U

The Prevalence of Stroke in Singapore

by | Dec 19, 2023

Explore the prevalence of stroke in Singapore through insightful statistics and crucial information. Stay informed about the impact of strokes on the local population and discover treatment options from Supreme Vascular and Interventional Clinic. 

Happy and healthy Singaporean senior couple

Stroke Statistics in Singapore

Every year, an estimated 15 million people worldwide suffer a stroke. 9,679 Singaporeans were affected by haemorrhagic and ischaemic strokes in 2021. According to the National Library of Medicine, stroke is Singapore’s fourth leading cause of death, with a crude death rate of 40.4/100 000 in 2006, a prevalence of 3.65% with an incidence of 1.8/1000, and is among the top 10 causes of hospitalization. 

Haemorrhagic Stroke (HS)

Do you know the different types of stroke? A haemorrhagic stroke is a type of stroke that occurs when a blood vessel in the brain bursts and causes bleeding within and around the brain. There are two main types: subarachnoid hemorrhage and intracerebral hemorrhage. 

Ischaemic Stroke (IS)

An ischaemic stroke occurs when there’s a blockage or reduction in blood flow to an area of the brain. This usually happens due to a condition called atherosclerosis, where fatty deposits (plaques) build up inside the blood vessels, narrowing them over time. When a blood clot (thrombus) forms and gets stuck in one of these narrowed vessels, it can block the blood flow completely or partially. Read more on our blog post, “Your Guide to Ischemic Stroke Causes and Treatment”

Transient Ischemic Attack (TIA, Mini-Stroke)

Another important term to know is Transient Ischemic Attack (TIA), often referred to as a “mini-stroke.” Though brief, TIAs can be warning signs of more serious strokes. Knowing the differences between these types will help you recognize symptoms and take appropriate action. What’s alarming is that according to data, an estimated 10-15% of patients with TIA have a full stroke within 3 months while a third of the people who experience a Transient Ischemic Attack eventually have a stroke often within a year. 

Number of People Affected in Singapore

According to the Health Promotion Board of Singapore, 4 in 5 cases are ischaemic strokes (80%). In 2021, there were 1,760 haemorrhagic strokes vs. 7,919 ischaemic strokes. Not only that, the Singapore Stroke Registry Report in 2020 conducted by the National Registry of Diseases Office, sheds light on how stroke has accounted for 8% of deaths. The Ministry of Health stated that stroke in Singapore is the fourth leading cause of death, the leading cause of adult disability, and has a prevalence of 4% among adults aged 50 years and above. There are 26 new stroke cases daily.

Populations Most Affected in Singapore

The good news is stroke is fully treatable yet certain attributes make an individual more prone to stroke in their lives. Here are a few things to know about what might put someone at a higher risk: 

  • Adults Between the Ages of 60 to 70 – This age group is the median age at onset of stroke. HS patients were around 67 years old whereas IS patients were 3 years older at 70 years of age to experience stroke.  There were 430 HS deaths to 453 IS deaths. Unfortunately, HS patients were at a great risk of dying within 30 days at 23%. 4% of IS patients  despite having similar number of deaths.
  • Stroke in young adults While the majority of people who suffer strokes are older adults, the disease can affect anyone, regardless of age. An estimated 1.5 million young adults worldwide suffer strokes each year. Most experts consider young stroke patients to pertain to individuals under the age of 45. Today, there is a growing trend of younger and middle-aged adults suffering from stroke. Stroke is also on the rise for those aged 40 to 59.
  • Stroke in women –  Women have a higher stroke risk due to a combination of biological, hormonal, and lifestyle factors that interact to create a unique set of risk factors in comparison to men. Typically, in the younger age group of 30s-40s, females are more dominant as an at-risk group. Read in detail why women are more at stroke risk than men.

Two Most Common Risk Factors for Stroke in Singapore

Here are the most common risk factors by the numbers for haemorrhagic and ischaemic stroke patients.

  1. High Blood Pressure: HS 81%, IS 81%
  2. High Cholesterol: HS 61%, IS 88%
  3. Diabetes: HS 30%, IS 46%
  4. Smoking: HS 27%, IS 36%
  5. Atrial fibrillation or flutter (irregular or abnormally fast heart rhythm): HS 13%, IS 21%

Our other informative blog post, “Stroke Causes and Risk Factors” gives more better insights and crucial information about certain stroke risk factors, some which are preventable and some which are not.

 

Diagnosis and Treatment Facts in Singapore

Stroke screening involves performing a thorough physical examination. It also helps rule out risk factors such as age, family history, obesity, high blood pressure, high cholesterol levels, smoking, and diabetes. A diagnostic test is conducted to detect the presence of any blood clots, blockages, or abnormalities in the brain using a C.T. scan and M.R.I. 

