London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 615 510 Epidemiology of stroke Management of Ruptured Aneurysms after Subarachnoid Hemorrhage: results of a popula-tion- based study in Baotou, Inner Mongolia, China G.R. Liu1, G.J. Cheng2, J.F. Zhang3, H. Arima4, Y.C. Li5, L. Lv6, S. Zhu7, C.S. Anderson8 Baotou Central Hospital, Baotou, CHINA1, Baotou Central Hospital, Baotou, CHINA2, Baotou Central Hospital, Baotou, CHINA3, The George Institute for Global Health, Sydney, AUSTRALIA4, Baotou Central Hospital, Baotou, CHINA5, Baotou Central Hospital, Baotou, CHINA6, Baotou Cen-tral Hospital, Baotou, 7, The George Institute for Global Health, Royal Prince Alfred Hospital and the University of Sydney, Sydney, AUSTRALIA8 Background: There is little population-based data on current management of ruptured aneurysm af-ter subarachnoid hemorrhage (SAH). We aimed to investigate the current use of angiography and that of endovascular and neurosurgical treatment for ruptured aneurysm among SAH patients in Chi-na. Methods:The Chinese Epidemiology Research in Subarachnoid Hemorrhage (CHERISH) study was a prospective, population-based, case-control study of SAH conducted in Baotou, China. A total of 225 SAH patients detected during the two-year study period were included in the present analy-sis. Standardized information on use of angiography, endovascular coiling, neurosurgical clipping and reinforcement was collected directly from participating hospitals. Logistic regression models were used to analyze the determinants of such management. Results: Among 225 SAH patients, 130 (58%) had angiography. Older age (≥65 years) and earlier presentation (within 6 hours) were signifi-cantly associated with less use of angiography (odd ratio=0.38 95%CI 0.17-0.83 and 0.37 0.17- 0.81, respectively). Among 93 (41%) patients with ruptured aneurysms identified by angiography, 63 (28%) patients underwent endovascular coiling, neurosurgical clipping or reinforcement. There were no significant determinants for treatment of ruptured aneurysms. Conclusion: The management of SAH in an urban setting of China was characterized by low use of angiography and treatment for ruptured aneurysms. 511 Epidemiology of stroke Prevalence of stroke in Lebanon: A 2012 cross-sectional study N. Lahoud1, H. Hosseini2, P. Salameh3, N. Saleh4 Université Paris-Est, France, Paris, FRANCE1, Hopital Henri Mondor, Paris, FRANCE2, Univer-sité Libanaise, Beirut, LEBANON3, Université Libanaise, Beirut, LEBANON4 Introduction: stroke prevalence in any country is a necessity because it measures the existence of the third cause of death on earth. Lebanon is one of the countries where few studies about the epidemi-ology of stroke have been conducted. Methods: a cross-sectional study based on random telephonic calls has been conducted between January and March 2012 to fill in a questionnaire about the existence of a case and its demographic characteristics. Results: a total of 1779 questionnaires have been filled resulting in a stroke prevalence of 0.5% ob-tained after adjustment over each governorate’s demographic characteristics (number of inhabitants, age and gender). A large difference (RR=5.464; CI= 1.187-25.145; p=0.015) exists between male and female stroke prevalence aged between 60 and 80 (3.3 vs. 0.6% respectively). Conclusion: results were expected as Lebanon is a country positioned between developed and de-veloping ones. Strict measures need to be installed to limit stroke incidence with a population that is getting older as it is the situation in developed countries.
Karger_ESC London_2013
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