Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India
Objective To directly estimate disability-adjusted life years (DALYs) lost due to stroke in rural Gadchiroli, India and measure the contribution of mortality and disability to total DALYs lost.Design Cross-sectional descriptive study using population census, vital registration and stroke prevalence...
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BMJ Publishing Group
2019-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/11/e028695.full |
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| author | Nikkil Sudharsanan Mahesh Deshmukh Yogeshwar Kalkonde |
| author_facet | Nikkil Sudharsanan Mahesh Deshmukh Yogeshwar Kalkonde |
| author_sort | Nikkil Sudharsanan |
| collection | DOAJ |
| description | Objective To directly estimate disability-adjusted life years (DALYs) lost due to stroke in rural Gadchiroli, India and measure the contribution of mortality and disability to total DALYs lost.Design Cross-sectional descriptive study using population census, vital registration and stroke prevalence data.Setting A demographic surveillance site of 86 villages in Gadchiroli, a rural district in Maharashtra, India.Participants Population counts and mortality information were drawn from a census and vital registration system covering a population of approximately 94 154 individuals; stroke prevalence information was based on a door-to-door evaluation of all 45 053 individuals from 39 of the 86 villages in the surveillance site.Primary outcome measures Years of life lost (YLL), years lived with disability (YLD) and DALYs lost due to stroke.Results There were 229 stroke deaths among the total population of 94 154 individuals and 175 stroke survivors among the subpopulation of 45 053 individuals. An estimated 2984 DALYs were lost due to stroke per 100 000 person-years with a higher burden among men compared with women (3142 vs 2821 DALYs). Over three-fourths (80%) of the total DALYs lost due to stroke were between ages 30 and 70 years. YLL accounted for 98.9% of total DALYs lost.Conclusions There was a high burden of stroke in rural Gadchiroli with a significant burden at premature ages. These results reveal a substantial need for surveillance and improved preventive and curative services for stroke in rural India. |
| format | Article |
| id | doaj-art-d1d73912c83b4de8b2f07a66311e6ac4 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | BMJ Publishing Group |
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| spelling | doaj-art-d1d73912c83b4de8b2f07a66311e6ac42024-11-29T05:05:12ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2018-028695Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, IndiaNikkil Sudharsanan0Mahesh Deshmukh1Yogeshwar Kalkonde2Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, GermanySociety for Education Action and Research in Community Health, Gadchiroli, Maharashtra, IndiaChhattisgarh NCD Plus Initiative, Ambikapur, Chhattisgarh, IndiaObjective To directly estimate disability-adjusted life years (DALYs) lost due to stroke in rural Gadchiroli, India and measure the contribution of mortality and disability to total DALYs lost.Design Cross-sectional descriptive study using population census, vital registration and stroke prevalence data.Setting A demographic surveillance site of 86 villages in Gadchiroli, a rural district in Maharashtra, India.Participants Population counts and mortality information were drawn from a census and vital registration system covering a population of approximately 94 154 individuals; stroke prevalence information was based on a door-to-door evaluation of all 45 053 individuals from 39 of the 86 villages in the surveillance site.Primary outcome measures Years of life lost (YLL), years lived with disability (YLD) and DALYs lost due to stroke.Results There were 229 stroke deaths among the total population of 94 154 individuals and 175 stroke survivors among the subpopulation of 45 053 individuals. An estimated 2984 DALYs were lost due to stroke per 100 000 person-years with a higher burden among men compared with women (3142 vs 2821 DALYs). Over three-fourths (80%) of the total DALYs lost due to stroke were between ages 30 and 70 years. YLL accounted for 98.9% of total DALYs lost.Conclusions There was a high burden of stroke in rural Gadchiroli with a significant burden at premature ages. These results reveal a substantial need for surveillance and improved preventive and curative services for stroke in rural India.https://bmjopen.bmj.com/content/9/11/e028695.full |
| spellingShingle | Nikkil Sudharsanan Mahesh Deshmukh Yogeshwar Kalkonde Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India BMJ Open |
| title | Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India |
| title_full | Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India |
| title_fullStr | Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India |
| title_full_unstemmed | Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India |
| title_short | Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India |
| title_sort | direct estimates of disability adjusted life years lost due to stroke a cross sectional observational study in a demographic surveillance site in rural gadchiroli india |
| url | https://bmjopen.bmj.com/content/9/11/e028695.full |
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