The primary treatment for an ischemic stroke is using blood-thinning medications that break up clots obstructing blood flow to the brain. Another advanced treatment option is mechanical thrombectomy. A neurointervention specialist uses surgery and medicine to treat a hemorrhagic stroke, especially if the bleeding area is extensive. The goal is to stop the bleeding and avoid complications like permanent brain damage. Read our “Stroke Causes, Symptoms, Diagnosis, and Treatment: A Complete Guide” blog post to stay informed about the types of stroke, symptoms, screening, diagnosis, treatment options, stroke management, and more. 

Call 9-9-5 or get to the nearest emergency room immediately if you or a loved one are experiencing the below stroke warning signs. Find more answers to commonly asked brain aneurysm and stroke questions from our patients with Dr. Manish Taneja.

How to Stop a Stroke and B.E. F.A.S.T. 

Remember that every second counts and the faster the stroke is treated, the more likely the patient can recover. An acronym that is useful in the fast recognition of acute ischaemic stroke and simple way to remember is BE FAST, which might save a life.

B: Balance Lost

E: Eyesight changes

FFace drooping

A: Arm weaknesses

S: Slurred speech

T: Time to call 9-9-5

BE FAST - Stroke symptoms

Stroke in Younger Adults

You are never too young to have a stroke. As such, it is important to know what to look out for and how your lifestyle increases your risk of having a stroke.

The Supreme Vascular and Interventional Clinic’s Comprehensive Stroke Treatments in Singapore

The Supreme Vascular and Interventional Clinic provides a full spectrum of neurointerventional treatments that seek to deal with stroke-related issues. There are personalized treatment plans for stroke to improve your quality of life. Contact us today to see how we can help you on your stroke journey with our programs including stroke screening, management, and prevention.

    Consult a Stroke Specialist in Singapore

    Dr. Manish Taneja, is an expert in endovascular and image guided neurointerventional procedures of brain and spine. It’s important to find a stroke specialist and doctor you can trust in Singapore. He has special interest in treatment of brain aneurysms, stroke and vascular malformations. Come in for a further evaluation. Arrange an appointment with Dr. Manish Taneja, our stroke specialist.

     

    Dr. Manish Taneja performing surgery

    Stroke Resources

    Transient Ischemic Attack: What You Need to Know

    Not all people get strokes. However, for those who are well, warning signs of stroke can still happen. You might have heard of Transient Ischemic Stroke (TIA), which can lead to a future possible stroke.

    Friends making salad

    We’ve Got You Covered for Specialized Stroke Screening, Prevention, and Management

    Imagine heart attacks where the blood flow to your heart is blocked. Similarly, a stroke occurs when the blood flow to your brain is interrupted becoming a “brain attack”. When blood supply does not reach a certain part, brain cells begin to die. Different types of stroke include ischaemic strokes (blockage of blood vessel due to blood clot) or a mini stroke, a TIA (transient ischemic attack), with no permanent damage yet serious. Stroke also occurs when a blood vessel in the brain pops causing bleeding in the brain.

    Certain areas of the brain can be affected by stroke and some symptoms of a stroke including cardiovascular disease, diabetes, and high blood sugar levels increase the risk of stroke whereas an active lifestyle or controlling high cholesterol reduces the risk. How well do you know stroke? Find tips to prevent and manage stroke, the differences in stroke screening tests, and the newer technology and treatments available. 

    Supreme Vascular and Interventional Stroke Programs

    Brain Aneurysm Resources

    Discover brain aneurysm resources that go beyond the basics designed for patients. Understand the meaning of  a brain aneurysm condition, the causes, symptoms, signs, and more. Connect with your brain health.

    Put Brain Aneurysm on Your Health Radar

    Did you experience the worst headache of your life? Could it be a brain aneurysm that ruptures, which means bleeding in the brain? Thoughts could be racing through your mind. Then what is the difference between unruptured (a weak or thin spot on an artery in the brain that balloons) or ruptured brain aneurysm? If you’re wondering, then the Supreme Vascular and Interventional Clinic is here to help. It’s important to look out for the tell-tale brain aneurysm symptoms, signs, causes, and risk factors.

    Dr. Manish Taneja has been performing brain aneurysm treatments since 1995 from surgical clipping to latest minimally invasive procedures. Each patient is unique as is the size and location of the aneurysm. Your brain has different conditions to treat the aneurysm and artery vessel walls of a blood vessel in the brain. This calls for personalised brain aneurysm treatment depending on your symptoms, family, history, medication, and more. A simple CT scan could be just what the doctor ordered and the first step in early detection and prevention of a brain aneurysm. Come in for an easy consultation with our brain aneurysm specialist in Singapore to be on your health radar.

    Other Health Conditions

    The Supreme Vascular and Interventional Clinic is your “go-to” facility for various neurological conditions and treatments. To arrange an appointment with Dr. Manish Taneja, our neurointervention specialist, contact us. You can also call us at (+65) 6904 8084 for a consultation.