Universidad Peruana Cayetano Heredia

Prevalence and incidence of stroke in Latin America and the Caribbean: a systematic review and meta-analysis.

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dc.contributor.author Cagna-Castillo, Diego
dc.contributor.author Salcedo-Carrillo, A. Lucia
dc.contributor.author Carrillo Larco, Rodrigo Marco
dc.contributor.author Bernabé Ortiz, Antonio
dc.date.accessioned 2023-05-19T14:08:34Z
dc.date.available 2023-05-19T14:08:34Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13535
dc.description.abstract Stroke is a recurrent and well-known cardiovascular event and a leading cause of death worldwide. We identified reliable epidemiological evidence of stroke in Latin America and the Caribbean (LAC) and estimated the prevalence and incidence of stroke, overall and by sex, in that region. A systematic search in OVID (Medline, Embase and Global Health) and in the Latin America and Caribbean Health Sciences Literature (LILACS) until the end of 2020 was made for all cross-sectional or longitudinal studies estimating (or allowing the estimation of) the prevalence or incidence of stroke among individuals of the general population ≥ 18 years from LAC countries. No language restriction was applied. Studies were assessed for methodological quality and risk of bias. Pooled estimates were calculated using random effect meta-analysis as high heterogeneity was expected. A total of 31 papers for prevalence and 11 papers for incidence were included in the review for analysis. The overall pooled stroke prevalence was 32 (95% CI 26-38) per 1000 subjects and were similar among men (21; 95% CI 17-25) and women (20; 95% CI 16-23) per 1000 subjects. The overall pooled stroke incidence was 255 (95% CI 217-293) per 100 000 person-years, being higher in men (261; 95% CI 221-301) compared to women (217; 95% CI 184-250) per 100 000 person-years. Our results highlight the relevance of the prevalence and incidence of stroke in the LAC region. The estimates were similar in stroke prevalence by sex, but with higher incidence rates among males than females. Subgroup analyses highlight the need for standardized methodologies to obtain appropriate prevalence and incidence estimates at the population level in a region with a great burden of cardiovascular events. en_US
dc.language.iso eng
dc.publisher Springer Nature
dc.relation.ispartofseries Scientific Reports
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Epidemiology en_US
dc.subject Neurological disorders en_US
dc.subject Population screening en_US
dc.subject.mesh Epidemiología
dc.subject.mesh Enfermedades del Sistema Nervioso
dc.subject.mesh Tamaño de la Muestra
dc.title Prevalence and incidence of stroke in Latin America and the Caribbean: a systematic review and meta-analysis. en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1038/s41598-023-33182-3
dc.relation.issn 2045-2322


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