Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review

Published on Apr 1, 2009in Lancet Neurology28.755
· DOI :10.1016/S1474-4422(09)70025-0
Valery L. Feigin73
Estimated H-index: 73
(AUT: Auckland University of Technology),
Carlene M. M. Lawes39
Estimated H-index: 39
(University of Auckland)
+ 2 AuthorsVarsha Parag32
Estimated H-index: 32
(University of Auckland)
Summary 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.
  • References (114)
  • Citations (1372)
📖 Papers frequently viewed together
475 Citations
597 Citations
1,389 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1S. Claiborne Johnston (UCSF: University of California, San Francisco)H-Index: 84
#2Shanthi Mendis (WHO: World Health Organization)H-Index: 35
Last. Colin Mathers (WHO: World Health Organization)H-Index: 86
view all 3 authors...
597 CitationsSource
#1Giovanni CorsoH-Index: 8
#2Edo BottacchiH-Index: 18
view all 8 authors...
The purpose of our study was to determine the incidence of stroke, case-fatality rate and disability at 1 year in the Valley of Aosta (Italy) in the years 2004 and 2005. All suspected strokes occurrin
33 CitationsSource
Background: There is little reliable population based information about the distribution of risk factors among the various ischaemic stroke subtypes, even though determining risk factor profiles is of major importance to develop targeted preventive strategies. Methods: The distribution of first ever ischaemic stroke subtypes was established in a prospective population based study conducted in Dijon, France (152 606 inhabitants). Cases were collected between January 2005 and December 2006, and we...
75 CitationsSource
#1P. M. DalalH-Index: 5
#2S. MalikH-Index: 1
Last. V.D. MathurH-Index: 1
view all 9 authors...
Objectives: The aims of this study were (1) to establish a prospective community-based stroke registry in Mumbai of subjects having ‘first-ever stroke’ (FES) and (2) to collect stan
79 CitationsSource
#1Peter U. HeuschmannH-Index: 47
#2Andrew P. GrieveH-Index: 22
Last. Charles D.A. WolfeH-Index: 81
view all 5 authors...
Background and Purpose— Data monitoring trends in stroke risk among different ethnic groups are lacking. Thus, we investigated trends in stroke incidence and modifiable stroke risk factors over a 10-year time period between different ethnic groups. Methods— Changes in stroke incidence were investigated with the South London Stroke Register (SLSR). The SLSR is a population-based stroke register, covering a multiethnic population of 271 817 inhabitants in South London with 63% white, 28% black, an...
119 CitationsSource
Stroke and high blood pressure are major causes of death and disability worldwide. Although comprehensive stroke surveillance data for Africa are lacking, the available data show that age-standardised mortality, case fatality and prevalence of disabling stroke in Africa are similar to or higher than those measures in most high-income regions. In Africa, more than 90% of patients with haemorrhagic stroke and more than half with ischaemic stroke are found to have high blood pressure. However, awar...
111 CitationsSource
#2Craig S. AndersonH-Index: 80
Last. Konrad JamrozikH-Index: 68
view all 7 authors...
Background and Purpose— We studied temporal trends in major stroke outcomes in Perth, Western Australia (WA), comparing 3 12-month periods, roughly 5 years apart, between 1989 and 2001. Methods— The Perth Community Stroke Study (PCSS) used uniform definitions and procedures in a representative segment (approximately 143 000 people in the year 2000) of Perth, WA. Crude and age-standardized incidence and 28-day case fatality for stroke in the different study periods were compared using Poisson reg...
114 CitationsSource
Purpose of review Stroke is a major public health problem in the US and other developed countries. Stroke units reduce morbidity and mortality, and the efficacy of thrombolytic therapy propelled the development and maturation of a stroke systems of care delivery model. This model addresses the key domains in the chain of stroke survival and recovery, including primordial and primary prevention; community education; notification and response of emergency medical services; acute stroke treatment; ...
