Trends and demographic characteristics of hemorrhagic stroke in Albania during the period 2004-2015

Petrit Gjorgji, Jera Kruja


Aim: Our aim was to describe the trend over time and the demographic distribution of hemorrhagic stroke in Albania in the past decade.

Methods: This study included all patients diagnosed with hemorrhagic stroke and admitted during the period 2004-2015 at the University Hospital Center “Mother Teresa” in Tirana (988 cases overall; 34% women; overall mean age: 57.8±19.3 years). Information about selected demographic characteristics was also collected for all study participants.  

Results: The proportion of older patients (≥70 years) was slightly, but not significantly, higher in women than in men (32% vs. 27%, respectively; P=0.163). Furthermore, the proportion of Tirana residents was similar in both sexes (47% in men vs. 45% in women). Overall, there was evidence of a significant linear trend over time (Mann-Kendall test: P<0.01), indicating a gradual increase in the number of hemorrhagic stroke cases in Albania for the period 2004-2015.

Conclusion: This study provides useful information about the increasing trend of hemorrhagic stroke in Albania, a transitional country in Southeastern Europe which is characterized by rapid changes including unhealthy dietary habits.   


Albania, cerebrovascular disease, hemorrhagic stroke, time trend, Western Balkans.

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Cite this article


Brott T, Bogousslavsky J. Treatment of acute ischemic stroke. N Engl J Med 2000;343:710-22.

Allder SJ, Moody AR, Martel AL, Morgan PS, Delay GS, Gladman JR, Fentem P, Lennox GG. Limitations of clinical diagnosis in acute stroke. Lancet 1999;354:1523.

Albanian Institute of Public Health. National health report: Health status of the Albanian population. Tirana, Albania; 2014.

Institute for Health Metrics and Evaluation (IHME). Global Burden of Disease Database. Seattle, WA: IHME, University of Washington; 2014.

Weisberg LA, Nice CN. Intracranial tumors simulating the presentation of cerebrovascular disease. Am J Med 1977;63:517-24.

Gjorgji P, Kruja J. Ischemic stroke during the period 2004-2015 in transitional Albania. Management in Health 2016;XX/2:16-8.

Burazeri G, Achterberg P. Health status in the transitional countries of South Eastern Europe. SEEJPH 2015;1. DOI: 10.4119/UNIBI/SEEJPH-2015-48.

Kothari RU, Brott T, Broderick JP, Hamilton CA. Emergency physicians: accuracy in diagnosis of stroke. Stroke 1995;26:2238-41.

Norris JW, Hachinski VC. Misdiagnosis of stroke. Lancet 1982;1:328-31.

DOI: 10.4119/UNIBI/SEEJPH-2016-123

Copyright (c) 2016 Petrit Gjorgji, Jera Kruja

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