EPIDEMIOLOGI STROKE Oleh Santi Martini Departemen Epidemiologi FKM Unair.

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EPIDEMIOLOGI STROKE Oleh Santi Martini Departemen Epidemiologi FKM Unair

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EPIDEMIOLOGI STROKE

EPIDEMIOLOGI STROKEOlehSanti MartiniDepartemen EpidemiologiFKM Unair

Hippocrates (400 BC) wrote in his aphorisms on apoplexy, persons are most subject to apoplexy between the ages of forty and sixty and attacks of numbness might reflect impending apoplexy. He astutely noted that when persons in good health are suddenly seized with pains in the head and straightaway are laid down speechless and breathe with stertor, they die in seven days when fever comes on.

INTRODUCTION DATA BANKS AND STROKE REGISTRIESStroke Units, Stroke Specialists, and Stroke NursesSTROKE AS A MODEL EXAMPLE OF BRAIN AND VASCULAR DISEASESTROKE CAREPATHOLOGY: MECHANISMS OF CEREBROVASCULAR DAMAGE TO BRAIN TISSUE

Source: page 28 of Caplans Stroke

Source: page 32 of Caplans Stroke

PEMERIKSAAN

Survival of Stroke Cases in 30 days and 1 year

Ranking Country Mortality (per 100000) 1 Russia 251 2 Kyrgyzstan 237 3 St Kitts and Nevis 216 20 Democratic Republic of Congo 162 184 Australia 33 186 US 32 189 Canada 27 191 Switzerland 26 192 Seychelles 24 Johnston SC et al. International Stroke Conference 2009; February 20, 2009; San Diego, CA.Sampling of 192 countries ranked by age-adjusted stroke mortality (from highest to lowest, median 111 per 100000) 20

PENCEGAHAN PRIMER

Priorities for ActionA Comprehensive approachMultisectoral actionSurveillance and monitoringHealth systemBest buysSustainable developmentCivil society and the private sector

Source: page 7 of Global Status Report on NCD 2010

the science and art of preventing disease, prolonging life and promoting health through the organised efforts of society. THE NEW CONCEPTS of Public Health by Donald Acheson, the Chief Medical Officer for England