Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.

<h4>Background</h4>In China, there are 2.5 million new stroke cases each year and 7.5 million stroke survivors. However, stroke incidence in some island populations is obviously lower compared with inland regions, perhaps due to differences in diet and lifestyle. As the lifestyle in Chin...

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Autores principales:	Xiaomei Wu, Bo Zhu, Lingyu Fu, Hailong Wang, Bo Zhou, Safeng Zou, Jingpu Shi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/efd5a9016e71442e8f846eecf2894ce6
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spelling	oai:doaj.org-article:efd5a9016e71442e8f846eecf2894ce62021-11-18T08:47:46ZPrevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.1932-620310.1371/journal.pone.0078629https://doaj.org/article/efd5a9016e71442e8f846eecf2894ce62013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24250804/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>In China, there are 2.5 million new stroke cases each year and 7.5 million stroke survivors. However, stroke incidence in some island populations is obviously lower compared with inland regions, perhaps due to differences in diet and lifestyle. As the lifestyle in China has changed significantly, along with dramatic transformations in social, economic and environmental conditions, such changes have also been seen in island regions. Thus, we analyzed stroke in the Chinese island regions over the past 30 years.<h4>Methods</h4>We conducted a systematic review to identify reliable and comparable epidemiologic evidence about stroke in the Chinese island regions between 1980 and 2013. Two authors independently assessed the eligibility and the quality of the articles and disagreement was resolved by discussion. Owing to the great heterogeneity among individual study estimates, a random-effects or fixed-effects model was used to incorporate the heterogeneity among records into a pooled estimate for age-standardized rates. Age-standardized rates were calculated by the direct method with the 2000 world population if included records provided the necessary information.<h4>Results</h4>During the past three decades, the overall pooled age-standardized prevalence of stroke is 6.17 per 1000 (95% CI 4.56-7.78), an increase from 5.54 per 1000 (95% CI 3.88-7.20) prior to 2000 to 8.34 per 1000 (95% CI 5.98-10.69) after 2000. However, this difference was not found to be statistically significant. The overall pooled age-standardized incidence of stroke is 120.42 per 100,000 person years (95% CI 26.17-214.67). Between 1982 and 2008, the incidence of stroke increased and mortality declined over time.<h4>Conclusions</h4>Effective intervention and specific policy recommendations on stroke prevention should be required, and formulated in a timely fashion to effectively curb the increased trend of stroke in Chinese island regions.Xiaomei WuBo ZhuLingyu FuHailong WangBo ZhouSafeng ZouJingpu ShiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e78629 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Xiaomei Wu Bo Zhu Lingyu Fu Hailong Wang Bo Zhou Safeng Zou Jingpu Shi Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.
description	<h4>Background</h4>In China, there are 2.5 million new stroke cases each year and 7.5 million stroke survivors. However, stroke incidence in some island populations is obviously lower compared with inland regions, perhaps due to differences in diet and lifestyle. As the lifestyle in China has changed significantly, along with dramatic transformations in social, economic and environmental conditions, such changes have also been seen in island regions. Thus, we analyzed stroke in the Chinese island regions over the past 30 years.<h4>Methods</h4>We conducted a systematic review to identify reliable and comparable epidemiologic evidence about stroke in the Chinese island regions between 1980 and 2013. Two authors independently assessed the eligibility and the quality of the articles and disagreement was resolved by discussion. Owing to the great heterogeneity among individual study estimates, a random-effects or fixed-effects model was used to incorporate the heterogeneity among records into a pooled estimate for age-standardized rates. Age-standardized rates were calculated by the direct method with the 2000 world population if included records provided the necessary information.<h4>Results</h4>During the past three decades, the overall pooled age-standardized prevalence of stroke is 6.17 per 1000 (95% CI 4.56-7.78), an increase from 5.54 per 1000 (95% CI 3.88-7.20) prior to 2000 to 8.34 per 1000 (95% CI 5.98-10.69) after 2000. However, this difference was not found to be statistically significant. The overall pooled age-standardized incidence of stroke is 120.42 per 100,000 person years (95% CI 26.17-214.67). Between 1982 and 2008, the incidence of stroke increased and mortality declined over time.<h4>Conclusions</h4>Effective intervention and specific policy recommendations on stroke prevention should be required, and formulated in a timely fashion to effectively curb the increased trend of stroke in Chinese island regions.
format	article
author	Xiaomei Wu Bo Zhu Lingyu Fu Hailong Wang Bo Zhou Safeng Zou Jingpu Shi
author_facet	Xiaomei Wu Bo Zhu Lingyu Fu Hailong Wang Bo Zhou Safeng Zou Jingpu Shi
author_sort	Xiaomei Wu
title	Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.
title_short	Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.
title_full	Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.
title_fullStr	Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.
title_full_unstemmed	Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.
title_sort	prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/efd5a9016e71442e8f846eecf2894ce6
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Prevalence, incidence, and mortality of stroke in the chinese island populations: a systematic review.

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