Trends of Stroke Incidence from 1995 to 2013 in Joinville, Brazil

Cabral, Norberto Luiz; Cougo-Pinto, Pedro Telles; Magalhães, Pedro; Longo, Alexandre Luiz; Moro, Carla Heloísa Cabral; Amaral, Claudio Henrique do; Costa, Guilherme Borges da; Reis, Felipe Ibiapina dos; Gonçalves, Anderson; Nagel, Vivian; Pontes-Neto, Octávio M.

doi:10.1159/000445060

Cited by 41 publications

(57 citation statements)

References 29 publications

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“…Also, recent stroke prevention interventions may have primarily been targeted at the elderly population. Additionally, different proportional frequencies of main pathological stroke subtypes in young individuals compared to the elderly may also contribute (online suppl.Table 2), since rates of IS have decreased in recent years, while corresponding rates for hemorrhagic stroke have remained unchanged [32]. Altogether, our findings of unaltered stroke incidence among the young suggest that targeted public health interventions that also include younger people is a crucial component in the efforts to tackle the overall burden of stroke.…”

Section: Discussionmentioning

confidence: 80%

Temporal Trends of Stroke Epidemiology in Southern Sweden: A Population-Based Study on Stroke Incidence and Early Case-Fatality

et al. 2018

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Background: Up-to-date epidemiological stroke studies are important for healthcare planning and evaluating prevention strategies. This population-based study investigates temporal trends in stroke incidence and case-fatality in southern Sweden. Methods: First-ever stroke cases in the local catchment area of Skåne University Hospital in Lund, Sweden, between March, 2015 and February, 2016, were included from several sources, including 2 prospective hospital-based registers, retrospective screening of primary care visits, and autopsy registers. Stroke incidence and 28-day case-fatality rates were compared with data from this area obtained through similar methodology between March, 2001 and February, 2002. Results: Altogether, 456 and 413 first-ever stroke patients were identified during the earlier and later time periods respectively. The age- and sex-standardized stroke incidence rates decreased from 246 (95% CI 224–270) to 165 (95% CI 149–182) per 100,000 people. However, incidence remained unaltered among those <65 years. Early case-fatality decreased from 14 to 11% (p = 0.165). Conclusion: First-ever stroke incidence in southern Sweden has decreased with 33% since the beginning of this millennium. Incidence rates have decreased among the elderly but remain unchanged among younger age groups. Our findings warrant further studies on trends in risk factor profiles and effects of prevention strategies, and heightened focus on stroke in the young.

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Section: Discussionmentioning

confidence: 80%

Temporal Trends of Stroke Epidemiology in Southern Sweden: A Population-Based Study on Stroke Incidence and Early Case-Fatality

et al. 2018

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“…This hypothesis is based on information from Joinville, Santa Catarina, where there was a reduction in the lethality concomitant with the reduction in incidence -a much greater number of cases of hemorrhage than of cerebral ischemia 24,25 . However, when the National Health Survey 2013 evaluated the prevalence of cerebrovascular disease, there was an inverse relationship with the level of formal education, an association that increased when the presence of motor sequelae due to this disease was analyzed separately 26 .…”

Section: Discussionmentioning

confidence: 99%

Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015

Lotufo

Goulart

Passos

et al. 2017

Rev. bras. epidemiol.

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The risk of death has been halved across the country, but states in the lower SDI tertile had less significant reductions (-1.23 and -1.84% a year) compared to the middle tertile (-1.94 and -2.22%) and the upper tertile (-2.85 and -2.82%) for men and women, respectively. The years lived with disability also presented a reduction among states, but less expressively. Conclusion: Despite the reduction of age-adjusted mortality rates throughout the country, cerebrovascular disease still presents a high disease burden, especially in states with lower socioeconomic development.

