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Stroke Mortality Trends in the Population of Klaipėda From 1994 to 2008.
MedLine Citation:
PMID:  22156606     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The objective of the study was to evaluate the trends in stroke mortality in the population of Klaipėda aged 35-79 years from 1994 to 2008. MATERIAL AND METHODS. Mortality data on all permanent residents of Klaipėda aged 35-79 years who died from stroke in 1994-2008 were gathered for the study. All death certificates of permanent residents of Klaipėda aged 35-79 years who died during 1994-2008 were examined in this study. The International Classification of Diseases (ICD-9 codes 430-436, and ICD-10 codes I60-I64) was used. Sex-specific mortality rates were standardized according to the Segi's world population; all the mortality rates were calculated per 100 000 population per year. Trends in stroke mortality were estimated using log-linear regression models. Sex-specific mortality rates and trends were calculated for 3 age groups (35-79, 35-64, and 65-79 years). RESULTS. During the entire study period (1994-2008), a marked decline in stroke mortality with a clear slowdown after 2002 was observed. The average annual percent changes in mortality rates for men and women aged 35-79 years were -4.6% (P=0.041) and -6.5% (P=0.002), respectively. From 1994 to 2002, the stroke mortality rate decreased consistently among both Klaipėda men and women aged 35-64 years (20.4% per year, P=0.002, and 14.7% per year, P=0.006, respectively) and in the elderly population aged 65-79 years (13.8% per year, P=0.005; and 12% per year, P=0.019). During 2003-2008, stroke mortality increased by 16.3% per year in middle-aged men (35-64 years), whereas among women (aged 35-64 and 65-79 years) and elderly men (aged 65-79 years), the age-adjusted mortality rate remained relatively unchanged. CONCLUSIONS. Among both men and women, the mortality rates from stroke sharply declined between 1994 and 2008 with a clear slowdown in the decline after 2002. Stroke mortality increased significantly among middle-aged men from 2003, while it remained without significant changes among women of the same age and both elderly men and women.
Authors:
Henrikas Kazlauskas; Nijolė Raškauskienė; Rima Radžiuvienė; Vinsas Janušonis
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-5
Journal Detail:
Title:  Medicina (Kaunas, Lithuania)     Volume:  47     ISSN:  1648-9144     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425208     Medline TA:  Medicina (Kaunas)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Institute of Psychophysiology and Rehabilitation, Medical Academy, Lithuanian University of Health Sciences, Vydūno 4, 00135 Palanga, Lithuania. h.kazlauskas@takas.lt.
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