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Disease Burden of Stroke in Kolkata, India: Derivation of Disability-Adjusted Life Years by a Direct Method
- Source :
- Neuroepidemiology. 41:88-93
- Publication Year :
- 2013
- Publisher :
- S. Karger AG, 2013.
-
Abstract
- Background/Aims: The disability-adjusted life year (DALY) is a new time-based measure of disease burden incorporating both disability and mortality. Our study aims to determine the DALYs lost due to stroke using a direct methodology and the implications. Methods: A population-based, house-to-house, 2-stage, prospective study on stroke was conducted over 7 years in Kolkata, India, on 100,802 randomly selected subjects to capture the incident cases of first-ever stroke and those with fatal stroke. The data were utilized to estimate years of life lost due to premature mortality (YLLs), years lived with disability (YLDs) and DALYs lost. Results: Over 7 years, there were 763 incident cases of first-ever stroke; of these, 320 had a fatal stroke within 30 days and 443 were stroke survivors. The overall DALYs lost due to stroke were computed as 795.57 per 100,000 person-years (730.43 in men and 552.86 in women). The overall YLL and YLD values were 593.14 and 202.43 per 100,000 person-years, respectively. The YLLs comprised 74.5% of the total DALYs. Conclusions: This is the first study in India where DALYs lost due to stroke were derived by a direct method. High YLL values demand urgent measures for controlling premature stroke death.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Adolescent
Epidemiology
India
Premature stroke
Young Adult
Cost of Illness
Humans
Medicine
Disability-adjusted life year
Disabled Persons
Prospective Studies
Derivation
Stroke survivor
Child
Prospective cohort study
Stroke
Disease burden
Aged
business.industry
Infant, Newborn
Infant
Middle Aged
medicine.disease
Years of potential life lost
Child, Preschool
Population Surveillance
Female
Quality-Adjusted Life Years
Neurology (clinical)
business
Subjects
Details
- ISSN :
- 14230208 and 02515350
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- Neuroepidemiology
- Accession number :
- edsair.doi.dedup.....d5f2b40cfd8b5a376b5ad419e79f38fb