36 CitationsSource
#1Björn M. Hallström (Lund University)H-Index: 27
#2Ann-Cathrin Jönsson (Lund University)H-Index: 11
Last. Arne Lindgren (Lund University)H-Index: 45
view all 5 authors...
Background and Purpose— We report trends of stroke incidence and survival up to year 2001/2002 in Lund-Orup, Sweden, and projections of future stroke incidence in Sweden. Methods— Lund Stroke Register, a prospective population-based study, included all first-ever stroke patients, between March 1, 2001 and February 28, 2002, in the Lund-Orup health care district. Institution-based studies for 1983 to 1985 and 1993 to 1995 were used for comparison. We calculated age-standardized incidence and Cox ...
130 CitationsSource
#1Bruce Ovbiagele (UCLA: University of California, Los Angeles)H-Index: 56
#2Brian H. Buck (UCLA: University of California, Los Angeles)H-Index: 5
Last. Jeffrey L. Saver (UCLA: University of California, Los Angeles)H-Index: 103
view all 11 authors...
Abstract Background Conflicting data exist on the role of antiplatelet agents in reducing incident ischemic stroke magnitude, but most prior studies used clinically-assessed neurologic deficit as the index of stroke extent rather than more precise volumetric measurements of infarct size. We assessed the relation of premorbid antiplatelet use to initial diffusion-weighted MRI (DWI) lesion volumes among acute ischemic stroke patients. Methods Consecutive patients presenting within 24 h of ischemic...
27 CitationsSource
Cited By1372
Abstract Background In ischemic stroke and subarachnoid hemorrhage, there are known preceding triggering events that predispose to the stroke by, for example, abruptly raising blood pressure. We explored, whether triggering events can be identified in non-traumatic intracerebral hemorrhage (ICH). Methods We used structured questionnaires to interview consented patients with ICH treated in a tertiary teaching hospital, between 2014 and 2016. We asked of possible trigger factors, including Valsalv...
#1Nathalia Carolina Fernandes Fagundes (U of A: University of Alberta)H-Index: 4
#2Roberta Souza D’Almeida Couto (UFPA: Federal University of Pará)H-Index: 1
Last. Rafael Rodrigues Lima (UFPA: Federal University of Pará)H-Index: 14
view all 9 authors...
ABSTRACT This systematic review aims to evaluate the association between tooth loss and stroke. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were followed. The PECO strategy was used to limit the eligibility criteria. The following databases were used on searches: PubMed, Scopus, Web of Science, The Cochrane Library, LILACS and OpenGrey. We included observational studies performed in adults (Population), in which patients with tooth loss (Exposition) ...
#1Tan Van NguyenH-Index: 1
#2Khai Xuan BuiH-Index: 1
Last. Tu N. Nguyen (USYD: University of Sydney)H-Index: 5
view all 5 authors...
BACKGROUND There is limited evidence of non-ST elevation acute coronary syndrome (NSTE-ACS) in patients aged 80 or older in Vietnam. AIM To describe the clinical characteristics of patients aged≥80 with NSTE-ACS in Vietnam, and to examine the effect of percutaneous coronary intervention (PCI) on adverse outcomes. METHODS Consecutive patients aged ≥80 with a diagnosis of NSTE-ACS admitted to two tertiary hospitals in Vietnam from 12/2018 to 06/2019 were recruited. The major outcomes were: (1) the...
#1Vasileios-Arsenios Lioutas (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 9
#2Alexa Beiser (BU: Boston University)H-Index: 89
Last. Sudha Seshadri (University of Texas at Austin)H-Index: 84
view all 7 authors...
Importance Intracerebral hemorrhage (ICH) has the highest mortality of all stroke types and is the most serious complication of anticoagulation. Data regarding trends in ICH incidence and location-specific risk factors on the population level are conflicting. Objective To assess long-term population-based trends in the incidence of ICH, examine incidence rates stratified by deep and lobar locations, and characterize location-specific risk factors. Design, Setting, and Participants This longitudi...
