[Trends in incidence of and mortality from ischaemic stroke]. / Trends in incidentie en mortaliteit van het herseninfarct.
Ned Tijdschr Geneeskd
; 157(42): A6402, 2013.
Article
em Nl
| MEDLINE
| ID: mdl-24128599
ABSTRACT
OBJECTIVE:
To investigate age- and sex-specific trends in incidence of and mortality from ischaemic stroke (IS) in the Netherlands.DESIGN:
Descriptive study and cohort study.METHOD:
Data from the cause-of-death statistics from Statistics Netherlands, the Dutch national medical registry and local council population registers were used. A cohort of IS patients was formed by linking these registers. Age- and sex-specific trends in mortality from IS in the period 1980-2010 were determined using 'join point' regression analysis. The 30-day and 1-year mortality rates following hospital admission for IS and the incidence of new cases of IS were calculated for the cohort of IS patients. Mann-Kendall tests were used for trend analysis over the period 1997-2005.RESULTS:
Rates of mortality from IS decreased gradually in the period 1980-2000, with the exception of a levelling out of the rate of decrease in a few age groups in the 1990 s. Decrease in mortality declined dramatically after 2000 in all age groups, except for male patients in the age range 35-64 years. A comparative increased rate of decrease after 2000 was observed for 30-day and 1-year mortality following hospital admission for IS. The incidence of IS remained constant in the period 1997-2005, or increased in a few age groups.CONCLUSION:
Mortality rates following IS have decreased dramatically in the Netherlands since 2000. However, the number of cases of non-fatal IS has not decreased and is actually increasing slightly, indicating that more people have experienced IS. This is a concern, since IS often leads to disability with the accompanying burden of disease and economic burden. Prevention of IS is, therefore, extremely important.
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Base de dados:
MEDLINE
Assunto principal:
Mortalidade
/
Acidente Vascular Cerebral
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Europa
Idioma:
Nl
Ano de publicação:
2013
Tipo de documento:
Article