Burden of Ischemic Stroke in Korea: Analysis of Disability-Adjusted Life Years Lost

Myanmar is home to over 51 million people. The age- and sex-standardized mortality rate due to stroke is 165.4/100,000, while the rate of age- and sex-standardized disability-adjusted life years lost due to stroke is 2971.3/100,000. The prevalence of stroke among adults aged 40–99 years is 1.5%. Stroke is the leading cause of morbidity and mortality and comprises 20% of the neurological workload. There are only 10 stroke units in the whole country. Doctors are aware of the importance of hypertension in stroke prevention and the need for physiotherapy after stroke, but, until recently and in rural areas, they also tend to use steroids and neuroprotectants, and lower blood pressure aggressively acutely after stroke; antiplatelets are not widely used. Thrombolysis service is available at some tertiary centers but mechanical thrombectomy is not yet available.

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Non-Spinal Causes of Back Pain: An ‘undiagnosed’ diagnosis

Journal of Medical Research and Innovation ◽

10.32892/jmri.172 ◽

2019 ◽

pp. e000172

Author(s):

Shakti Goel

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Disability Adjusted Life Years ◽

Working Population ◽

Disability Adjusted Life ◽

Life Years ◽

Common Ailment ◽

Life Years Lost

Low back pain is a common ailment affecting individuals all around the globe. Majority of Disability Adjusted Life Years lost amongst working population is due to low back pain. Though majority of surgeons/physicians keep only spinal causes in mind while treating such an ailments, a number of other causes exist for such a pathology. This editorial aims to make the readers aware about such non spinal causes of low back pain.

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Economic value of disability-adjusted life years lost to violence: estimates for WHO Member States

Revista Panamericana de Salud Pública ◽

10.1590/s1020-49892008000900007 ◽

2008 ◽

Vol 24 (3) ◽

pp. 203-209 ◽

Cited By ~ 20

Author(s):

David W. Brown

Keyword(s):

Economic Value ◽

Disability Adjusted Life Years ◽

Member States ◽

Disability Adjusted Life ◽

Life Years ◽

Life Years Lost

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Comparative Evaluation of 10 Prehospital Triage Strategy Paradigms for Patients With Suspected Acute Ischemic Stroke

Journal of the American Heart Association ◽

10.1161/jaha.119.012665 ◽

2019 ◽

Vol 8 (12) ◽

Cited By ~ 6

Author(s):

Ludwig Schlemm ◽

Matthias Endres ◽

Jan F. Scheitz ◽

Marielle Ernst ◽

Christian H. Nolte ◽

...

Keyword(s):

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Large Vessel ◽

Disability Adjusted Life Years ◽

Large Vessel Occlusion ◽

Vessel Occlusion ◽

Disability Adjusted Life ◽

Life Years ◽

Comprehensive Stroke Center ◽

Stroke Center

Background The best strategy to identify patients with suspected acute ischemic stroke and unknown vessel status (large vessel occlusion) for direct transport to a comprehensive stroke center instead of a nearer primary stroke center is unknown. Methods and Results We used mathematical modeling to estimate the impact of 10 increasingly complex prehospital triage strategy paradigms on the reduction of population‐wide stroke‐related disability. The model was applied to suspected acute ischemic stroke patients in (1) abstract geographies, and (2) 3 real‐world urban and rural geographies in Germany. Transport times were estimated based on stroke center location and road infrastructure; spatial distribution of emergency medical services calls was derived from census data with high spatial granularity. Parameter uncertainty was quantified in sensitivity analyses. The mothership strategy was associated with a statistically significant population‐wide gain of 8 to 18 disability‐adjusted life years in the 3 real‐world geographies and in most simulated abstract geographies (net gain −4 to 66 disability‐adjusted life years). Of the more complex paradigms, transportation of patients with clinically suspected large vessel occlusion based on a dichotomous large vessel occlusion detection scale to the nearest comprehensive stroke center yielded an additional clinical benefit of up to 12 disability‐adjusted life years in some rural but not in urban geographies. Triage strategy paradigms based on probabilistic conditional modeling added an additional benefit of 0 to 4 disability‐adjusted life years over less complex strategies if based on variable cutoff scores. Conclusions Variable stroke severity cutoff scores were associated with the highest reduction in stroke‐related disability. The mothership strategy yielded better clinical outcome than the drip‐‘n'‐ship strategy in most geographies.

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