EPIDEMIOLOGI STROKE

Oleh
Santi Martini
Departemen Epidemiologi
FKM Unair

Hippocrates (400 BC) wrote in his

aphorisms on apoplexy, persons
are most
subject to apoplexy
between the ages of forty
and
sixty and attacks of numbness
might
reflect
impending
apoplexy. He astutely noted that
when persons in good health are
suddenly seized with pains in the
head and
straightaway are laid
down speechless and breathe with
stertor, they die in seven days

INTRODUCTION
DATA BANKS AND STROKE
REGISTRIES
Stroke Units, Stroke
Specialists,
and Stroke Nurses
STROKE AS A MODEL EXAMPLE
OF BRAIN AND VASCULAR
DISEASE
STROKE CARE

PATHOLOGY: MECHANISMS
OF CEREBROVASCULAR DAMAGE
TO BRAIN TISSUE

Source: page 28 of Caplans Stroke

Source: page 32 of Caplans

Stroke

PEMERIKSAAN

Survival of Stroke Cases in 30

days and 1 year

Sampling of 192 countries ranked by ageadjusted stroke mortality (from highest to

lowest, median 111 per 100000)
Ranking

Country

Mortality (per 100000)

Russia

251

Kyrgyzstan

237

St Kitts and Nevis

216

20

Democratic Republic 162

of Congo

184

Australia

33

186

US

32

189

Canada

27

191

Switzerland

26

192

Seychelles

24

Johnston SC et al. International Stroke Conference

2009; February 20, 2009; San Diego, CA.

PENCEGAHAN PRIMER

Priorities for Action

A Comprehensive approach
Multisectoral action
Surveillance and monitoring
Health system
Best buys
Sustainable development
Civil society and the private sector
Source: page 7 of Global Status Report
on NCD 2010

THE NEW CONCEPTS of Public

Health by Donald Acheson, the Chief
Medical Officer for England

the
science
and
art
of
preventing disease, prolonging
life
and
promoting
health
through the organised efforts of
society.