Mortality of Stroke and Its Subtypes in China: Results from a Nationwide Population-Based Survey

被引:79
作者
Chen, Zhenghong [1 ,3 ]
Jiang, Bin [1 ,3 ]
Ru, Xiaojuan [1 ,3 ]
Sun, Haixin [1 ,3 ]
Sun, Dongling [1 ,3 ]
Liu, Xiangtong [2 ,3 ]
Li, Yichong [4 ]
Li, Di [1 ,3 ]
Guo, Xiuhua [2 ,3 ]
Wang, Wenzhi [1 ,3 ]
机构
[1] Capital Med Univ, Beijing Neurosurg Inst, Beijing, Peoples R China
[2] Capital Med Univ, Sch Publ Hlth, Beijing, Peoples R China
[3] Chinese Ctr Dis Control & Prevent, Beijing Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China
[4] Chinese Ctr Dis Control & Prevent, Natl Ctr Chron & Noncommunicable Dis Control & Pr, Beijing, Peoples R China
关键词
Stroke; Mortality; Population-based survey; Epidemiology; REPUBLIC-OF-CHINA; GLOBAL BURDEN; CEREBROVASCULAR-DISEASE; SECONDARY PREVENTION; SYSTEMATIC ANALYSIS; ISCHEMIC-STROKE; COMMUNITY; URBAN; INTERVENTION; RISK;
D O I
10.1159/000477494
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: In China, stroke is the leading cause of death and contributes to a heavy disease burden. However, a nationwide population-based survey of the mortality of stroke and its subtypes is lacking for this country. Methods: Data derived from the National Epidemiological Survey of Stroke in China, which was a multistage, stratified clustering sampling-designed, cross-sectional survey, were analyzed. Mortality rate analyses were performed for 476,156 participants >= 20 years old from September 1, 2012 to August 31, 2013. Results: Of the 476,156 participants in the investigated population, 364 died of ischemic stroke, 373 of hemorrhagic stroke, and 21 of stroke of undetermined pathological type. The age-standardized mortality rates per 100,000 person-years among those aged >= 20 years were 114.8 for total stroke, 56.5 for ischemic stroke, and 55.8 for hemorrhagic stroke. The age-standardized mortality rates of total stroke, ischemic stroke, and hemorrhagic stroke were all higher in rural areas than those in urban areas. The stroke mortality rate was higher in the northern regions than in the south. An estimated 1.12 million people aged >= 20 years in China died of stroke during the period from September 1, 2012 to August 31, 2013. Conclusions: The burden of stroke in China is still heavy. Greater attention should be paid to improve strategies for preventing stroke. (C) 2017 S. Karger AG, Basel
引用
收藏
页码:95 / 102
页数:8
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