Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
During the last decade Croatia was faced with war and population migration that entailed socioeconomic changes, modification of lifestyle, risk factors and health care, thus influencing the incidence and outcome of stroke. Data on patients admitted to University Department of Neurology in the years 1990 and 1999 were compared to estimate the incidence and prevalence of stroke and stroke subtypes, risk factors and outcome. In 1999, the number of stroke patients was almost twofold that recorded in 1990 and stroke patients were by 5 years younger. In 1999, there were more first-ever strokes (the incidence of crude first stroke increased by 57%), whereas the number of recurrent strokes increased in men and decreased in women. The proportion of ischemic stroke and subarachnoid hemorrhage did not significantly change, whereas parenchymatous hemorrhage increased in women. Hypertension was more common (83% versus 62%), whereas the prevalence of other risk factors did not change significantly. Patients were more often discharged for home care instead of rehabilitation center care. Mortality decreased in men and increased in women, whereas case fatality and crude mortality decreased leading to an increased stroke burden.Tijekom prošloga desetljeća Hrvatska je bila zahvaćena ratnim zbivanjima koja su donijela mnoge političke, socioekonomske i kulturološke promjene. Promjena načina života svakako je utjecala na modifikaciju čimbenika rizika, pa tako i na incidenciju i ishod moždanog udara. U ovom istraživanju uspoređeni su podatci o incidenciji, prevalenciji, vrstama i ishodu moždanog udara kod bolesnika koji su primljeni na Kliniku za neurologiju tijekom prijeratne 1990. i poslijeratne 1999. godine. U 1999. godini bilo je skoro dvostruko više bolesnika, incidencija prvog moždanog udara porasla je za 57%, dok je broj ponovljenih moždanih udara porastao u muškaraca, a pao u žena. Udio ishemijskog moždanog udara i subarahnoidnog krvarenja nije se statistički značajno promijenio, dok je broj parenhimnih krvarenja kod žena porastao. Hipertenzija se javljala češće (83% naprama 62%), dok se zastupljenost drugih čimbenika rizika nije promijenila. Bolesnici su se u 1999. češće otpuštali na kućnu njegu nego na rehabilitaciju. Opća smrtnost i smrtnost u muškaraca je u 1999. godini pala, dok je kod žena bila u porastu