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“…Staff in all the cities were trained to follow the "ideal" population-based study according to the World Health Organization steps criteria 7 . These methods have been extensively published elsewhere 8 . In brief, using multiple overlapping sources, we identified all inpatients and outpatients with first-ever stroke.…”

Section: Period Of Data Collection and Ascertainment Strategymentioning

confidence: 99%

Prevalence of obesity among stroke patients in five Brazilian cities: a cross-sectional study

Vicente

Cabral

Nagel³

et al. 2018

Arq. Neuro-Psiquiatr.

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Objective: There is gap in knowledge about obesity prevalence in stroke patients from low-and middle-income countries. Therefore, we aimed to measure the prevalence of overweight and obesity status among patients with incident stroke in Brazil. Methods: In a crosssectional study, we measured the body mass index (BMI) of ischemic and hemorrhagic stroke patients. The sample was extracted in 2016, from the cities of Sobral (CE), Sertãozinho (SP), Campo Grande (MS), Joinville (SC) and Canoas (RS). Results: In 1,255 patients with first-ever strokes, 64% (95% CI, 62-67) were overweight and 26% (95%CI, 24-29) were obese. The obesity prevalence ranged from 15% (95%CI, 9-23) in Sobral to 31% (95%CI, 18-45) in Sertãozinho. Physical inactivity ranged from 53% (95%CI, 43-63) in Sobral to 80% (95%CI, 73-85) in Canoas. Conclusions: The number of overweight patients with incident stroke is higher than the number of patients with stroke and normal BMI. Although similar to other findings in high-income countries, we urgently need better policies for obesity prevention.Keywords: obesity; prevalence; stroke, epidemiology; cross-sectional studies RESUMO Objetivo: Há uma lacuna de conhecimento sobre a prevalência de obesidade em pacientes com AVC (acidente vascular cerebral) de países de baixa e média renda. Portanto, objetivamos medir a prevalência de sobrepeso e obesidade entre pacientes com AVC no Brasil. Métodos: Em um estudo transversal, medimos o índice de massa corporal (IMC) em pacientes com AVC isquêmico e hemorrágico. A amostra foi extraída em 2016, nas cidades de Sobral (CE), Sertãozinho (SP), Campo Grande (MS), Joinville (SC) e Canoas (RS). Resultados: Entre 1255 casos de AVC, 64% (95%CI, 62-67) apresentavam sobrepeso e 26% (95%CI, 24-29) obesidade. A prevalência de obesidade variou de 15% (95%CI, 9-23) em Sobral a 31% (95%CI, 18-45) em Sertãozinho. Conclusões: A quantidade de pacientes com AVC e IMC anormal é maior do que a de pacientes com AVC e IMC normal. Embora esta prevalência seja similar às de países de alta renda, precisamos urgentemente de melhores políticas de prevenção da obesidade. Atividade física deveria ser parte da prescrição médica.Palavras-chave: obesidade; prevalência; acidente vascular cerebral, epidemiologia; estudos transversais Obesity has reached epidemic proportions globally, with at least 2.8 million people dying each year as a result of being overweight or obese 1 . Once associated with high-income countries, obesity is now also prevalent in low-and middle-income countries 1 . In Brazil, a study by the Ministry of Health in 2011, showed that 48% of the population was either overweight (33%) or obese (15%) 2 . In 2006, these figures were 22.7% and 11.4% 2,3 . Because obesity is believed to cause a number of established risk factors for cardiovascular diseases such as hypertension, dyslipidemia and diabetes, the growing prevalence of obesity is assumed to increase the global cardiovascular disease burden 4 . For instance, in adults, the risk for ischemic stroke increases almost linear...

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Trends of Stroke Incidence from 1995 to 2013 in Joinville, Brazil

Cited by 41 publications

References 29 publications

Temporal Trends of Stroke Epidemiology in Southern Sweden: A Population-Based Study on Stroke Incidence and Early Case-Fatality

Temporal Trends of Stroke Epidemiology in Southern Sweden: A Population-Based Study on Stroke Incidence and Early Case-Fatality

Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015

Prevalence of obesity among stroke patients in five Brazilian cities: a cross-sectional study

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