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Stroke in the Middl...
Stroke in the Middle-East and North Africa: A 2-year prospective observational study of stroke characteristics in the region-Results from the Safe Implementation of Treatments in Stroke (SITS)-Middle-East and North African (MENA)
- Article/chapterEnglish2019
Publisher, publication year, extent ...
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2019-03-12
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SAGE Publications,2019
Numbers
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LIBRIS-ID:oai:prod.swepub.kib.ki.se:142179940
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http://kipublications.ki.se/Default.aspx?queryparsed=id:142179940URI
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https://doi.org/10.1177/1747493019830331DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Stroke incidence and mortality are reported to have increased in the Middle-East and North African (MENA) countries during the last decade. This was a prospective observational study to examine the baseline characteristics of stroke patients in the MENA region and to compare the MENA vs. the non-MENA stroke cohort in the Safe Implementation of Treatments in Stroke (SITS) International Registry. Results Of the 13,822 patients with ischemic and hemorrhagic stroke enrolled in the SITS-All Patients Protocol between June 2014 and May 2016, 5897 patients (43%) were recruited in MENA. The median onset-to-door time was 5 h (IQR: 2:20–13:00), National Institutes of Health Stroke Scale (NIHSS) score was 8 (4–13) and age was 65 years (56–76). Hypertension (66%) and diabetes (38%) were the prevailing risk factors; large artery stenosis > 50% (25.3%) and lacunar strokes (24.1%) were the most common ischemic stroke etiologies. In comparison, non-MENA countries displayed an onset-to-door time of 5:50 h (2:00–18:45), a median of NIHSS 6 (3–14), and a median age of 66 (56–76), with other large vessel disease and cardiac embolism as the main ischemic stroke etiologies. Hemorrhagic strokes (10%) were less common compared to non-MENA countries (13.9%). In MENA, only a low proportion of patients (21%) was admitted to stroke units. Conclusions MENA patients are slightly younger, have a higher prevalence of diabetes and slightly more severe ischemic strokes, commonly of atherosclerotic or microvascular etiology. Admission into stroke units and long-term follow-up need to be improved. It is suspected that cardiac embolism and atrial fibrillation are currently underdiagnosed in MENA countries.
Added entries (persons, corporate bodies, meetings, titles ...)
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Mazya, MVKarolinska Institutet
(author)
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Hentati, F
(author)
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Ben Sassi, S
(author)
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Nabli, F
(author)
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Said, Z
(author)
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Faouzi, B
(author)
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Hashim, H
(author)
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Abd-Allah, F
(author)
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Mansouri, B
(author)
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Kesraoui, S
(author)
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Gebeily, S
(author)
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Abdulrahman, H
(author)
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Akhtar, N
(author)
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Ahmed, NKarolinska Institutet
(author)
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Wahlgren, NKarolinska Institutet
(author)
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Aref, H
(author)
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Almekhlafi, M
(author)
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Moreira, TKarolinska Institutet
(author)
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Karolinska Institutet
(creator_code:org_t)
Related titles
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In:International journal of stroke : official journal of the International Stroke Society: SAGE Publications14:7, s. 715-7221747-4949
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In:International Journal of Stroke: SAGE Publications14:7, s. 715-7221747-4930
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Al Rukn, S
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Mazya, MV
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Hentati, F
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Ben Sassi, S
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Nabli, F
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Said, Z
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Faouzi, B
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Hashim, H
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Abd-Allah, F
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Mansouri, B
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Kesraoui, S
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Gebeily, S
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Abdulrahman, H
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Akhtar, N
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Ahmed, N
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Wahlgren, N
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Aref, H
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Almekhlafi, M
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Moreira, T
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Karolinska Institutet