Prevalence, risk factors and mortality status of post stroke people in urban Bangladesh

Abstract

Background: Stroke is a leading global health concern, contributing substantially to disability and mortality, especially in low- and middle-income countries (LMICs), which experience 70% of cases and 87% of deaths. It imposes significant social, economic, and healthcare burdens, with its impact measured through Disability Adjusted Life Years (DALYs). Objective: This study aims to identify the risk factors, disease burden, and mortality status of stroke survivors undergoing rehabilitation in urban Bangladesh. It will explore participants' socio-demographic data, stroke incidence and prevalence in Savar, incidence and mortality rates, and the association between socio-demographic variables and risk factors. Methodology: This is a population-based cross-sectional quantitative study, conducted from June to July 2024, assessed Incidence, risk factors, and mortality among stroke patients undergoing rehabilitation in the urban area of Savar Upazila, Bangladesh. A census sampling technique was used to select participants. The sample included non-stroke and stroke patients aged 18 and above, as well as local residents, with both genders represented. Exclusion criteria included patients not confirmed to have had a stroke or those with multiple strokes in the past five years. Result: The analysis of stroke survivors and deceased patients in Bangladesh shows significant demographic insights, with a median age of 56.38 for survivors and 50.13 for the deceased, an incidence rate of 1.58, prevalence rate of 4.66, mortality rate of 0.46 and a total DALY of 189.17, indicates the disease's burden on both lifespan and disability. The findings of this study have significant implications for public health policy in Bangladesh. The high prevalence of modifiable risk factors among 10,737 non stroke participation, such as hypertension, diabetes, smoking, and air pollution exposure highlights the need for targeted prevention strategies. Conclusion: By addressing these risk factors and improving healthcare infrastructure, Bangladesh can significantly reduce the stroke burden and improve the incidence and quality of life for stroke survivors in urban area of Bangladesh. Keywords: Mortality, Risk Factors, Incidence Status, Post-Stroke.