Skip to main content
Top
Published in: Neurological Sciences 11/2020

01-11-2020 | Stroke | Review Article

Incidence of stroke among Saudi population: a systematic review and meta-analysis

Authors: Bader A. Alqahtani, Aqeel M. Alenazi, Jeffrey C. Hoover, Mohammed M. Alshehri, Mohammed S. Alghamdi, Ahmad M. Osailan, Kamlesh Khunti

Published in: Neurological Sciences | Issue 11/2020

Login to get access

Abstract

Background and aims

Stroke is a leading cause of death and disability worldwide. However, our knowledge of the incidence of stroke for Saudi Arabian population is not known. Thus, we aimed to determine the pooled annual incidence of stroke in Saudi Arabia.

Summary of review

We conducted a comprehensive literature search of PubMed, Web of Science, and SCOPUS, without language or publication year limits. Outcomes of interest were stroke incidence rate for both first and recurrent. A total of five studies met the inclusion criteria for this review. The pooled annual incidence of stroke in Saudi Arabia was 0.029% (95% CI: 0.015 to 0.047) equivalent of 29 strokes per 100,000 people annually (95% CI: 15 to 47).

Conclusion

The findings indicate that there are 29 stroke cases for every 100,000 people annually for individuals residing Saudi Arabia. Our values were lower than those of other high-income countries. Establishing a nationwide stroke registry is warranted for monitoring and improving healthcare services provided to stroke survivors.
Literature
1.
go back to reference Mendis S, Puska P, Norrving B (2011) Global atlas on cardiovascular disease prevention and control. World Health Organ:2–14 Mendis S, Puska P, Norrving B (2011) Global atlas on cardiovascular disease prevention and control. World Health Organ:2–14
2.
go back to reference Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T (1980) Cerebrovascular disease in the community: results of a WHO collaborative study. Bull World Health Organ 58(1):113–130PubMedPubMedCentral Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T (1980) Cerebrovascular disease in the community: results of a WHO collaborative study. Bull World Health Organ 58(1):113–130PubMedPubMedCentral
3.
go back to reference Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R et al Heart Disease and Stroke Statistics 2017 At-a-Glance. Circulation. 2017:1–5 Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R et al Heart Disease and Stroke Statistics 2017 At-a-Glance. Circulation. 2017:1–5
4.
go back to reference Morse A. Department of Health: Progress in improving stroke care. Natl Audit Off Rep. 2010;(February) Morse A. Department of Health: Progress in improving stroke care. Natl Audit Off Rep. 2010;(February)
5.
go back to reference Tran J, Mirzaei M, Anderson L, Leeder SR (2010) The epidemiology of stroke in the Middle East and North Africa. J Neurol Sci 295(1–2):38–40CrossRef Tran J, Mirzaei M, Anderson L, Leeder SR (2010) The epidemiology of stroke in the Middle East and North Africa. J Neurol Sci 295(1–2):38–40CrossRef
6.
go back to reference al Rajeh S, Awada A, Niazi G, Larbi E (1993) Stroke in a Saudi Arabian National Guard Community: analysis of 500 consecutive cases from a population-based hospital. Stroke. 24(11):1635–1639CrossRef al Rajeh S, Awada A, Niazi G, Larbi E (1993) Stroke in a Saudi Arabian National Guard Community: analysis of 500 consecutive cases from a population-based hospital. Stroke. 24(11):1635–1639CrossRef
7.
go back to reference Ayoola AE, Banzal SS, Elamin AK, Gadour MO, Elsammani EW, Al-Hazmi MH (2003) Profile of stroke in Gizan, Kingdom of Saudi Arabia. Neurosciences 8(4):229–232PubMed Ayoola AE, Banzal SS, Elamin AK, Gadour MO, Elsammani EW, Al-Hazmi MH (2003) Profile of stroke in Gizan, Kingdom of Saudi Arabia. Neurosciences 8(4):229–232PubMed
8.
go back to reference Almekhlafi MA (2016) Trends in one-year mortality for stroke in a tertiary academic center in Saudi Arabia: a 5-year retrospective analysis. Ann Saudi Med 36(3):197–202CrossRef Almekhlafi MA (2016) Trends in one-year mortality for stroke in a tertiary academic center in Saudi Arabia: a 5-year retrospective analysis. Ann Saudi Med 36(3):197–202CrossRef
9.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG, Altman D, Antes G et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (Chinese edition). J Chin Integr Med 7:889–896 Moher D, Liberati A, Tetzlaff J, Altman DG, Altman D, Antes G et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (Chinese edition). J Chin Integr Med 7:889–896
10.
go back to reference Wells GA O’Connell D. B Shea. The Newcastle-Scale for assessing the quality of nonrandomised studies in meta-analyses. Ottawa Ottawa Hosp Res Inst. 2011; Wells GA O’Connell D. B Shea. The Newcastle-Scale for assessing the quality of nonrandomised studies in meta-analyses. Ottawa Ottawa Hosp Res Inst. 2011;
11.
go back to reference Lipsey MW, Wilson DB (2001) Practical meta-analysis. Appl Soc Res Methods Ser 49:264 Lipsey MW, Wilson DB (2001) Practical meta-analysis. Appl Soc Res Methods Ser 49:264
12.
