acute ischaemic stroke has only been available since the new stroke unit was implemented in late 2013; continued monitoring will allow assessment of this important initiative.
Assuntos
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis Problema de saúde: Doença Cardiovascular / Doença Cerebrovascular / Doença Isquêmica do Coração Base de dados: MedCarib Assunto principal: Acidente Vascular Cerebral / Infarto do Miocárdio País/Região como assunto: Barbados / Caribe Inglês Idioma: Inglês Revista: West Indian Medical Journal Supplement Ano de publicação: 2015 Tipo de documento: Monografia
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis Problema de saúde: Doença Cardiovascular / Doença Cerebrovascular / Doença Isquêmica do Coração Base de dados: MedCarib Assunto principal: Acidente Vascular Cerebral / Infarto do Miocárdio País/Região como assunto: Barbados / Caribe Inglês Idioma: Inglês Revista: West Indian Medical Journal Supplement Ano de publicação: 2015 Tipo de documento: Monografia
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