| A stepwise approach to stroke surveillance in Brazil: the EMMA (Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral) study. | |
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MedLine Citation:
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PMID: 20636711 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Stroke mortality rates in Brazil are the highest in the Americas. Deaths from cerebrovascular disease surpass coronary heart disease. AIM: To verify stroke mortality rates and morbidity in an area of São Paulo, Brazil, using the World Health Organization Stepwise Approach to Stroke Surveillance. METHODS: We used the World Health Organization Stepwise Approach to Stroke Surveillance structure of stroke surveillance. The hospital-based data comprised fatal and nonfatal stroke (Step 1). We gathered stroke-related mortality data in the community using World Health Organization questionnaires (Step 2). The questionnaire determining stroke prevalence was activated door to door in a family-health-programme neighbourhood (Step 3). RESULTS: A total of 682 patients 18 years and above, including 472 incident cases, presented with cerebrovascular disease and were enrolled in Step 1 during April-May 2009. Cerebral infarction (84.3%) and first-ever stroke (85.2%) were the most frequent. In Step 2, 256 deaths from stroke were identified during 2006-2007. Forty-four per cent of deaths were classified as unspecified stroke, 1/3 as ischaemic stroke, and 1/4 due to haemorrhagic subtype. In Step 3, 577 subjects over 35 years old were evaluated at home, and 244 cases of stroke survival were diagnosed via a questionnaire, validated by a board-certified neurologist. The population demographic characteristics were similar in the three steps, except in terms of age and gender. CONCLUSION: By including data from all settings, World Health Organization stroke surveillance can provide data to help plan future resources that meet the needs of the public-health system. |
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Authors:
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Alessandra C Goulart; Iara R Bustos; Ivana M Abe; Alexandre C Pereira; Ligia M Fedeli; Isabela M Benseñor; Paulo A Lotufo |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: International journal of stroke : official journal of the International Stroke Society Volume: 5 ISSN: 1747-4949 ISO Abbreviation: Int J Stroke Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-10-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101274068 Medline TA: Int J Stroke Country: England |
Other Details:
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Languages: eng Pagination: 284-9 Citation Subset: IM |
Affiliation:
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Hospital Universitario, University of São Paulo, São Paulo, SP, Brazil. agoulart@hu.usp.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Aged Brazil / epidemiology Cardiovascular Diseases / epidemiology Data Collection Female Hospitalization / statistics & numerical data Humans Male Middle Aged Population Population Surveillance / methods* Questionnaires Registries Research Design Socioeconomic Factors Stroke / epidemiology*, mortality World Health Organization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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