go back to reference Barendregt JJ, Doi SA, Lee YY, Norman RE, Vos T (2013) Meta-analysis of prevalence. J Epidemiol Community Health 67(11):974–978CrossRef Barendregt JJ, Doi SA, Lee YY, Norman RE, Vos T (2013) Meta-analysis of prevalence. J Epidemiol Community Health 67(11):974–978CrossRef
13.
go back to reference (2019) R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing (2019) R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing
14.
go back to reference Al-Shenqiti AM, Ibrahim SR, Khaled OA, Ali ARH, Ahmed MS (2017) Incidence of first time stroke: a Saudi experience. Eur Neurol 77(3–4):147–151CrossRef Al-Shenqiti AM, Ibrahim SR, Khaled OA, Ali ARH, Ahmed MS (2017) Incidence of first time stroke: a Saudi experience. Eur Neurol 77(3–4):147–151CrossRef
15.
go back to reference Al-Rajeh S, Larbi EB, Bademosi O, Awada A, Yousef A, Al-Freihi H et al (1998) Stroke register: experience from the Eastern Province of Saudi Arabia. Cerebrovasc Dis 8(2):86–89CrossRef Al-Rajeh S, Larbi EB, Bademosi O, Awada A, Yousef A, Al-Freihi H et al (1998) Stroke register: experience from the Eastern Province of Saudi Arabia. Cerebrovasc Dis 8(2):86–89CrossRef
16.
go back to reference Alhazzani AA, Mahfouz AA, Abolyazid AY, Awadalla NJ, Aftab R, Faraheen A et al (2018) Study of stroke incidence in the aseer region, southwestern Saudi Arabia. Int J Environ Res Public Health (2):15 Alhazzani AA, Mahfouz AA, Abolyazid AY, Awadalla NJ, Aftab R, Faraheen A et al (2018) Study of stroke incidence in the aseer region, southwestern Saudi Arabia. Int J Environ Res Public Health (2):15
17.
go back to reference Al-Sulaiman A, Bademosi O, Ismail H, Magboll G (1999) Stroke in Saudi children. J Child Neurol 14(5):295–298CrossRef Al-Sulaiman A, Bademosi O, Ismail H, Magboll G (1999) Stroke in Saudi children. J Child Neurol 14(5):295–298CrossRef
19.
go back to reference Giampaoli S, Hammar N, Adany R, De Peretti C (2007) Population-based register of stroke: manual of operations. Eur J Cardiovasc Prev Rehabil 14(SUPPL. 3) Giampaoli S, Hammar N, Adany R, De Peretti C (2007) Population-based register of stroke: manual of operations. Eur J Cardiovasc Prev Rehabil 14(SUPPL. 3)
20.
go back to reference Béjot Y, Bailly H, Durier J, Giroud M (2016) Epidemiology of stroke in Europe and trends for the 21st century. Presse Medicale 45:e391–e398 Béjot Y, Bailly H, Durier J, Giroud M (2016) Epidemiology of stroke in Europe and trends for the 21st century. Presse Medicale 45:e391–e398
22.
go back to reference Connor M (2004) Prevalence of stroke survivors in rural South Africa: results from the Southern Africa Stroke Prevention Initiative (SASPI) Agincourt Field Site. Stroke. 35(3):627–632CrossRef Connor M (2004) Prevalence of stroke survivors in rural South Africa: results from the Southern Africa Stroke Prevention Initiative (SASPI) Agincourt Field Site. Stroke. 35(3):627–632CrossRef
23.
go back to reference Kulshreshtha A, Anderson LM, Goyal A, Keenan NL (2012) Stroke in South Asia: a systematic review of epidemiologic literature from 1980 to 2010. Neuroepidemiology 38:123–129 Kulshreshtha A, Anderson LM, Goyal A, Keenan NL (2012) Stroke in South Asia: a systematic review of epidemiologic literature from 1980 to 2010. Neuroepidemiology 38:123–129
24.
go back to reference Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, Moran AE, Sacco RL, Anderson L, Truelsen T, O'Donnell M, Venketasubramanian N, Barker-Collo S, Lawes CMM, Wang W, Shinohara Y, Witt E, Ezzati M, Naghavi M, Murray C (2014) Global and regional burden of stroke during 1990-2010: findings from the global burden of disease study 2010. Lancet. 383(9913):245–255CrossRef Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, Moran AE, Sacco RL, Anderson L, Truelsen T, O'Donnell M, Venketasubramanian N, Barker-Collo S, Lawes CMM, Wang W, Shinohara Y, Witt E, Ezzati M, Naghavi M, Murray C (2014) Global and regional burden of stroke during 1990-2010: findings from the global burden of disease study 2010. Lancet. 383(9913):245–255CrossRef
25.
go back to reference Doi SAR, Barendregt JJ, Khan S, Thalib L, Williams GM (2015) Advances in the meta-analysis of heterogeneous clinical trials I: the inverse variance heterogeneity model. Contemp Clin Trials 45:130–138CrossRef Doi SAR, Barendregt JJ, Khan S, Thalib L, Williams GM (2015) Advances in the meta-analysis of heterogeneous clinical trials I: the inverse variance heterogeneity model. Contemp Clin Trials 45:130–138CrossRef
26.
go back to reference Euser AM, Zoccali C, Jager KJ, Dekker FW (2009) Cohort studies: prospective versus retrospective. Nephron Clin Pract 113 Euser AM, Zoccali C, Jager KJ, Dekker FW (2009) Cohort studies: prospective versus retrospective. Nephron Clin Pract 113
Metadata
Title
Incidence of stroke among Saudi population: a systematic review and meta-analysis
Authors
Bader A. Alqahtani
Aqeel M. Alenazi
Jeffrey C. Hoover
Mohammed M. Alshehri
Mohammed S. Alghamdi
Ahmad M. Osailan
Kamlesh Khunti
Publication date
01-11-2020
Publisher
Springer International Publishing
Keyword
Stroke
Published in
Neurological Sciences / Issue 11/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04520-4

Other articles of this Issue 11/2020

Neurological Sciences 11/2020 Go to the issue