Stroke Incidence and Case Fatality in Southern Greece

Vemmos, Kostas; Bots, Michiel L.; Tsibouris, Panagiotis; Zis, Vasilios P.; Grobbee, Diederick E.; Stranjalis, Georgios; Stamatelopoulos, S.

doi:10.1161/01.str.30.2.363

Cited by 128 publications

(145 citation statements)

References 37 publications

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“…These survival factors are a little higher than those reported by Morrison et al (1997) for CHD based on a community study in Glasgow, and by Vemmos et al (1999) for stroke based on a study carried out in southern Greece. This is discussed in detail in Wekwete (2002, Section 3.1.3).…”

Section: Preliminariescontrasting

confidence: 62%

A Model for Coronary Heart Disease and Stroke with Applications to Critical Illness Insurance Underwriting I: The Model

Macdonald

Waters

Wekwete³

2005

North American Actuarial Journal

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In Part I we constructed a model for the development of coronary heart disease (CHD) or stroke that either incorporates, or includes pathways through, the major risk factors of interest when underwriting for critical illness (CI) insurance. In Part II we extend this model to include other critical illnesses, for example, cancers and kidney failure, and describe some applications of the model. In particular, we discuss CI premium ratings for applicants with combinations of some or all of high body mass index, smoking, high blood pressure, high cholesterol, and diabetes. We also consider the possible effect on CI premium ratings of genetic conditions that increase the likelihood of high blood pressure, high cholesterol, diabetes, CHD event, or stroke.

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Section: Preliminariescontrasting

confidence: 62%

A Model for Coronary Heart Disease and Stroke with Applications to Critical Illness Insurance Underwriting I: The Model

Macdonald

Waters

Wekwete³

2005

North American Actuarial Journal

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“…The WHO incidence rates were compared with ÔidealÕ stroke studies and the rates were largely within the range of rates from studies. It should be noted that WHO estimates for Portugal and Greece were markedly higher than reported [15,40]. It remains unclear if routine mortality statistics from these countries over-report the number of stroke deaths, or if the studies have registered stroke events in subpopulations with low stroke rates, and is a good example of the need to increase stroke data collection in countries.…”

Section: Stroke Incidence and Prevalence In Europementioning

confidence: 98%

Stroke incidence and prevalence in Europe: a review of available data

Truelsen

Piechowski-Jóźwiak

Bonita

et al. 2006

Euro J of Neurology

550

340

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Reliable data on stroke incidence and prevalence are essential for calculating the burden of stroke and the planning of prevention and treatment of stroke patients. In the current study we have reviewed the published data from EU countries, Iceland, Norway, and Switzerland, and provide WHO estimates for stroke incidence and prevalence in these countries.Studies on stroke epidemiology published in peer-reviewed journals during the past 10 years were identified using Medline/PubMed searches, and reviewed using the structure of WHO's stroke component of the WHO InfoBase. WHO estimates for stroke incidence and prevalence for each country were calculated from routine mortality statistics. Rates from studies that met the ÔidealÕ criteria were compared with WHO's estimates.Forty-four incidence studies and 12 prevalence studies were identified. There were several methodological differences that hampered comparisons of data. WHO stroke estimates were in good agreement with results from ÔidealÕ stroke population studies. According to the WHO estimates the number of stroke events in these selected countries is likely to increase from 1.1 million per year in 2000 to more than 1.5 million per year in 2025 solely because of the demographic changes.Until better and more stroke studies are available, the WHO stroke estimates may provide the best data for understanding the stroke burden in countries where no stroke data currently exists. A standardized protocol for stroke surveillance is recommended. IntroductionRoutine mortality statistics indicate that there are considerable differences in stroke mortality between different European countries with several East European countries having high and increasing stroke mortality rates whilst low and decreasing rates are reported from most West European countries [1]. Projections for the European region suggest that the proportion of the population aged 65+, in which most stroke events occur, will increase from 20% in 2000 to 35% in 2050, and the median age will rise from 37.7 years in 2000 to 47.7 years in 2050 [2]. The projected population for Europe will decrease from 728 million in 2000 to 705 million in 2050, thus the dependency ratio will shift with fewer young people supporting an increasing proportion of elderly people. This will be a tremendous challenge for societies and health systems.Planning future need of health services and improved primary and secondary prevention of stroke require data on stroke occurrence. The present study reviews the available data on stroke from studies in Member States of the European Union, and three countries participating in the European Fair Trade Association (EFTA) Iceland, Norway, and Switzerland, published during the past 10 years using the stroke component of World Health Organization (WHO) InfoBase (Stroke Component of WHO NCD InfoBase). In addition, we present WHO estimates on stroke incidence, prevalence, and projections for these countries. Materials and methodsStudies on stroke epidemiology in European populations, published in peer-...

