Universidad Peruana Cayetano Heredia

Prevalence of stroke survival in rural communities living in northern Peru

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dc.contributor.author Moyano, L.M.
dc.contributor.author Montano, S.M.
dc.contributor.author Barreto, P.V.
dc.contributor.author Reto, N.
dc.contributor.author Larrauri, L.
dc.contributor.author Mori, N.
dc.contributor.author Cornejo-Olivas, M.
dc.contributor.author Guevara-Silva, E.
dc.contributor.author Urizar, F.
dc.contributor.author Najar Trujillo, Nestor Enrique
dc.contributor.author Gamboa Morán, Ricardo
dc.contributor.author Azabache, C.
dc.contributor.author Ticse Aguirre, Ray Willy
dc.contributor.author Bolivar-Herrada, L.
dc.contributor.author Doud, A.
dc.contributor.author Martinez, P.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Zunt, J.R.
dc.contributor.author García Lescano, Héctor Hugo
dc.date.accessioned 2021-10-04T23:01:00Z
dc.date.available 2021-10-04T23:01:00Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9875
dc.description.abstract Background and purpose Stroke is the leading cause of neurological impairment in the South American Andean region. However, the epidemiology of stroke in the region has been poorly characterized. Methods We conducted a staged three-phase population-based study applying a validated eightquestion neurological survey in 80 rural villages in Tumbes, northern Peru, then confirmed presence or absence of stroke through a neurologist's examination to estimate the prevalence of stroke. Results Our survey covered 90% of the population (22,278/24,854 individuals, mean age 30±21.28, 48.45% females), and prevalence of stroke was 7.05/1,000 inhabitants. After direct standardization to WHO's world standard population, adjusted prevalence of stroke was 6.94/ 1,000 inhabitants. Participants aged ≥85 years had higher stroke prevalence (>50/1000 inhabitants) compared to other stratified ages, and some unusual cases of stroke were found among individuals aged 25-34 years. The lowest age reported for a first stroke event was 16.8 years. High blood pressure (aPR 4.2 [2.7-6.4], p>0.001), and sedentary lifestyle (aPR 1.6 [1.0-2.6], p = 0.045) were more prevalent in people with stroke. Conclusions The age-standardized prevalence of stroke in this rural coastal Peruvian population was slightly higher than previously reported in studies from surrounding rural South American settings, but lower than in rural African and Asian regions. The death rate from stroke was much higher than in industrialized and middle-income countries en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Stroke en_US
dc.subject Peru en_US
dc.subject Death rates en_US
dc.subject Hypertension en_US
dc.subject Ischemic stroke en_US
dc.subject Surveys en_US
dc.subject Cholesterol en_US
dc.subject Hemorrhagic stroke en_US
dc.title Prevalence of stroke survival in rural communities living in northern Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0254440
dc.relation.issn 1932-6203


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