Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society / 대한뇌졸중학회지
Journal of Stroke
; : 42-59, 2019.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-740619
Biblioteca responsable:
WPRO
ABSTRACT
Despite the great socioeconomic burden of stroke, there have been few reports of stroke statistics in Korea. In this scenario, the Epidemiologic Research Council of the Korean Stroke Society launched the “Stroke Statistics in Korea” project, aimed at writing a contemporary, comprehensive, and representative report on stroke epidemiology in Korea. This report contains general statistics of stroke, prevalence of behavioral and vascular risk factors, stroke characteristics, pre-hospital system of care, hospital management, quality of stroke care, and outcomes. In this report, we analyzed the most up-to-date and nationally representative databases, rather than performing a systematic review of existing evidence. In summary, one in 40 adults are patients with stroke and 232 subjects per 100,000 experience a stroke event every year. Among the 100 patients with stroke in 2014, 76 had ischemic stroke, 15 had intracerebral hemorrhage, and nine had subarachnoid hemorrhage. Stroke mortality is gradually declining, but it remains as high as 30 deaths per 100,000 individuals, with regional disparities. As for stroke risk factors, the prevalence of smoking is decreasing in men but not in women, and the prevalence of alcohol drinking is increasing in women but not in men. Population-attributable risk factors vary with age. Smoking plays a role in young-aged individuals, hypertension and diabetes in middle-aged individuals, and atrial fibrillation in the elderly. About four out of 10 hospitalized patients with stroke are visiting an emergency room within 3 hours of symptom onset, and only half use an ambulance. Regarding acute management, the proportion of patients with ischemic stroke receiving intravenous thrombolysis and endovascular treatment was 10.7% and 3.6%, respectively. Decompressive surgery was performed in 1.4% of patients with ischemic stroke and in 28.1% of those with intracerebral hemorrhage. The cumulative incidence of bleeding and fracture at 1 year after stroke was 8.9% and 4.7%, respectively. The direct costs of stroke were about ₩1.68 trillion (KRW), of which ₩1.11 trillion were for ischemic stroke and ₩540 billion for hemorrhagic stroke. The great burden of stroke in Korea can be reduced through more concentrated efforts to control major attributable risk factors for age and sex, reorganize emergency medical service systems to give patients with stroke more opportunities for reperfusion therapy, disseminate stroke unit care, and reduce regional disparities. We hope that this report can contribute to achieving these tasks.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3A Fortalecer la implementación de la estructura de la Convención de la Organización Mundial de la Salud para el Control del Tabaco
/
ODS3 - Salud y Bienestar
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ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
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ODS3 - Meta 3.6 Reducir muertes y trauma causado por accidentes de tránsito
Problema de salud:
Medidas no Relacionadas con el Precio
/
Meta 3.6: Reducir muertes y trauma causado por accidentes de tránsito
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Hypertension Arterial
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Enfermedad Cardiovascular
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Enfermedad Cerebrovascular
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Abuso de Sustancias y Accidentes de Tráfico
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Respuesta tras los Accidentes
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Fibrilación Atrial
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Humo
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Hemorragia Subaracnoidea
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Escritura
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Consumo de Bebidas Alcohólicas
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Reperfusión
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Fumar
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Hemorragia Cerebral
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Epidemiología
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Incidencia
Tipo de estudio:
Estudio de etiología
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Estudio de incidencia
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Estudio de prevalencia
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Estudio pronóstico
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Factores de riesgo
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Estudio de tamizaje
Límite:
Adulto
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Anciano
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Femenino
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Humanos
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Masculino
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Journal of Stroke
Año:
2019
Tipo del documento:
Artículo