EPIDEMIOLOGI STROKE

OlehSanti Martini

Departemen 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 REGISTRIES

Stroke Units, Stroke Specialists, and Stroke Nurses

STROKE AS A MODEL EXAMPLE OF BRAIN AND VASCULAR DISEASE

STROKE CARE

PATHOLOGY: MECHANISMS OF CEREBROVASCULAR DAMAGE

TO BRAIN TISSUE

Source: page 28 of Caplan”s Stroke

Source: page 32 of Caplan’s Stroke

PEMERIKSAAN

Survival of Stroke Cases in 30 days and 1 year

Ranking Country Mortality (per 100 000)

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 100 000)

PENCEGAHAN PRIMER

Priorities for Action

• A Comprehensive approach• Multisectoral action• Surveillance and monitoring• Health system• Best buys• Sustainable development• Civil 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