Epidemiology of stroke in Europe and trends for the 21st century

Béjot, Yannick; Bailly, Henri; Durier, Jérôme; Giroud, Maurice

doi:10.1016/j.lpm.2016.10.003

Cited by 409 publications

(307 citation statements)

References 59 publications

Supporting

Mentioning

272

Contrasting

Unclassified

Order By: Relevance

“…Although encouraging, these results should be interpreted with caution when framing policies with regard to stroke care organization. Indeed, since the incidence of stroke is greatly influenced by age, with rates doubling with each decades after the age of 50 years [3], the ageing population in western countries will have a dramatic impact on stroke epidemiology, with an expected increase in the number of elderly patients affected by a stroke in turn. In addition, because of a better acute management of stroke patients, the number of stroke survivors is on the rise, with a current and future major impact on the need for post-stroke facilities and the risk of stroke recurrence.…”

Section: Introductionmentioning

confidence: 99%

Impact of the Ageing Population on the Burden of Stroke: The Dijon Stroke Registry

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background: We aimed to evaluate the impact of the ageing population on temporal trends in burden of stroke and to provide projections for the coming years. Methods: Stroke cases (ischemic strokes, spontaneous intracerebral hemorrhages, or undetermined strokes) were prospectively identified between 1987 and 2015 in Dijon, France, using a population-based registry. Age-standardized incidence rates of first-ever and recurrent stroke were calculated, and their temporal trends were assessed using age- and sex-adjusted annual incidence rate ratios (RR). Results: The population of Dijon increased by 3.8% over time, with an increase by 28% in the number of residents aged ≥75 years. We recorded 5,899 strokes including 5,101 patients with a first-ever event. Incidence of first-ever stroke was stable both in people < 75 and ≥75 years old, but an increase in standardized incidence rates of total strokes was noted due to a rise in the incidence of recurrent stroke (from 4.7/100,000/year in 1987–1994 to 12.3/100,000/year in 2009–2015 in people < 75 years old, RR 1.036; p < 0.001; from 74/100,000/year in 1987–1994 to 200/100,000/year in 2009–2015 in people ≥75 years, RR 1.040; p < 0.001). The absolute number of first-ever strokes increased by 43%, and that of total stroke events rose by 58% over time, with a more pronounced increase in people ≥75 years old (+47 and +65% respectively). The annual number of patients who survived > 90 days after a first-ever stroke increased by 90%. According to demographic projections, the total number of strokes will increase by 55% (+65% patients ≥75 years, and +25% patients < 75 years) by 2,030 in Dijon. Conclusions: Ageing and growth of the population led to a rise in the absolute number of strokes, especially in the elderly, that is expected to increase dramatically in the coming years. Improved stroke care was accompanied with an increase in stroke survivors that contributed to a rise in recurrent events. Urgent action is needed to meet this epidemiological challenge.

show abstract

Section: Introductionmentioning

confidence: 99%

Impact of the Ageing Population on the Burden of Stroke: The Dijon Stroke Registry

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Pakistan has the world's highest rate of stroke per capita, so it would be highly beneficial to collect and interpret local epidemiological data. A timely and appropriate management of stroke can help in minimizing morbidity/mortality of stroke and the tremendous health care cost [6]. The intent of this article is to clarify the important risk factors of stroke (cerebrovascular accident [CVA]) in Pakistan.…”

Section: Introductionmentioning

confidence: 99%

The Epidemiology of Stroke in a Developing Country (Pakistan)

Khan¹

2018

JNSK

View full text Add to dashboard Cite

Ischaemic stroke is a major cause of neurological morbidity and mortality. The objective of this review article is to summarise facts pertaining to acute ischaemic stroke and its various aspects in a developing country like Pakistan, where resources are limited and the healthcare system is underdeveloped. No large-scale epidemiological studies are available to determine the true incidence of stroke in Pakistan. We conducted a study to determine the prevalence of several important stroke risk factors among Pakistani stroke patients, and to determine whether these risk factors differ among urban versus rural populations. We also used existing data from literature to compare overall stroke incidence in Pakistan to that in developed countries. We found that, unlike in most countries, where hypertension is the most important stroke risk factor, pregnancy/prolonged contraceptive use is the most important risk factor in our Pakistani sample. This risk factor is more prevalent in urban than in rural populations. With the exception of Germany, developed countries have lower stroke incidences than Pakistan. We highlight areas for future research.

show abstract

“…Based on recently published studies, incidence of stroke in Europe at the beginning of the twenty-first century ranged from 95 to 290/100,000 per year [37]. Between 2000 and 2010, the relative rate of stroke deaths dropped by 35.8% in the United States and other countries.…”

Section: Introductionmentioning

confidence: 99%

After Stroke Movement Impairments: A Review of Current Technologies for Rehabilitation

Aqueveque¹,

Ortega²,

Pino³

et al. 2017

Physical Disabilities - Therapeutic Implications

View full text Add to dashboard Cite

This chapter presents a review of the rehabilitation technologies for people who have suffered a stroke, comparing and analyzing the impact that these technologies have on their recovery in the short and long term. The problematic is presented, and motor impairments for upper and lower limbs are characterized. The goal of this chapter is to show novel trends and research for the assistance and treatment of motor impairment caused by strokes.

show abstract

Epidemiology of stroke in Europe and trends for the 21st century

Cited by 409 publications

References 59 publications

Impact of the Ageing Population on the Burden of Stroke: The Dijon Stroke Registry

Impact of the Ageing Population on the Burden of Stroke: The Dijon Stroke Registry

The Epidemiology of Stroke in a Developing Country (Pakistan)

After Stroke Movement Impairments: A Review of Current Technologies for Rehabilitation

Contact Info

Product

Resources

About