PT  - JOURNAL ARTICLE
AU  - Salihovic, Denisa O.
AU  - Smajlovic, Dzevdet M.
AU  - Sinanovic, Osman I.
TI  - Reduction of stroke mortality in the Tuzla region, Bosnia and Herzegovina
DP  - 2009 Jul 01
TA  - Neurosciences Journal
PG  - 230--233
VI  - 14
IP  - 3
4099  - http://nsj.org.sa/content/14/3/230.short
4100  - http://nsj.org.sa/content/14/3/230.full
SO  - Neurosciences (Riyadh)2009 Jul 01; 14
AB  - OBJECTIVE: To analyze the frequency, gender and age distribution, risk factors, and hospital mortality of different types of hospitalized patients with stroke.METHODS: In this retrospective study, we analyzed the hospital records of 3864 patients with first-ever stroke admitted to the Department of Neurology, University Clinical Center Tuzla, Bosnia and Herzegovina, from January 2001 to December 2005.RESULTS: Out of the total number of patients, 2833 (73.3%) had ischemic stroke (IS) 612 (15.8%) intracerebral hemorrhage (ICH), 163 (4.2%) subarachnoid hemorrhage (SAH), and 256 (6.6%) had unknown stroke. The mean age was 68+/-10 years in females, and 65+/-11 years in males (p=0.000). Overall, there were 2045 (53%) women (p=0.000). Women suffered from cardioembolic stroke more than men (21.7% versus 15.6%, p=0.000), and men were more affected by atherothrombotic stroke (37.4% versus 31.6%, p=0.000). The leading stroke risk factors were hypertension (70%), heart diseases (40%), smoking (28%), and diabetes mellitus (21%). The total hospital mortality was 29.6%, and hospital mortality in patients with IS was 20.6%, ICH 43.8%, and SAH 26.4%.CONCLUSION: Women are older than men in all types of stroke. The leading risk factors for both genders are hypertension and heart diseases. The hospital mortality rate is lower than 30%.