Journal of Education and Health Promotion

Predictors of long‑term mortality after first‑ever stroke

. Hossein Novbakht; . Seyed Morteza Shamshirgaran; . Parvin Sarbakhsh; . Darioush Savadi‑Oskouei; . Mohammad Marandi Yazdchi; . Zohreh Ghorbani

Volume 10, Issue 2 , February 2020, , Pages 1-8

Abstract

BACKGROUND AND OBJECTIVE: Data on the factors affecting long‑term mortality following astroke in Iran are scarce. The current research aimed at investigating the extent of 2‑year ... Read More

Factors related to 6‑month mortality after the first‑ever stroke

. Ehsan Sarbazi; . Parvin Sarbakhsh; . Daryoush Savadi Oskooei; . Mohammad Yazdchi; . Saber Ghaffari‑Fam; . Seyed Morteza Shamshirgaran

Volume 8, Issue 9 , September 2018, , Pages 1-7

Abstract

BACKGROUND AND OBJECTIVE: Stroke is the second leading cause of death worldwide andthe number of stroke cases has increased remarkably over the last 20 years. This study aimed atidentifying ... Read More BACKGROUND AND OBJECTIVE: Stroke is the second leading cause of death worldwide andthe number of stroke cases has increased remarkably over the last 20 years. This study aimed atidentifying predictors of with 6‑month mortality of first‑ever stroke patients and the factors contributingto it in East Azerbaijan province.MATERIALS AND METHODS: A closed cohort study was carried out from April 2014 toDecember 2014. All cases of first‑ever diagnosed stroke were included in the study. Any transientischemic attack, silent brain infarctions, and the stroke cases which were neither associated withtrauma, blood disease nor with malignancy were excluded from the study. The variables of this studyinclude participants’ demographic characteristics, stroke severity National Institutes of Health StrokeScale (NIHSS), and stroke risk factors. Patients were followed up within 6 months. To determine thesurvival time, the log‑rank method was applied to compare intergroup differences. The tests includethe univariate and multivariate analysis Cox regression. P < 0.05 were considered as statisticallysignificant.RESULTS: A total of 576 cases of stroke were included in this study. Average age of ischemic andhemorrhagic stroke was 70.15 ± 13.0 and 67.79 ± 12.69, respectively. Case‑fatality rate (CFR)of stroke patients was 49.2 and 21.7% in hemorrhagic and ischemic stroke types, respectively.Factors contributing to stroke mortality events include the severity of stroke (NIHSS categories15–19 and ≥20), age over 65, being female, high body mass index and hyperlipidemia. In thefinal model, the severity of stroke (with NIHSS 15–19 with hazard ratio (HR) 4.22 (95% confidenceinterval [CI] 2.36–7.56) and NIHSS ≥20 with HR 5.34 (95% CI: 2.81–10.12) and age above 65 withHR 1.61 (95% CI: 1.02–2.51) were the most important predictors of 6‑month mortality.CONCLUSION: Severity of stroke by NIHSS was the most prominent factor in stroke patients’mortality. By increasing the follow‑up time, a better evaluation of the predictors of mortality afterstroke can be achieved.

Hypertension prevalence, awareness, treatment and its correlates among people 35 years and older: Result from pilot phase of the Azar cohort study

. Zohreh Ghorbani; . Seyed Morteza Shamshirgaran; . Samad Ghaffari; . Parvin Sarbakhsh; . Farzad Najafipour; . Nayyereh Aminisani

Volume 8, Issue 4 , April 2018, , Pages 1-8

Abstract

BACKGROUND AND OBJECTIVE: There is remarkable alteration in hypertension prevalenceand awareness, and their correlates among various geographic locations and ethnic groups. Theaim of ... Read More BACKGROUND AND OBJECTIVE: There is remarkable alteration in hypertension prevalenceand awareness, and their correlates among various geographic locations and ethnic groups. Theaim of this study was to report hypertension prevalence, awareness, and its correlates as well ashypertension treatment, and control among Azari people aged 35 years and older.MATERIALS AND METHODS: The pilot phase of the Azar Cohort Study; a state level of a nationwidePERSIAN cohort study was conducted in Khameneh city between October 2014 and January 2015.All people 35 years of age and above were invited to take part in this study. A comprehensive range ofdifferent biomarkers, lifestyle, socioeconomic factors, and health‑related factors was collected. Bloodpressure was measured by a trained nurse/midwife. Descriptive statistical methods were used to presentgeneral characteristics of the study population as frequency tables. Separate multiple logistic regressionmodels were built to assess the predictors of hypertension prevalence.RESULTS: A total of 1038 people were included in this study. The overall prevalence of hypertensionwas 22.9%. Awareness of hypertension was 60.5% and in those with known hypertension, 84% wereusing the antihypertensive medications, of those 68.5% had controlled hypertension. After adjustment;age (odds ratios [OR] adj = 1.12 95% confidence interval [CI]: 1.09–1.15), gender (ORadj = 1.65 95% CI:1.08–2.51), obesity ORadj = 2.51 (1.40–4.88), waist‑to‑hip ratio (WHR) (ORadj = 1.70 (1.05–2.75), andcomorbidities (ORadj = 2.51 (1.72–3.66) were independent predictors of hypertension.CONCLUSION: Age, sex, body mass index, WHR, and comorbidities were known as predictorsof hypertension in this study, health promotion strategies including lifestyle modification to reduceoverweight/obesity and secondary prevention programs for early detection of hypertension in high‑riskgroups according to age, gender, and disease profile are recommended.

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Author = . Seyed Morteza Shamshirgaran

Predictors of long‑term mortality after first‑ever stroke

Abstract

Factors related to 6‑month mortality after the first‑ever stroke

Abstract

Hypertension prevalence, awareness, treatment and its correlates among people 35 years and older: Result from pilot phase of the Azar cohort study

Abstract