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Title: Global Stroke Statistics 2019.
Austin Authors: Kim, Joosup;Thayabaranathan, Tharshanah;Donnan, Geoffrey A ;Howard, George;Howard, Virginia J;Rothwell, Peter M;Feigin, Valery;Norrving, Bo;Owolabi, Mayowa;Pandian, Jeyaraj;Liu, Liping;Cadilhac, Dominique A;Thrift, Amanda G
Affiliation: The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia
National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
Melbourne Brain Centre, University of Melbourne, Parkville, Victoria, Australia
Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
Wolfson Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
Department of Clinical Sciences, Section of Neurology, Lund University, Skåne University Hospital, Lund, Sweden
Center for Genomic and Precision Medicine, University of Ibadan, Ibadan, Nigeria
Department of Neurology, Christian Medical College and Hospital, Ludhiana, India
Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
Issue Date: Oct-2020
Date: 2020-03-09
Publication information: International Journal of Stroke 2020; 15(8): 819-838
Abstract: Data on stroke epidemiology and availability of hospital-based stroke services around the world are important for guiding policy decisions and healthcare planning. To provide the most current incidence, mortality and case-fatality data on stroke and describe current availability of stroke units around the world by country. We searched multiple databases (based on our existing search strategy) to identify new original manuscripts and review articles published between 1 June 2016 and 31 October 2018 that met the ideal criteria for data on stroke incidence and case-fatality. For data on the availability of hospital-based stroke services, we searched PubMed for all literature published up until 31 June 2018. We further screened reference lists, citation history of manuscripts and gray literature for this information. Mortality codes for International Classification of Diseases-9 and International Classification of Diseases-10 were extracted from the World Health Organization mortality database for each country providing these data. Population denominators were obtained from the World Health Organization, and when these were unavailable within a two-year period of mortality data, population denominators within a two-year period were obtained from the United Nations. Using country-specific population denominators and the most recent years of mortality data available for each country, we calculated both the crude mortality from stroke and mortality adjusted to the World Health Organization world population. Since our last report in 2017, there were two countries with new incidence studies, China (n = 1) and India (n = 2) that met the ideal criteria. New data on case-fatality were found for Estonia and India. The most current mortality data were available for the year 2015 (39 countries), 2016 (43 countries), and 2017 (7 countries). No new data on mortality were available for six countries. Availability of stroke units was noted for 63 countries, and the proportion of patients treated in stroke units was reported for 35/63 countries. Up-to-date data on stroke incidence, case-fatality, and mortality statistics provide evidence of variation among countries and changing magnitudes of burden among high and low-middle income countries. Reporting of hospital-based stroke units remains limited and should be encouraged.
DOI: 10.1177/1747493020909545
ORCID: 0000-0002-4079-0428
Journal: International Journal of Stroke
PubMed URL: 32146867
Type: Journal Article
Subjects: Case–fatality rate
Stroke units
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