Estimating annual deaths from stroke in adults under 70 years of age in Freetown Sierra Leone: A comparative analysis of a hospital-based stroke register and a population-based verbal autopsy study
In this setting, a hospital-based stroke register underestimated deaths from stroke in adults younger than 70 years to a much greater degree than estimates from high-income country settings. For people who died from SISLE, employed people, people who did not seek formal healthcare, and people who died within 24 hours were less likely to be included in the hospital-based stroke register. Investment in routine death registration systems and population-based stroke surveillance is essential to provide accurate estimates of population-level stroke burden in our setting.
Authors
- Julia Fox‐Rushby (ORCID: https://orcid.org/0000-0003-0748-0871)
- Anteneh Assalif (ORCID: https://orcid.org/0000-0001-6928-1494)
- Zainab F Conteh
- Marina Soley‐Bori (ORCID: https://orcid.org/0000-0002-8348-3575)
- Iain James Marshall (ORCID: https://orcid.org/0000-0003-2594-2654)
- Daniel Youkee (ORCID: https://orcid.org/0000-0002-2383-4425)
- Charles D.A. Wolfe (ORCID: https://orcid.org/0000-0001-8264-0981)
- Prabhat Jha (ORCID: https://orcid.org/0000-0001-7067-8341)
- Gibrilla F. Deen (ORCID: https://orcid.org/0000-0001-6567-4821)
- Catherine Sackley (ORCID: https://orcid.org/0000-0002-8580-6622)
Institutions
- University of Nottingham (GB)
- University of Cape Town (ZA)
- University of Sierra Leone (SL)
- King's College London (GB)
- University of Toronto (CA)
- Centre for Global Health Research (CA)
Publication Details
- Journal
- International Journal of Stroke
- Published
- 2025-08-05
- DOI
- https://doi.org/10.1177/17474930251367517
- Citations
- 2
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 2.71
Funders
- National Institute for Health and Care Research
- Medical Research Council