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“…[7][8][9][10][11][12][13][14][15][16] Previous studies in China, Hong Kong, Taiwan, and Japan generally found that 23% to 52.2% of strokes were hemorrhagic, [3][4][5][6][21][22][23][24][25] in contrast to only 9% to 18% in whites. [7][8][9][10][11][12][13][14][15][16] In the present study, 29.6% of stroke cases overall in 2000 were hemorrhagic in Chinese populations, which supported the above idea that an ethnic difference existed between Eastern and Western populations. Further analysis showed that the proportion of hemorrhagic stroke among all strokes varied from 19.4% to 42.2% in the 10 populations, although all the study populations came from the same race, Han people.…”

Section: Stroke Subtypes In Chinese Populations Compared With Westernmentioning

confidence: 99%

“…Most previous studies suggested that at least 30% of strokes in China were hemorrhagic strokes 4,5 ; some studies even reported that Ͼ50% of strokes were hemorrhagic, 6 which was significantly different from the findings in whites. [7][8][9][10][11][12][13][14][15][16] However, most of these previous studies either limited the study population to a confined area or based the diagnosis criteria mainly on clinical presentations. In recent years, CT scan rate of stroke patients has increased rapidly, which makes it possible to examine the stroke subtypes more accurately in Chinese populations.…”

mentioning

confidence: 99%

Proportion of Different Subtypes of Stroke in China

Zhang

Yang

Hong

et al. 2003

Stroke

315

193

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Background and Purpose-The goal of this article is to clarify the proportion of stroke subtypes in China, where stoke is the most common cause of death. Methods-A total of 16 031 first-ever strokes in subjects Ն25 years of age were identified in 1991 to 2000 from 17 Chinese populations through a community-based cardiovascular disease surveillance program in the China Multicenter Collaborative Study of Cardiovascular Epidemiology. World Health Organization diagnosis criteria were used for classification of stroke subtypes. Results-CT scan rate of stroke cases reached a satisfactorily high level only after 1996 in the study populations. In 8268 first-ever stroke events from 10 populations with CT scan rate Ͼ75% in 1996 to 2000, 1.8% were subarachnoid hemorrhage, 27.5% were intracerebral hemorrhage, 62.4% were cerebral infarction, and 8.3% were undetermined stroke. The proportion of intracerebral hemorrhage varied from 17.1% to 39.4% and that for cerebral infarction varied from 45.5% to 75.9% from population to population. The ratio of ischemic to hemorrhagic stroke ranged from 1.1 to 3.9 and averaged 2.0). The 28-day fatality rate was 33.3% for subarachnoid hemorrhage, 49.4% for intracerebral hemorrhage, 16.9% for cerebral infarction, and 64.6% for undetermined stroke. Conclusions-In our study, ischemic stroke was more frequent and its proportion was higher than hemorrhagic stroke in Chinese populations. Although hemorrhagic stroke was more frequent in Chinese than in Western populations, the variation in the proportion of stroke subtypes among Chinese populations could be as large as or larger than that between

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Stroke Incidence and Case Fatality in Southern Greece

Cited by 128 publications

References 37 publications

A Model for Coronary Heart Disease and Stroke with Applications to Critical Illness Insurance Underwriting I: The Model

A Model for Coronary Heart Disease and Stroke with Applications to Critical Illness Insurance Underwriting I: The Model

Stroke incidence and prevalence in Europe: a review of available data

Proportion of Different Subtypes of Stroke in China

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