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Title: Global stroke statistics: An update of mortality data from countries using a broad code of "cerebrovascular diseases".
Austin Authors: Thrift, Amanda G;Howard, George;Cadilhac, Dominique A;Howard, Virginia J;Rothwell, Peter M;Thayabaranathan, Tharshanah;Feigin, Valery L;Norrving, Bo;Donnan, Geoffrey A 
Affiliation: Department of Medicine, Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia
Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, USA
The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, USA
Nuffield Department of Clinical Neurosciences (Clinical Neurology), Stroke Prevention Research Unit, University of Oxford, Oxford, UK
National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
Department of Clinical Sciences Lund, Neurology, Lund University, Skane University Hospital, Lund, Sweden
The University of Melbourne, Parkville, Australia
Issue Date: Oct-2017
Date: 2017-09-12
Publication information: International Journal of Stroke 2017; 12(8): 796-801
Abstract: Background Current information on mortality attributed to stroke among different countries is important for policy development and monitoring prevention strategies. Unfortunately, mortality data reported to the World Health Organization by different countries are inconsistent. Aims and/or hypothesis To update the repository of the most recent country-specific data on mortality from stroke for countries that provide data using a broad code for "cerebrovascular disease." Methods Data on mortality from stroke were obtained from the World Health Organization mortality database. We searched for countries that provided data, since 1999, on a combined category of "cerebrovascular disease" (code 1609) that incorporated International Classification of Diseases (10th edition) codes I60-I69. Using population denominators provided by the World Health Organization for the same year when available, or alternatively estimates obtained from the United Nations, we calculated crude mortality from "cerebrovascular disease" and mortality adjusted to the World Health Organization world population. We used the most recent year reported to the World Health Organization, as well as comparing changes over time. Results Since 1999, seven countries have provided these mortality data. Among these countries, crude mortality was greatest in the Russian Federation (in 2011), Ukraine (2012), and Belarus (2011) and was greater in women than men in these countries. Crude mortality was positively correlated with the proportion of the population aged ≥65 years but not with time. Age-adjusted mortality was greatest in the Russian Federation and Turkmenistan, and greater in men than women. Over time, mortality declined, with the greatest decline per annum evident in Kazakhstan (8.7%) and the Russian Federation (7.0%). Conclusions Among countries that provided data to the World Health Organization using a broad category of "cerebrovascular disease," there was a decline in mortality in two of the countries that previously had some of the largest mortality rates for stroke.
DOI: 10.1177/1747493017730782
ORCID: 0000-0001-8533-4170
Journal: International Journal of Stroke
PubMed URL: 28895807
Type: Journal Article
Subjects: Mortality
Appears in Collections:Journal articles

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