BRIV_adv
Annals of Indian Academy of Neurology
  Users Online: 550 Home | About the Journal | InstructionsCurrent Issue | Back IssuesLogin      Print this page Email this page  Small font size Default font size Increase font size
ORIGINAL ARTICLE
Year : 2021  |  Volume : 24  |  Issue : 4  |  Page : 573-579

Transient Ischemic Attack (TIA) Incidence with Geographic Information Systems (GIS) mapping for stroke prevention interventions


1 University of Pittsburgh Graduate School of Public Health, 130 De Soto Street, Pittsburgh, PA 15261, USA
2 Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Canada
3 Department of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, India
4 Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India
5 Department of Community Medicine, Christian Medical College and Hospital, Ludhiana, Punjab, India

Correspondence Address:
Dr. Jeyaraj D Pandian
Principal and Professor of Neurology, Christian Medical College, Ludhiana, Punjab; Vice-President, World Stroke Organisation Honorary Professor, The George Institute for Global Health, Sydney and School of Nursing, University of Central Lancashire, Preston Deputy Director, NIHR Global Health Research Group on Improving Stroke Care in India
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aian.AIAN_699_20

Rights and Permissions

Objectives: GIS mapping as a public health tool has been increasingly applied to chronic disease control. While evaluating TIA incidence from an existing regional stroke registry in Ludhiana city, India, we aim to apply the innovative concept of regional TIA GIS mapping for planning targeted stroke prevention interventions. Methods: TIA patient data was obtained from hospitals, scan centers and general practitioners from March 2010 to March 2013 using WHO-Stroke STEPS based surveillance as part of establishing a population-based stroke registry in Ludhiana city. From this registry, patients with TIA (diagnosed by MRI image-based stroke rule-out, or clinically) were chosen and data analyzed. Results: A total of 138 TIA patients were included in the final analysis. The annual TIA incidence rate for Ludhiana city was 7.13/100,000 (95% confidence interval: 5.52 to 8.74) for 2012-2013. Mean age was 58.5 ± 13.9 years (range: 22-88 years) and 87 (63%) were men. Majority of the TIA cases had anterior circulation TIAs. Hypertension (87.4%) was the most common risk factor. Using Geographic Information System (GIS) mapping, high TIA incidence was seen in central, western, and southern parts and clustering of TIA cumulative incidence was seen in the central part of Ludhiana city. Conclusion: Incidence rate of TIA was lower than that expected from a low- and middle-income country (LMIC). TIA GIS mapping, looking at regional localization, can be a novel option for developing targeted, cost-effective stroke prevention programs.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed126    
    Printed0    
    Emailed0    
    PDF Downloaded18    
    Comments [Add]    

Recommend this journal