Disease burden of stroke in Kolkata, India: derivation of disability-adjusted life years by a direct method.
Neuroepidemiology
; 41(2): 88-93, 2013.
Article
em En
| MEDLINE
| ID: mdl-23774662
ABSTRACT
BACKGROUND/AIMS:
The disability-adjusted life year (DALY) is a new time-based measure of disease burden incorporating both disability and mortality. Our study aims to determine the DALYs lost due to stroke using a direct methodology and the implications.METHODS:
A population-based, house-to-house, 2-stage, prospective study on stroke was conducted over 7 years in Kolkata, India, on 100,802 randomly selected subjects to capture the incident cases of first-ever stroke and those with fatal stroke. The data were utilized to estimate years of life lost due to premature mortality (YLLs), years lived with disability (YLDs) and DALYs lost.RESULTS:
Over 7 years, there were 763 incident cases of first-ever stroke; of these, 320 had a fatal stroke within 30 days and 443 were stroke survivors. The overall DALYs lost due to stroke were computed as 795.57 per 100,000 person-years (730.43 in men and 552.86 in women). The overall YLL and YLD values were 593.14 and 202.43 per 100,000 person-years, respectively. The YLLs comprised 74.5% of the total DALYs.CONCLUSIONS:
This is the first study in India where DALYs lost due to stroke were derived by a direct method. High YLL values demand urgent measures for controlling premature stroke death.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vigilância da População
/
Efeitos Psicossociais da Doença
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Pessoas com Deficiência
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Anos de Vida Ajustados por Qualidade de Vida
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Acidente Vascular Cerebral
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Risk_factors_studies
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Screening_studies
Limite:
Adolescent
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Adult
/
Aged
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article