سه شنبه 4 اردیبهشت 1403
دوره 8، شماره 4 - ( 6-1401 )
جلد 8 شماره 4 صفحات 267-252 |
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Nikbakht H, Shojaie L, Niknejad N, Hassanipour S, Soleimanpour H, Heidari S, et al . Mortality Rate of Acute Stroke in Iran: A Systematic Review and Meta-Analysis. Caspian J Neurol Sci 2022; 8 (4) :252-267
URL: http://cjns.gums.ac.ir/article-1-568-fa.html
URL: http://cjns.gums.ac.ir/article-1-568-fa.html
Mortality Rate of Acute Stroke in Iran: A Systematic Review and Meta-Analysis. مجله علوم اعصاب کاسپین. 1401; 8 (4) :252-267
چکیده: (961 مشاهده)
Background: There is limited data about the short-term stroke mortality rates for patients in treatment
settings.
Objectives: This study aimed to estimate the short-term stroke (in hospital, one month, one year)
mortality rates in Iran through a systematic review and meta-analysis.
Materials & Methods: We searched electronic databases, including three national (IranDoc, Megiran,
SID) and four international (Scopus, PubMed, Web of Science, Google Scholar), from January 1990
to March 2020. We considered all observational studies on stroke mortality, such as cohort and crosssectional
studies. Furthermore, the sub-group analyses were performed based on each province and metaregression
analysis based on the study’s year and patients’ mean age.
Results: Among 143 studies, 28 were eligible (11 cohort and 17 cross-sectional studies). Based on
the random model, the mortality rates for in-hospital, 1-month, and 1-year mortality were reported as
18.71% (95% CI: 15.09%-22.34%), 23.43% (95% CI: 20.08%-26.78%), and 34.44% (95% CI: 32.02%-
36.85%), respectively. The results also revealed that mortality rates were neither related to the year studies
conducted nor to the patient’s age.
Conclusion: Approximately one-fifth of stroke patients in Iran die in the hospital after admission. The
mortality rate increased in the one-month and one-year period, and about one-third of the patients died
in the first year. Therefore, it is cardinal to focus on programs and solutions in which we can ameliorate
mortality in the short-term period after stroke by performing primary specific treatments on patients.
settings.
Objectives: This study aimed to estimate the short-term stroke (in hospital, one month, one year)
mortality rates in Iran through a systematic review and meta-analysis.
Materials & Methods: We searched electronic databases, including three national (IranDoc, Megiran,
SID) and four international (Scopus, PubMed, Web of Science, Google Scholar), from January 1990
to March 2020. We considered all observational studies on stroke mortality, such as cohort and crosssectional
studies. Furthermore, the sub-group analyses were performed based on each province and metaregression
analysis based on the study’s year and patients’ mean age.
Results: Among 143 studies, 28 were eligible (11 cohort and 17 cross-sectional studies). Based on
the random model, the mortality rates for in-hospital, 1-month, and 1-year mortality were reported as
18.71% (95% CI: 15.09%-22.34%), 23.43% (95% CI: 20.08%-26.78%), and 34.44% (95% CI: 32.02%-
36.85%), respectively. The results also revealed that mortality rates were neither related to the year studies
conducted nor to the patient’s age.
Conclusion: Approximately one-fifth of stroke patients in Iran die in the hospital after admission. The
mortality rate increased in the one-month and one-year period, and about one-third of the patients died
in the first year. Therefore, it is cardinal to focus on programs and solutions in which we can ameliorate
mortality in the short-term period after stroke by performing primary specific treatments on patients.
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