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Global Stroke Statistics 2019

Kim, Joosup ; Thayabaranathan, Tharshanah ; Donnan, Geoffrey A. ; Howard, George ; Howard, Virginia J. ; Rothwell, Peter M. ; Feigin, Valery ; Norrving, Bo LU ; Owolabi, Mayowa and Pandian, Jeyaraj , et al. (2020) In International Journal of Stroke
Abstract

Background: Data on stroke epidemiology and availability of hospital-based stroke services around the world are important for guiding policy decisions and healthcare planning. Aims: 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. Methods: 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... (More)

Background: Data on stroke epidemiology and availability of hospital-based stroke services around the world are important for guiding policy decisions and healthcare planning. Aims: 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. Methods: 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. Results: 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. Conclusion: 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.

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organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Case–fatality rate, epidemiology, incidence, mortality, stroke, stroke units, worldwide
in
International Journal of Stroke
publisher
Wiley-Blackwell
external identifiers
  • pmid:32146867
  • scopus:85081953302
ISSN
1747-4930
DOI
10.1177/1747493020909545
language
English
LU publication?
yes
id
e27f241d-7ef3-4581-80b7-49e3dfa2be83
date added to LUP
2020-04-09 09:48:05
date last changed
2020-10-27 03:55:55
@article{e27f241d-7ef3-4581-80b7-49e3dfa2be83,
  abstract     = {<p>Background: Data on stroke epidemiology and availability of hospital-based stroke services around the world are important for guiding policy decisions and healthcare planning. Aims: 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. Methods: 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. Results: 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. Conclusion: 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.</p>},
  author       = {Kim, Joosup and Thayabaranathan, Tharshanah and Donnan, Geoffrey A. and Howard, George and Howard, Virginia J. and Rothwell, Peter M. and Feigin, Valery and Norrving, Bo and Owolabi, Mayowa and Pandian, Jeyaraj and Liu, Liping and Cadilhac, Dominique A. and Thrift, Amanda G.},
  issn         = {1747-4930},
  language     = {eng},
  month        = {03},
  publisher    = {Wiley-Blackwell},
  series       = {International Journal of Stroke},
  title        = {Global Stroke Statistics 2019},
  url          = {http://dx.doi.org/10.1177/1747493020909545},
  doi          = {10.1177/1747493020909545},
  year         = {2020},
}