Abdel-Halim Hafez Elamy1, Ashfaq Shuaib1, Keumhee C Carriere2, Thomas Jeerakathil1. 1. Division of Neurology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. 2. Department of Mathematical and Statistical Sciences, University of Alberta, Edmonton, Alberta, Canada.
Abstract
OBJECTIVES: Although comorbidity increases the health care and community support needs for patients, and the burden for the health care system, there are few population-based studies on comorbidity in patients with stroke. This study aims to evaluate the occurrence of important comorbidities among stroke patients in the Canadian population. METHODS: Data from the population-based 2011-2012 Canadian Community Health Survey containing responses from 124,929 participants covering about 98% of the Canadian population when weighted were examined and analyzed by means of logistic regression models. RESULTS: There was a statistically significant association between stroke history and multiple comorbid risk factors. Stroke prevalence increased in individuals with heart disease (odds ratio (OR): 3.80, 95% confidence interval (CI): 3.77-3.84), hypertension (OR: 1.97, 95% CI: 1.95-1.99), diabetes (OR: 1.74, 95% CI: 1.72-1.75), mood disorder (OR: 2.14, 95% CI: 2.12-2.17), and chronic obstructive pulmonary disease (COPD) (OR: 1.46, 95% CI: 1.44-1.48) compared to others without the condition. Of 2067 participants with stroke, 1680 (81.3%) had one or more comorbid conditions (heart disease, hypertension, diabetes, mood disorder, or COPD) that coexist with stroke and 48% had two or more. Comorbidity increased with age, and two-thirds of stroke patients with comorbid medical conditions were 60 years of age or older. CONCLUSION: This population-based study provides evidence of comorbidity between stroke and other conditions that include heart disease, hypertension, diabetes, mood disorder, and COPD. Canadian individuals with stroke have a high burden of comorbidity. Health care systems need to recognize and respond to the strong association of comorbidity and stroke occurrence. This key factor should be considered when allocating resources.
OBJECTIVES: Although comorbidity increases the health care and community support needs for patients, and the burden for the health care system, there are few population-based studies on comorbidity in patients with stroke. This study aims to evaluate the occurrence of important comorbidities among stroke patients in the Canadian population. METHODS: Data from the population-based 2011-2012 Canadian Community Health Survey containing responses from 124,929 participants covering about 98% of the Canadian population when weighted were examined and analyzed by means of logistic regression models. RESULTS: There was a statistically significant association between stroke history and multiple comorbid risk factors. Stroke prevalence increased in individuals with heart disease (odds ratio (OR): 3.80, 95% confidence interval (CI): 3.77-3.84), hypertension (OR: 1.97, 95% CI: 1.95-1.99), diabetes (OR: 1.74, 95% CI: 1.72-1.75), mood disorder (OR: 2.14, 95% CI: 2.12-2.17), and chronic obstructive pulmonary disease (COPD) (OR: 1.46, 95% CI: 1.44-1.48) compared to others without the condition. Of 2067 participants with stroke, 1680 (81.3%) had one or more comorbid conditions (heart disease, hypertension, diabetes, mood disorder, or COPD) that coexist with stroke and 48% had two or more. Comorbidity increased with age, and two-thirds of stroke patients with comorbid medical conditions were 60 years of age or older. CONCLUSION: This population-based study provides evidence of comorbidity between stroke and other conditions that include heart disease, hypertension, diabetes, mood disorder, and COPD. Canadian individuals with stroke have a high burden of comorbidity. Health care systems need to recognize and respond to the strong association of comorbidity and stroke occurrence. This key factor should be considered when allocating resources.
Authors: Thu T M Pham; Manh-Tan Vu; Thuc C Luong; Khue M Pham; Lien T K Nguyen; Minh H Nguyen; Binh N Do; Hoang C Nguyen; Tuan V Tran; Thao T P Nguyen; Hoang P Le; Cuong Q Tran; Kien T Nguyen; Shwu-Huey Yang; Chaur-Jong Hu; Chyi-Huey Bai; Tuyen Van Duong Journal: Front Med (Lausanne) Date: 2022-05-06
Authors: Abdullah M Al Alawi; Ikhlas Al Busaidi; Emaad Al Shibli; Al-Reem Al-Senaidi; Shahd Al Manwari; Ibtisam Al Busaidi; Fatema Muhanna; Ahmed Al Qassabi Journal: Ann Saudi Med Date: 2022-08-04 Impact factor: 1.707
Authors: Jan F Scheitz; Luciano A Sposato; Jeanette Schulz-Menger; Christian H Nolte; Johannes Backs; Matthias Endres Journal: J Am Heart Assoc Date: 2022-09-03 Impact factor: 6.106