RES-Q Is The First Effective Stroke Registry To Display The Clinical Difference In Stroke Epidemiology In North And South In A Mountainous Country
I. Lutsenko1, D. Nazhmudinova1, A. Sultanova1, Z. Egenberdieva2, M. Sultanova2.
1Kyrgyz State Medical Academy, Online and Distance Learning, Bishkek, Kyrgyzstan\r.
2Osh Interregional Clinic, Vascular Neurology, Osh, Kyrgyzstan\r.
Background and Aims:
Data on stroke types distribution, in-hospital mortality and logistics are lacking in Kyrgyzstan, where 40% of geographic areas are covered by mountains. North and South are divided by highland mountainous range, making lifestyle of South and North and stroke treatment approach different. ESO-EAST in Kyrgyzstan aimed to implement the population-based stroke care quality register in 2016 to reflect epidemiology of stroke.
RES-Q register based on 24 variables reflects the stroke demographics, severity (NIHSS and mRS), time from the onset to admission, stroke type and discharge information. A paper-based form was developed by Kyrgyz scientists and filled out by doctors at south area and later the data were transferred into electronic-based RES-Q registry.
A total of 647 strokes were registered in RES-Q, Kyrgyzstan in a period 2016-2018 years. There were 50.9 % males in all sample, but in the south capital - just 38.8% of males, leaving a stroke dominance in females. Patients from south region were significantly younger (p=0.003) with the median age of 59 (19;92) with a median NIHSS 10, and more hemorrhagic transformation in ischemic strokes (IS). A TOAST subtype diagnosis was reached in 76% of patients in north and just 38% in south. Antiplatelets, anticoagulants and statins are much less prescribed in IS in discharge in south region.
First country registry RES-Q made possible to compare stroke subtypes and severity across the altitudes, revealing that patients from south of Kyrgyzstan are younger, have more severe strokes despite of the quicker time of admission to clinic.