Incidence and mortality rates of strokes in Kazakhstan in 2014–2019

Zhakhina G. Zhalmagambetov B. Gusmanov A. Sakko Y. Yerdessov S. Matmusaeva E. Imanova A. Crape B. Sarria-Santamera A. Gaipov A.
December 2022 Nature Research

Scientific Reports
2022 #12 Issue 1

There is a lack of information on the epidemiology of acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in developing countries. This research presents incidence and mortality rates of stroke patients based on hospital admission and discharge status in one of the Central Asian countries by analysis of large-scale healthcare data. The registry data of 177,947 patients admitted to the hospital with the diagnosis of stroke between 2014 and 2019 were extracted from the National Electronic Health System of Kazakhstan. We provide descriptive statistics and analyze the association of socio-demographic and medical characteristics such as comorbidities and surgical treatments. Among all stroke patients, the incidence rate based on hospital admission of AIS was significantly higher compared to SAH and ICH patients. In 5 year follow-up period, AIS patients had a better outcome than SAH and ICH patients (64.7, 63.1 and 57.3% respectively). The hazard ratio (HR) after the trepanation and decompression surgery was 2.3 and 1.48 for AIS and SAH patients; however, it was protective for ICH (HR = 0.87). The investigation evaluated an increase in the all-cause mortality rates based on the discharge status of stroke patients, while the incidence rate decreased over time.

Text of the article Перейти на текст статьи

Department of Medicine, Nazarbayev University School of Medicine, Kerey and Zhanibek street 5/1, Nur-Sultan City, 010000, Kazakhstan
Department of Neurology, Multidisciplinary City Hospital #2, Nur-Sultan, Kazakhstan
Clinical Academic Department of Internal Medicine, CF “University Medical Center”, Nur-Sultan, Kazakhstan

Department of Medicine
Department of Neurology
Clinical Academic Department of Internal Medicine

10 лет помогаем публиковать статьи Международный издатель

Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026