Document Detail


Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review.
MedLine Citation:
PMID:  19233729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This systematic review of population-based studies of the incidence and early (21 days to 1 month) case fatality of stroke is based on studies published from 1970 to 2008. Stroke incidence (incident strokes only) and case fatality from 21 days to 1 month post-stroke were analysed by four decades of study, two country income groups (high-income countries and low to middle income countries, in accordance with the World Bank's country classification) and, when possible, by stroke pathological type: ischaemic stroke, primary intracerebral haemorrhage, and subarachnoid haemorrhage. This Review shows a divergent, statistically significant trend in stroke incidence rates over the past four decades, with a 42% decrease in stroke incidence in high-income countries and a greater than 100% increase in stroke incidence in low to middle income countries. In 2000-08, the overall stroke incidence rates in low to middle income countries have, for the first time, exceeded the level of stroke incidence seen in high-income countries, by 20%. The time to decide whether or not stroke is an issue that should be on the governmental agenda in low to middle income countries has now passed. Now is the time for action.
Authors:
Valery L Feigin; Carlene M M Lawes; Derrick A Bennett; Suzanne L Barker-Collo; Varsha Parag
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2009-02-21
Journal Detail:
Title:  Lancet neurology     Volume:  8     ISSN:  1474-4422     ISO Abbreviation:  Lancet Neurol     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-19     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101139309     Medline TA:  Lancet Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  355-69     Citation Subset:  IM    
Affiliation:
National Research Centre for Stroke, Applied Neurosciences and Neurorehabilitation, School of Rehabilitation and Occupation Studies, AUT University, North Shore Campus, AA254, Northcote 0627, Auckland 1142, New Zealand. valery.feigin@aut.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Developed Countries / statistics & numerical data
Developing Countries / statistics & numerical data
Humans
Incidence
Socioeconomic Factors
Stroke / economics,  epidemiology*,  mortality*
World Health*
Comments/Corrections
Comment In:
Lancet Neurol. 2009 Apr;8(4):308-9   [PMID:  19296917 ]
Lancet Neurol. 2009 Apr;8(4):306-7   [PMID:  19233731 ]

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