Stroke prevalence among the Spanish elderly: an analysis based on screening surveys

Boix, Raquel; Barrio, José Luis del; Saz, Pedro; Rizzoli, René; Manubens, J.M.; Lobo, Antonio; Gascón, Jordi; Arce, Ana de; Díaz-Guzmán, Jaime; Bergareche, Alberto; Bermejo‐Pareja, Félix; Pedro‐Cuesta, Jesús de

doi:10.1186/1471-2377-6-36

Cited by 44 publications

(39 citation statements)

References 31 publications

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“…However, in persons 6 65 years, our rates were higher (24.14 vs. 14.94/1,000). In contrast, our crude rates are lower than those of most reports from the European population, where the prevalence rates in the elderly ( 6 65 or 1 70 years) are generally higher, averaging about 70/1,000 [16,17] .…”

Section: Discussioncontrasting

confidence: 54%

“…The crude and age-adjusted prevalence rates documented in our study are however lower than the average values reported from most other populations, including recent studies from both developing and developed countries [11,[14][15][16][17] . In a recent review of stroke epidemiology studies in the late 20th century (1990 and later), Feigin et al [11] reported crude prevalence rates from 9 studies, ranging from 0 to 10.2/1,000, with most of the rates being above 4.7/1,000.…”

Section: Discussioncontrasting

confidence: 49%

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Prevalence of Stroke in an Urban, Mixed-Income Community in Lagos, Nigeria

Danesi

Okubadejo

Ojini³

2007

Neuroepidemiology

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Background: The burden of cerebrovascular disease in developing countries is projected to be on the rise. However, data on the current epidemiology of stroke in Africa are sparse. Methods: Using a 3-staged method, we conducted a door-to-door study of stroke in an urban, mixed-income community in Lagos, Nigeria. We used a modification of the WHO protocol in the first stage, a stroke-specific questionnaire in the second stage and neurological examination of all persons screening positive for stroke in the third stage. We also examined an equal number of stroke-negative persons. Results: Overall, the crude prevalence rate of stroke in urban Nigeria was 1.14/1,000 (males: 1.51; females: 0.69). The age-adjusted prevalence rates per 1,000 (adjusted to the USA population 2000) in mid-decade strata showed a trend of increasing prevalence with advancing age as follows: 35–44 years = 0.009, 45–54 years = 0.33, 55–64 years = 0.71, 65–74 years = 0.98, 75–84 years = 2.04 and >85 years = 0.74. Conclusions: Stroke prevalence rates in urban Nigeria are lower than those in most developed countries. The lower rates may be related to lower incidence and higher stroke mortality in developing countries.

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Section: Discussioncontrasting

confidence: 54%

Section: Discussioncontrasting

confidence: 49%

Prevalence of Stroke in an Urban, Mixed-Income Community in Lagos, Nigeria

Danesi

Okubadejo

Ojini³

2007

Neuroepidemiology

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“…We also used existing review articles on community-based incidence and prevalence studies, [3][4][5][6][7][8][9][10][11] as well as reference lists in articles. Furthermore, tables-of-contents in relevant journals have been scrutinized.…”

Section: Methodsmentioning

confidence: 99%

Sex Differences in Stroke Epidemiology

Appelros

Stegmayr²,

Terént³

2009

Stroke

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621

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Background and Purpose-Epidemiological studies, mainly based on Western European surveys, have shown that stroke is more common in men than in women. In recent years, sex-specific data on stroke incidence, prevalence, subtypes, severity and case-fatality have become available from other parts of the world. The purpose of this article is to give a worldwide review on sex differences in stroke epidemiology. Methods-We searched PubMed, tables-of-contents, review articles, and reference lists for community-based studies including information on sex differences. In some areas, such as secular trends, ischemic subtypes and stroke severity, noncommunity-based studies were also reviewed. Male/female ratios were calculated. Results-We found 98 articles that contained relevant sex-specific information, including 59 incidence studies from 19 countries and 5 continents. The mean age at first-ever stroke was 68.6 years among men, and 72.9 years among women. Male stroke incidence rate was 33% higher and stroke prevalence was 41% higher than the female, with large variations between age bands and between populations. The incidence rates of brain infarction and intracerebral hemorrhage were higher among men, whereas the rate of subarachnoidal hemorrhage was higher among women, although this difference was not statistically significant. Stroke tended to be more severe in women, with a 1-month case fatality of 24.7% compared with 19.7% for men. Conclusions-Worldwide, stroke is more common among men, but women are more severely ill. The mismatch between the sexes is larger than previously described.

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“…The current prevalence is estimated to be 6.4% among people over 70 years old, and this is expected to increase in the coming years, in turn, increasing the number of people requiring care [1]. Unlike other chronic conditions, the onset of disability caused by stroke is sudden and patients often struggle to come to terms with their new situation.…”

Section: Introductionmentioning

confidence: 99%