Asset Details
Do you wish to reserve the book?
Stroke in South Asian countries
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Stroke in South Asian countries
Do you wish to request the book?
Stroke in South Asian countries
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Stroke in South Asian countries
2014
Overview
Key Points
The South Asian region, which includes India, Pakistan, Sri Lanka and Bangladesh, has a high prevalence of stroke, especially in younger individuals, and short-term mortality from stroke is also high
In addition to traditional risk factors for stroke, nontraditional factors including chewing tobacco are widespread in this region
South Asia accounts for the largest proportion of the global burden of stroke in pregnancy and cerebral venous thrombosis
Acute stroke care, including thrombolysis and stroke units, is limited in South Asia, and stroke prevention strategies are nonexistent at the national level
Cost-effective interventions are needed owing to financial constraints
Important areas of intervention include public awareness and physician training, as well as strong advocacy efforts and implementation research
South Asia is thought to be the highest contributor to stroke mortality in the world, probably accounting for more than 40% of global stroke deaths. Wasay
et al
. review stroke epidemiology and management issues in four South Asian countries: India, Pakistan, Sri Lanka and Bangladesh. The authors highlight the prevalence of traditional and nontraditional stroke risk factors in this region, and consider the barriers to effective implementation of stroke prevention and treatment strategies.
Three of the world's top 10 most populous countries are located in South Asia. The health-care problems of this region are different from those in the developed world, and the rapidly changing socioeconomic scenario, fast-increasing urbanization and longevity, changes in dietary patterns, and decrease in mortality from infectious diseases has made chronic illnesses of old age, such as coronary artery disease and stroke, an important area of focus. This article reviews stroke epidemiology and management issues in four South Asian countries: India, Pakistan, Sri Lanka and Bangladesh. The available literature is limited and mostly hospital-based, and differing study methodologies make direct comparisons difficult. The high prevalence of traditional risk factors, including hypertension, diabetes, dyslipidaemia and smoking, in these countries is alarming, and several nontraditional risk factors, such as water-pipe use, desi ghee, chewable tobacco, and infectious causes of stroke, are understudied. Access to tertiary stroke care is limited, and the use of tissue plasminogen activator is scarce. In addition, public and caregiver awareness of stroke risk factors and management is disappointing, and the interest of governments and policy makers in stroke is suboptimal. Interventions to reduce stroke burden and stroke-related mortality in South Asia should have a substantial impact at the global level.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