#1Mostafa Raafat (Beni-Suef University)
#2Omar Abdelaleem Ragab (Beni-Suef University)
Last. Mohamed Ahmed Hafez (Cairo University)H-Index: 2
view all 5 authors...
Background The optimum timing for surgical evacuation of spontaneous supratentorial intracerebral hematoma (ICH) is still controversial. The aim of this study was to compare the clinical outcome following early versus delayed surgical evacuation of spontaneous supratentorial ICH. Methods This is a prospective cohort study including 70 patients with spontaneous supratentorial ICH ≥30 cc in volume and Glasgow Coma Scale 8-12. Patients were divided into two groups based on the time interval between...
#1Majdi Al Qawasmeh (JUST: Jordan University of Science and Technology)
#2Belal Aldabbour (JUST: Jordan University of Science and Technology)
Last. Khalid El-Salem (JUST: Jordan University of Science and Technology)H-Index: 11
view all 8 authors...
Objective To identify the risk factors, etiologies, length of stay, severity, and predictors of disability among patients with the first ischemic stroke in Jordan. Methods A retrospective cohort study of 142 patients who were admitted to the Neurology Department at King Abdullah University Hospital between July/2017 and March/2018 with a first ischemic stroke. Etiology was classified according to the TOAST criteria. Severity was represented by NIHSS score, disability by mRS score, and prolonged ...
#1Yue Liu (CAS: Chinese Academy of Sciences)H-Index: 3
#2Shu-Sheng Yang (HUST: Huazhong University of Science and Technology)H-Index: 4
Last. Jie Wang (CAS: Chinese Academy of Sciences)H-Index: 52
view all 9 authors...
INTRODUCTION Lactate accumulation in the brain is caused by the anaerobic metabolism induced by ischemic damages, which always accompanies intracerebral hemorrhages (ICH). Our former findings showed that microglia's movement was always directly toward hemorrhagic center with the highest lactate concentration, and penumbra area has the largest density of compactly arrayed microglia. However, the relationship between microglia and lactate concentration has not been well documented. METHODS Cerebra...
#1Tomas Bryndziar (Masaryk University)H-Index: 1
#1Tomas BryndziarH-Index: 3
Last. Robert MikulikH-Index: 25
view all 7 authors...
Abstract Background This retrospective cross-sectional study reports 1 month and 1 year intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH) case fatality rates and their temporal trends in the Czech Republic between 1998 and 2015. Methods Utilizing the National Register of Hospitalized Patients, we randomly selected 600 patients hospitalized for ICH and 600 patients hospitalized for SAH for each year from 1998 to 2015, and identified those who died, regardless of cause, using the Cz...
#1Bin Cai (Peking Union Medical College Hospital)
#2Lin Peng (University of Bonn)
Last. Bin Peng (Peking Union Medical College Hospital)H-Index: 13
view all 5 authors...
Abstract Objectives: Although several studies have shown that interventions to lower blood lipid concentration may reduce the risk of coronary arterial disease and ischemic stroke, the correlation between serum lipid levels and hemorrhagic stroke remains controversial. To clarify any possible association between serum lipid and hematoma expansion, we examined various serum lipid indices in patients with and without early hematoma expansion. Methods: Data of 572 intracerebral hemorrhage (ICH) pat...
#1Jiyeong LeeH-Index: 1
#2Arum ParkH-Index: 4
Last. Hee-Gyoo KangH-Index: 3
view all 10 authors...
Ischemic stroke is caused by blood clot formation and consequent vessel blockage. Proteomic approaches provide a cost-effective alternative to current diagnostic methods, including computerized tomography (CT) scans and magnetic resonance imaging (MRI). To identify diagnostic biomarkers associated with ischemic stroke risk factors, we performed individual proteomic analysis of serum taken from 20 healthy controls and 20 ischemic stroke patients. We then performed SWATH analysis, a data-independe...