A stepwise approach to stroke surveillance in Brazil: the EMMA (Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral) study

International Journal of Stroke : Official Journal of the International Stroke Society
Alessandra C GoulartPaulo A Lotufo

Abstract

Stroke mortality rates in Brazil are the highest in the Americas. Deaths from cerebrovascular disease surpass coronary heart disease. To verify stroke mortality rates and morbidity in an area of São Paulo, Brazil, using the World Health Organization Stepwise Approach to Stroke Surveillance. We used the World Health Organization Stepwise Approach to Stroke Surveillance structure of stroke surveillance. The hospital-based data comprised fatal and nonfatal stroke (Step 1). We gathered stroke-related mortality data in the community using World Health Organization questionnaires (Step 2). The questionnaire determining stroke prevalence was activated door to door in a family-health-programme neighbourhood (Step 3). A total of 682 patients 18 years and above, including 472 incident cases, presented with cerebrovascular disease and were enrolled in Step 1 during April-May 2009. Cerebral infarction (84.3%) and first-ever stroke (85.2%) were the most frequent. In Step 2, 256 deaths from stroke were identified during 2006-2007. Forty-four per cent of deaths were classified as unspecified stroke, 1/3 as ischaemic stroke, and 1/4 due to haemorrhagic subtype. In Step 3, 577 subjects over 35 years old were evaluated at home, and 244 cases of ...Continue Reading

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Citations

Jun 10, 2009·Population Health Metrics·Fernando G De MaioMario Virgolini
Jun 28, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Alessandra C GoulartPaulo A Lotufo
Jan 6, 2011·International Journal of Stroke : Official Journal of the International Stroke Society·Ivana M AbeIsabela M Benseñor
Sep 20, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Alessandra C GoulartPaulo A Lotufo
Oct 30, 2014·International Journal of Stroke : Official Journal of the International Stroke Society·Leonardo Furlan
Nov 7, 2016·Journal of Neurology, Neurosurgery, and Psychiatry·Leandro C L ValiengoAndre R Brunoni
Nov 20, 2014·Geriatrics & Gerontology International·Alessandra BaccaroAlessandra C Goulart
Jan 12, 2017·São Paulo Medical Journal = Revista Paulista De Medicina·Alessandra Carvalho Goulart
Jan 12, 2017·São Paulo Medical Journal = Revista Paulista De Medicina·Bruce Stambler, Fernando Scazzuso
Dec 4, 2014·Revista do Colégio Brasileiro de Cirurgiões·Leonardo Ghizoni Bez, Túlio Pinho Navarro
Nov 24, 2012·Arquivos de neuro-psiquiatria·Tiótrefis G FernandesPaulo A Lotufo
Aug 16, 2012·Cadernos de saúde pública·Tiótrefis G FernandesPaulo A Lotufo
Dec 2, 2010·São Paulo Medical Journal = Revista Paulista De Medicina·Ivana Makita AbeIsabela Martins Benseñor
Mar 20, 2019·PloS One·Leila F DantasRicardo A Quintano Neira
Oct 8, 2020·Arquivos brasileiros de cardiologia·Gláucia Maria Moraes de OliveiraAntonio Luiz Pinho Ribeiro

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Software Mentioned

spss
PISCIS
Excel
STEPS Stroke
EMMA

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