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Total 42 results found since Jan 2013.

Burden of disease of chronic pain in Ecuador
CONCLUSIONS: Chronic pain is an important source of burden of disease. It is comparable to other important causes such as headaches, stroke, diabetes and chronic obstructive pulmonary disease, among others. Low back pain, osteoarthritis and other musculoskeletal pain were the biggest contributors given their high prevalence.PMID:36946473 | DOI:10.1080/14737167.2023.2193689
Source: Expert Review of Pharmacoeconomics and Outcomes Research - March 22, 2023 Category: Health Management Authors: Pieralessandro Lasalvia Yaneth Gil-Rojas Diego Rosselli Source Type: research

Ethnodemographic characterization of stroke incidence and burden of disease in hospital discharge records in Ecuador
DiscussionDifferences in the burden of disease by ethnic group are likely to reflect differential access to care by region and socio-economic group, both of which are frequently correlated with ethnic composition in Ecuador. Equitable access to health services remains an important challenge in the country. The gender discrepancy in fatality rates suggests that there is a need for targeted educational campaigns to identify stroke signs early, especially in the female population.
Source: Frontiers in Neurology - February 8, 2023 Category: Neurology Source Type: research

Clinical Characteristics and Surgical Outcomes of Carotid Body Tumors: Data from the Carotid Paraganglioma Cooperative International Registry (CAPACITY) Group
ConclusionThe most common CBT type on this cohort was hyperplasic, which might be partially explained by the high altitudes where these patients lived. Increased blood loss and operative time were associated with a higher Shamblin classification, and the risk of stroke was associated with patients presenting transoperative vascular lesions.
Source: World Journal of Surgery - September 2, 2022 Category: Surgery Source Type: research

Neuroimaging investigation of the intracranial vasculature is warranted in older adults with lacunes of presumed vascular origin
CONCLUSION: Lacunes are more often associated with IAS than with WMH at the population level. Neuroimaging investigation of the intracranial vasculature in individuals with lacunes will provide informed-based decisions for secondary stroke prevention.PMID:35369799 | DOI:10.1177/19714009221083147
Source: Atherosclerosis - April 4, 2022 Category: Cardiology Authors: Oscar H Del Brutto Robertino M Mera Source Type: research

Stroke-Related Mortality at Different Altitudes: A 17-Year Nationwide Population-Based Analysis From Ecuador
Conclusion: This is the first epidemiological study that aims to elucidate the association between stroke and altitude using four different elevation ranges. Our findings suggest that living at higher elevations offers a reduction or the risk of dying due to stroke as well as a reduction in the probability of being admitted to the hospital. Nevertheless, this protective factor has a stronger effect between 2,000 and 3,500 m.
Source: Frontiers in Physiology - September 30, 2021 Category: Physiology Source Type: research

Mediation of age in the association between frailty and large artery atherosclerosis burden – A population study in community-dwelling older adults
A systematic evaluation of the relationship between frailty and large artery atherosclerosis (LAA) burden has not been carried out. Here, we aimed to assess the association between these variables in community-dwelling older adults living in Atahualpa (rural Ecuador).
Source: Journal of Stroke and Cerebrovascular Diseases - May 6, 2020 Category: Neurology Authors: Oscar H. Del Brutto, Robertino M. Mera, Bettsy Y. Recalde, Aldo F. Costa, Mark J. Sedler Source Type: research

Management of Stroke with Pharmacological Fibrinolysis in an Emergency Department at a Level 2 Hospital in Central Ecuador
In this study we report the initial results of the first code stroke and fibrinolysis pathway established in a level 2 public hospital in a small city (pop 300,000) in Ecuador.Objective: To develop an organized and coordinated pathway within the hospital for the correct diagnosis and treatment of patients with clinical presentation of stroke, starting with early identification of signs/symptoms and the activation of a specific pathway, which in turn improves the prognosis and the quality of life of acute ischemic stroke patients.Methods: This was a prospective, longitudinal,...
Source: Western Journal of Emergency Medicine - February 24, 2020 Category: Emergency Medicine Source Type: research

Cerebrovascular Correlates of Dementia in Community-Dwelling Older Adults Living in Rural Communities – The Three Villages Study. Rationale and Protocol of a Population-Based Prospective Cohort Study
Background: Despite the assumption that dementia is increasing in rural areas of Latin America, there is no information on the burden and risk factors leading to dementia in these settings. Aims: To assess prevalence and incidence of dementia, and its cerebrovascular correlates in an established cohort of community-dwelling older adults living in rural Ecuador, and to explore the impact of dementia on functional disability and the role of the social determinants of health in the above-mentioned relationships.
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2020 Category: Neurology Authors: Oscar H. Del Brutto, Robertino M. Mera, Victor J. Del Brutto, Aldo F. Costa, Bettsy Y. Recalde Source Type: research

On the Association Between Sleep Quality and Arterial Stiffness: A Population Study in Community-Dwelling Older Adults Living in Rural Ecuador (The Atahualpa Project)
Conclusions:This study shows a significant independent association between the aortic PWV and poor sleep quality in older adults living in rural Ecuador. Results provide more insights into the relevance of the impact of sleep disorders on cardiovascular diseases.Clinical Trial Registration:The Atahualpa Project has been registered atClinicalTrials.gov. The identifier number is NCT01627600, and the date was: 10/02/2012.Citation:Del Brutto OH, Mera RM, Peñaherrera E, Costa AF, Peñaherrera R, Castillo PR. On the association between sleep quality and arterial stiffness: a population study in community-dwelling ol...
Source: Journal of Clinical Sleep Medicine : JCSM - August 14, 2019 Category: Sleep Medicine Source Type: research

Transcranial Doppler ultrasound measurements of cerebral hemodynamic parameters in healthy volunteers at 2850 meters altitude.
CONCLUSIONS: The hemodynamic parameters in this series are lower than in other series and are influenced by the altitude, age, and sex. PMID: 31164236 [PubMed - as supplied by publisher]
Source: Radiologia - May 31, 2019 Category: Radiology Authors: Scherle Matamoros CE, Rivero Rodríguez D Tags: Radiologia Source Type: research