| Stroke incidence and case fatality in Shiga, Japan 1989-1993. | |
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MedLine Citation:
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PMID: 10661648 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This paper describes incidence rates and case-fatality for sub-types of stroke using data collected in Takashima, Shiga, Japan, from 1989 to 1993 and compares these with similar registers in other parts of Japan. METHODS: Registered patients included all residents of the county who experienced a first-ever stroke. Stroke was defined as sudden onset of neurological symptoms which continued for a minimum of 24 hours or led to death. Almost all such patients are hospitalized in this country. Early case fatality was defined as patients who died within 28 days of stroke onset. Diagnosis of stroke type was based on clinical symptoms as well as computed tomography (CT) scans. RESULTS: Age-adjusted incidence rates for stroke per 100,000 population aged 35 years and older were 268.7 for men and 167.5 for women. The age-specific incidence rate of both cerebral infarction and cerebral haemorrhage increased with advancing age. The occurrence of cerebral infarction in men was twice as high as in women. The 28-day case fatality for all sub-types of stroke was 16.1% in men and 15.8% in women. Case fatality for cerebral infarction, cerebral haemorrhage, and subarachnoid haemorrhage was 10.7%, 22.4% and 28.6% respectively. CONCLUSIONS: Takashima County has a moderately high stroke incidence rate and case fatality compared with other similar studies in Japan. The incidence rate of cerebral infarction in men is twice that in women, while other sub-types of stroke showed smaller differences. In order to decrease the incidence of stroke in Japan, greater efforts at primary prevention will be necessary, in particular, it is important to prevent cerebral infarction in men. |
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Authors:
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Y Kita; A Okayama; H Ueshima; M Wada; A Nozaki; S R Choudhury; R Bonita; Y Inamoto; T Kasamatsu |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: International journal of epidemiology Volume: 28 ISSN: 0300-5771 ISO Abbreviation: Int J Epidemiol Publication Date: 1999 Dec |
Date Detail:
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Created Date: 2000-02-29 Completed Date: 2000-02-29 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7802871 Medline TA: Int J Epidemiol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1059-65 Citation Subset: IM |
Affiliation:
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Department of Health Science, Shiga University of Medical Science, Seta, Otsu, Japan. kita@sums.shig-med.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Distribution Aged Aged, 80 and over Brain Infarction / epidemiology*, radiography Cerebral Hemorrhage / epidemiology*, radiography Female Humans Incidence Japan / epidemiology Male Middle Aged Sex Distribution Subarachnoid Hemorrhage / epidemiology* Tomography, X-Ray Computed |
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