Bengaluru: A study of the incidence of strokes and mortality associated with it in five Indian districts, which was taken by the Indian Medical Research Council (ICMR) has shown a large difference and treatment gap.
In accordance with the study conducted for a period of two years during 2018 and 2019, 187 people in every resident of Lakh suffered a stroke in Cuttack, Odisha, every year, while in Cachar Assam District was 96 cases of stroke per population.
Death because stroke within 28 days of stroke on sets of 15 per lakh population in the city, Rajasthan up to 46 deaths per population of lakh in Varanasi.
Studies ‘Incidents of Stroke and Mortality: Reports of population-based stroke applicants, India’ were prepared by the National Center for the ICMR Bengaloru Unit for Informatics & Research (NCCDIR) released on Wednesday.
To overcome the national gap in the data on the incidence of stroke among adults in India, population-based stroke registry was established in five different countries, such as North-Varanasi, West-City, East-Cuttack, South Tirunelveli and North and North and North East -Cachar.
Dr.
Prashant Mathur, Director, ICMR-NCDIR said that it is very important to have reliable data, systematically collected systematically about strokes, risk factors and results as part of stroke surveillance settings in the country that will inform programmatic policies and actions.
SCB Medical College and Hospital at the Cuttack District of Odisha, Silchar Medical College and Hospital in Cachar District of Assam, Tirunelveli Medical College in Tamil Nadu, Government Medical College in Rajasthan City and Institute of Medical Sciences together with the University of Banaras Hindu (BHU) from the District Varanasi Uttar Pradesh is part of this study.
Speaking to Toi, Dr.
Prashant Mathur, Director, ICMR – Center for informatics and further research said that survey findings, where the highest stroke events were seen in the cuttack should not be seen as representatives of the stroke situation throughout the east of India.
“It could mean that something similar happened in the east.
There will be differences in East India as well.
This is only a regional representation and not from an epidemiological perspective.
We have taken cases brought to government medical colleges from five districts,” he explained .
Among the cases of stroke reported, two-thirds were in men, and the majority (89%) occurred in the age group 45 years and over.
According to Dr.
Mathur, more stroke events among men according to research.
“It needs to be seen further.
It also reflects that health search behavior looks more among men,” said Dr.
Mathur to Ti.
The study also analyzed three main risk factors associated with stroke patients.
Whereas in Cuttack, hypertension is a risk factor in 75% of cases, and where it is at least in the city at 40.3%.
Diabetes as a risk factor seen at 35.1% of cases in Varanasi and at least in cachar by 15.9%.
Tobacco is another risk factor analyzed: the highest in the cuttack at 62.4% and at least the third is at 23.1%.
Stroke mortality was 28 days after the highest stroke in Varanasi at 46.6%, and the lowest in the city was 15.3%.
“The mortality rate depends on the factors such as the patient’s final arrival to the hospital, setting the right diagnosis, starting thrombolytic therapy and a combination of all this.
Varanasi may not be equipped to treat, diagnose a stroke case,” Dr.
Mathur said.
The middle-level city undergoing Changesthe researchers who are fast do not include metropolitan cities for this study.
“We want to see what is happening in middle-level cities, because they undergo health and epidemiological transitions.
The registry will be a long-term setting, which will study the pattern for the next 20-30 years.
Metros has many migration populations, while we want Studying the stable population and these districts be chosen, “Dr.
Mathur said.
He added that this research was underway and in the next two years, data will be analyzed once more, based on stroke registration at the government college hospital in the district.
He said that the Union Minister of Health had mandated a multidisciplinary research unit established in more than 70 government medical colleges throughout the country with the mandate to take research in diseases that cannot be punished.