High prevalence of major neurological disorders in two albanian communities: Results of a door-to-door survey

J. Kruja, E. Beghi, D. Zerbi, D. Dobi, A. Kuqo, I. Zekja, S. Mijo, M. Kapisyzi, P. Messina

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: There are few epidemiological studies on neurological disorders in Albania. Methods: A door-to-door survey was undertaken in two geographical areas (Tirana and Saranda) with different socioeconomic backgrounds. Two random samples of the local population underwent a structured interview to ascertain headache, epilepsy, dementia, parkinsonism, multiple sclerosis, polyneuropathy, stroke and cerebral palsy. Each diagnosis was made using standard criteria for epidemiological studies and was confirmed by history, neurological examination and, where available, the review of personal medical records. Lifetime prevalence ratios with 95% confidence intervals were calculated. Results: Of the 9,869 individuals screened (Tirana 4,953; Saranda 4,916), 4,867 were males aged 1-91 years (median 39 years) and 5,002 were females aged 1-96 years (median 37 years). Crude prevalence ratios (per 1,000) were: headache 241.9 (233.5-250.3), polyneuropathy 32.5 (29.0-36.0), epilepsy 14.2 (11.7-16.3), stroke 12.4 (10.2-14.6), dementia 9.6 (7.7-11.5), parkinsonism 8.0 (6.2-9.8), cerebral palsy 4.8 (3.4-6.2), and multiple sclerosis 0.3 (0.0-0.6). Prevalence varied with age and gender, with differences across diseases. Except for polyneuropathy (Tirana 39.8; Saranda 25.2), ratios were not different in the two study areas. Conclusions: The prevalence of selected neurological disorders in Albania is higher than in other countries. Differences may be explained by study design, population structure and/or genetic and environmental factors.

Original languageEnglish
Pages (from-to)138-147
Number of pages10
JournalNeuroepidemiology
Volume38
Issue number3
DOIs
Publication statusPublished - May 2012

Fingerprint

Nervous System Diseases
Polyneuropathies
Albania
Parkinsonian Disorders
Cerebral Palsy
Multiple Sclerosis
Headache
Dementia
Epidemiologic Studies
Epilepsy
Stroke
Personal Health Records
Genetic Structures
Neurologic Examination
Population
History
Confidence Intervals
Interviews
Surveys and Questionnaires

Keywords

  • Albania
  • Epidemiology
  • Nervous system diseases
  • Prevalence

ASJC Scopus subject areas

  • Epidemiology
  • Clinical Neurology

Cite this

High prevalence of major neurological disorders in two albanian communities : Results of a door-to-door survey. / Kruja, J.; Beghi, E.; Zerbi, D.; Dobi, D.; Kuqo, A.; Zekja, I.; Mijo, S.; Kapisyzi, M.; Messina, P.

In: Neuroepidemiology, Vol. 38, No. 3, 05.2012, p. 138-147.

Research output: Contribution to journalArticle

Kruja, J, Beghi, E, Zerbi, D, Dobi, D, Kuqo, A, Zekja, I, Mijo, S, Kapisyzi, M & Messina, P 2012, 'High prevalence of major neurological disorders in two albanian communities: Results of a door-to-door survey', Neuroepidemiology, vol. 38, no. 3, pp. 138-147. https://doi.org/10.1159/000336348
Kruja, J. ; Beghi, E. ; Zerbi, D. ; Dobi, D. ; Kuqo, A. ; Zekja, I. ; Mijo, S. ; Kapisyzi, M. ; Messina, P. / High prevalence of major neurological disorders in two albanian communities : Results of a door-to-door survey. In: Neuroepidemiology. 2012 ; Vol. 38, No. 3. pp. 138-147.
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AB - Background: There are few epidemiological studies on neurological disorders in Albania. Methods: A door-to-door survey was undertaken in two geographical areas (Tirana and Saranda) with different socioeconomic backgrounds. Two random samples of the local population underwent a structured interview to ascertain headache, epilepsy, dementia, parkinsonism, multiple sclerosis, polyneuropathy, stroke and cerebral palsy. Each diagnosis was made using standard criteria for epidemiological studies and was confirmed by history, neurological examination and, where available, the review of personal medical records. Lifetime prevalence ratios with 95% confidence intervals were calculated. Results: Of the 9,869 individuals screened (Tirana 4,953; Saranda 4,916), 4,867 were males aged 1-91 years (median 39 years) and 5,002 were females aged 1-96 years (median 37 years). Crude prevalence ratios (per 1,000) were: headache 241.9 (233.5-250.3), polyneuropathy 32.5 (29.0-36.0), epilepsy 14.2 (11.7-16.3), stroke 12.4 (10.2-14.6), dementia 9.6 (7.7-11.5), parkinsonism 8.0 (6.2-9.8), cerebral palsy 4.8 (3.4-6.2), and multiple sclerosis 0.3 (0.0-0.6). Prevalence varied with age and gender, with differences across diseases. Except for polyneuropathy (Tirana 39.8; Saranda 25.2), ratios were not different in the two study areas. Conclusions: The prevalence of selected neurological disorders in Albania is higher than in other countries. Differences may be explained by study design, population structure and/or genetic and environmental factors.

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