Trends in Incidence and Mortality of Stroke in China From 1990 to 2019

Objective: Stroke is a leading cause of mortality and morbidity globally. This study aimed to analyze the burden and 30-year trends of ischemic stroke, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in China.Methods: Data that include incidence and mortality of stroke in China fro...

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Autores principales:	Tong Sun, Siyang Chen, Ke Wu, Min Sun, Xianyan Zhang, Chao You
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	burden stroke incidence mortality trends Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f81b2ac595d541278ca0b3d9726f766b
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spelling	oai:doaj.org-article:f81b2ac595d541278ca0b3d9726f766b2021-11-22T04:29:23ZTrends in Incidence and Mortality of Stroke in China From 1990 to 20191664-229510.3389/fneur.2021.759221https://doaj.org/article/f81b2ac595d541278ca0b3d9726f766b2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.759221/fullhttps://doaj.org/toc/1664-2295Objective: Stroke is a leading cause of mortality and morbidity globally. This study aimed to analyze the burden and 30-year trends of ischemic stroke, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in China.Methods: Data that include incidence and mortality of stroke in China from January 1, 1990 to December 31, 2019 were derived from the Global Burden of Disease (GBD) study 2019. The absolute numbers of incident cases and deaths over the time, and age-standardized rates per 100,000, such as age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR), were analyzed.Results: In 2019, there were 3.9 (95% uncertainty intervals (UI) 3.4–4.5) million incident cases and 2.1 (3.4–4.5) million deaths related to stroke in China. The ASIR and ASMR of stroke in China was 200 (176–230) and 127 (110–144). From 1990 to 2019, the ASIR of ischemic stroke had increased by 35.0% (29.0–40.0) while the ASIR of ICH and SAH had decreased by −53.0% (−56.0 to −50.0) and by −39.0% (−44.0 to −35.0), respectively. The ASMR of ischemic stroke had increased by 3.0% (−26.0 to 16.0) while the ASMR of ICH and SAH had decreased by −48.0% (−59.0 to −38.0) and by −84.0% (−89.0 to −69.0), respectively.Conclusion: Although the incidence and mortality rates of stroke in China were decreased from 1990 to 2019, the number of incident cases and deaths nearly doubled. A sharp increase in the incidence rate of ischemic stroke was observed. A higher incidence rate of ischemic stroke in the women was also observed.Tong SunSiyang ChenKe WuMin SunXianyan ZhangChao YouFrontiers Media S.A.articleburdenstrokeincidencemortalitytrendsNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	burden stroke incidence mortality trends Neurology. Diseases of the nervous system RC346-429
spellingShingle	burden stroke incidence mortality trends Neurology. Diseases of the nervous system RC346-429 Tong Sun Siyang Chen Ke Wu Min Sun Xianyan Zhang Chao You Trends in Incidence and Mortality of Stroke in China From 1990 to 2019
description	Objective: Stroke is a leading cause of mortality and morbidity globally. This study aimed to analyze the burden and 30-year trends of ischemic stroke, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) in China.Methods: Data that include incidence and mortality of stroke in China from January 1, 1990 to December 31, 2019 were derived from the Global Burden of Disease (GBD) study 2019. The absolute numbers of incident cases and deaths over the time, and age-standardized rates per 100,000, such as age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR), were analyzed.Results: In 2019, there were 3.9 (95% uncertainty intervals (UI) 3.4–4.5) million incident cases and 2.1 (3.4–4.5) million deaths related to stroke in China. The ASIR and ASMR of stroke in China was 200 (176–230) and 127 (110–144). From 1990 to 2019, the ASIR of ischemic stroke had increased by 35.0% (29.0–40.0) while the ASIR of ICH and SAH had decreased by −53.0% (−56.0 to −50.0) and by −39.0% (−44.0 to −35.0), respectively. The ASMR of ischemic stroke had increased by 3.0% (−26.0 to 16.0) while the ASMR of ICH and SAH had decreased by −48.0% (−59.0 to −38.0) and by −84.0% (−89.0 to −69.0), respectively.Conclusion: Although the incidence and mortality rates of stroke in China were decreased from 1990 to 2019, the number of incident cases and deaths nearly doubled. A sharp increase in the incidence rate of ischemic stroke was observed. A higher incidence rate of ischemic stroke in the women was also observed.
format	article
author	Tong Sun Siyang Chen Ke Wu Min Sun Xianyan Zhang Chao You
author_facet	Tong Sun Siyang Chen Ke Wu Min Sun Xianyan Zhang Chao You
author_sort	Tong Sun
title	Trends in Incidence and Mortality of Stroke in China From 1990 to 2019
title_short	Trends in Incidence and Mortality of Stroke in China From 1990 to 2019
title_full	Trends in Incidence and Mortality of Stroke in China From 1990 to 2019
title_fullStr	Trends in Incidence and Mortality of Stroke in China From 1990 to 2019
title_full_unstemmed	Trends in Incidence and Mortality of Stroke in China From 1990 to 2019
title_sort	trends in incidence and mortality of stroke in china from 1990 to 2019
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/f81b2ac595d541278ca0b3d9726f766b
work_keys_str_mv	AT tongsun trendsinincidenceandmortalityofstrokeinchinafrom1990to2019 AT siyangchen trendsinincidenceandmortalityofstrokeinchinafrom1990to2019 AT kewu trendsinincidenceandmortalityofstrokeinchinafrom1990to2019 AT minsun trendsinincidenceandmortalityofstrokeinchinafrom1990to2019 AT xianyanzhang trendsinincidenceandmortalityofstrokeinchinafrom1990to2019 AT chaoyou trendsinincidenceandmortalityofstrokeinchinafrom1990to2019
_version_	1718418198352625664

Trends in Incidence and Mortality of Stroke in China From 1990 to 2019

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