Thirty-Year Changes in Stroke Demographics in the Saudi National Guard Community (1982–1992 and 2013–2024)
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By
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Alahmari, Awadh M.
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Alabdulwahed, Alwaleed
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Almassoud, Abdulrhman
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Alotaibi, Eman
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Albakr, Maha
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Alotaibi, Lena
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Khatri, Ismail A.
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May 5, 2026
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Clinical Scorecard: Three Decades of Stroke Demographics in the Saudi National Guard Community: A Comparative Analysis (1982–1992 and 2013–2024)
At a Glance
| Category | Detail |
|---|
| Condition | Stroke |
| Key Mechanisms | Advances in clinical care and diagnostic technology |
| Target Population | Saudi National Guard community |
| Care Setting | King Abdulaziz Medical City, Riyadh |
Key Highlights
- Crude annual stroke incidence decreased from 43.8 to 34.36 per 100,000.
- 10-year period prevalence increased from 186 to 343.6 per 100,000.
- Hypertension prevalence rose from 56.0% to 72.1%, and diabetes from 42.0% to 64.1%.
- All-cause mortality fell from 12.2% to 4.2%.
- 56.8% of patients achieved mRS 0–2 at 3 months in the Modern Era.
Guideline-Based Recommendations
Diagnosis
- Utilize TOAST classification for stroke type identification.
Management
- Implement targeted primary prevention strategies for rising metabolic risk factors.
Monitoring & Follow-up
- Assess functional outcomes using mRS at 3 months post-stroke.
Risks
- Monitor for increased prevalence of hypertension, diabetes, and smoking.
Patient & Prescribing Data
3,436 stroke patients from June 2013 to January 2024.
Functional outcomes and length of stay data available for Modern Era patients.
Clinical Best Practices
- Cautiously interpret cross-period comparisons due to methodological constraints.
- Acknowledge differences in diagnostic technology and population composition.
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