The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)

Summary: The World Health Organization (WHO) South East Asia Region (SEAR) comprises 11 countries, which are one of the most culturally, topographically, and socially diverse areas worldwide, undergoing an epidemiological transition towards non-communicable diseases, including stroke and other cardi...

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Main Authors: Jeyaraj D. Pandian, Madakasira Vasantha Padma Srivastava, Sanjith Aaron, Udaya K. Ranawaka, Narayanaswamy Venketasubramanian, Ivy Anne Sebastian, Ranjit J. Injety, Dorcas B.C. Gandhi, Nistara S. Chawla, Pranay J. Vijayanand, Sukanya Rangamani, Yogeshwar V. Kalkonde
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:The Lancet Regional Health - Southeast Asia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772368223001506
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author Jeyaraj D. Pandian
Madakasira Vasantha Padma Srivastava
Sanjith Aaron
Udaya K. Ranawaka
Narayanaswamy Venketasubramanian
Ivy Anne Sebastian
Ranjit J. Injety
Dorcas B.C. Gandhi
Nistara S. Chawla
Pranay J. Vijayanand
Sukanya Rangamani
Yogeshwar V. Kalkonde
author_facet Jeyaraj D. Pandian
Madakasira Vasantha Padma Srivastava
Sanjith Aaron
Udaya K. Ranawaka
Narayanaswamy Venketasubramanian
Ivy Anne Sebastian
Ranjit J. Injety
Dorcas B.C. Gandhi
Nistara S. Chawla
Pranay J. Vijayanand
Sukanya Rangamani
Yogeshwar V. Kalkonde
author_sort Jeyaraj D. Pandian
collection DOAJ
description Summary: The World Health Organization (WHO) South East Asia Region (SEAR) comprises 11 countries, which are one of the most culturally, topographically, and socially diverse areas worldwide, undergoing an epidemiological transition towards non-communicable diseases, including stroke and other cardiovascular diseases (CVDs). This region accounts for over 40% of the global stroke mortality. Few well-designed population-based epidemiological studies on stroke are available from SEAR countries, with considerable variations among them. Ischemic stroke, a common stroke subtype, has higher frequencies of intracerebral hemorrhage in many countries. Along with an aging population, the increased prevalence of risk factors such as hypertension, diabetes mellitus, tobacco and alcohol consumption, lack of physical activity, high ambient pollution, heat, and humidity contribute to the high burden of stroke in this region. SEAR's many unique and uncommon stroke etiologies include cerebral venous thrombosis, tuberculosis, dengue, scrub typhus, falciparum malaria, snake bite, scorpion sting, etc. Current data on stroke burden and risk factors is lacking, compelling an urgent need for high-quality hospital-level and population-level data in all SEAR countries. Strategies towards a consolidated approach for implementing improved stroke prevention measures, stroke surveillance, and established stroke systems of care are the path to bridging the gaps in stroke care.
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spelling doaj.art-c3e52aaf06c44b02b37d3ef82a54486d2023-10-13T13:57:01ZengElsevierThe Lancet Regional Health - Southeast Asia2772-36822023-10-0117100290The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)Jeyaraj D. Pandian0Madakasira Vasantha Padma Srivastava1Sanjith Aaron2Udaya K. Ranawaka3Narayanaswamy Venketasubramanian4Ivy Anne Sebastian5Ranjit J. Injety6Dorcas B.C. Gandhi7Nistara S. Chawla8Pranay J. Vijayanand9Sukanya Rangamani10Yogeshwar V. Kalkonde11Department of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, India; Corresponding author. Christian Medical College, Ludhiana, Punjab 141008, India.Department of Neurology, Neurosciences Center, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Neurology, Christian Medical College, Vellore, IndiaFaculty of Medicine, University of Kelaniya, Sri LankaRaffles Neuroscience Centre, Raffles Hospital, Singapore 188770, SingaporeDepartment of Neurology, St. Stephen’s Hospital, New Delhi, IndiaDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, IndiaDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, IndiaDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, IndiaDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, IndiaNational Centre for Disease Informatics and Research, Indian Council of Medical Research, Bangalore, Karnataka, IndiaSangwari, District Surguja, Ambikapur, Chhattisgarh, IndiaSummary: The World Health Organization (WHO) South East Asia Region (SEAR) comprises 11 countries, which are one of the most culturally, topographically, and socially diverse areas worldwide, undergoing an epidemiological transition towards non-communicable diseases, including stroke and other cardiovascular diseases (CVDs). This region accounts for over 40% of the global stroke mortality. Few well-designed population-based epidemiological studies on stroke are available from SEAR countries, with considerable variations among them. Ischemic stroke, a common stroke subtype, has higher frequencies of intracerebral hemorrhage in many countries. Along with an aging population, the increased prevalence of risk factors such as hypertension, diabetes mellitus, tobacco and alcohol consumption, lack of physical activity, high ambient pollution, heat, and humidity contribute to the high burden of stroke in this region. SEAR's many unique and uncommon stroke etiologies include cerebral venous thrombosis, tuberculosis, dengue, scrub typhus, falciparum malaria, snake bite, scorpion sting, etc. Current data on stroke burden and risk factors is lacking, compelling an urgent need for high-quality hospital-level and population-level data in all SEAR countries. Strategies towards a consolidated approach for implementing improved stroke prevention measures, stroke surveillance, and established stroke systems of care are the path to bridging the gaps in stroke care.http://www.sciencedirect.com/science/article/pii/S2772368223001506Stroke burdenStroke risk factorsUnique etiologies
spellingShingle Jeyaraj D. Pandian
Madakasira Vasantha Padma Srivastava
Sanjith Aaron
Udaya K. Ranawaka
Narayanaswamy Venketasubramanian
Ivy Anne Sebastian
Ranjit J. Injety
Dorcas B.C. Gandhi
Nistara S. Chawla
Pranay J. Vijayanand
Sukanya Rangamani
Yogeshwar V. Kalkonde
The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)
The Lancet Regional Health - Southeast Asia
Stroke burden
Stroke risk factors
Unique etiologies
title The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)
title_full The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)
title_fullStr The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)
title_full_unstemmed The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)
title_short The burden, risk factors and unique etiologies of stroke in South-East Asia Region (SEAR)
title_sort burden risk factors and unique etiologies of stroke in south east asia region sear
topic Stroke burden
Stroke risk factors
Unique etiologies
url http://www.sciencedirect.com/science/article/pii/S2772368223001506
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