The Epidemiological Characteristics of Stroke in Hunan Province, China

被引:15
作者
He, Wei [1 ]
Liu, Yunhai [1 ,2 ]
Feng, Jie [1 ,2 ]
Huang, Qing [1 ,2 ]
Xu, Ji [1 ]
Liu, Xiaojuan [1 ,2 ]
Yu, Cheng [1 ]
Zhu, Wenbin [3 ]
Wang, Te [4 ]
Jin, Donghui [5 ]
Liu, Huilin [5 ]
Huang, Yuelong [5 ]
Chen, Biyun [5 ]
机构
[1] Cent South Univ, Xiangya Hosp, Dept Neurol, Changsha, Hunan, Peoples R China
[2] Hunan Clin Res Ctr Cerebrovasc Dis, Changsha, Hunan, Peoples R China
[3] Oregon Hlth & Sci Univ, Dept Anesthesiol & Perioperat Med, Portland, OR 97201 USA
[4] Changsha Cent Hosp, Dept Neurol, Changsha, Hunan, Peoples R China
[5] Hunan Prov Ctr Dis Control & Prevent, Changsha, Hunan, Peoples R China
关键词
prevalence; incidence; morality; stroke; epidemiology; Hunan province; RISK-FACTORS; INTRACEREBRAL HEMORRHAGE; GLOBAL BURDEN; PREVALENCE; COMMUNITY; MORTALITY; SUBTYPES; DISEASE; TRENDS; URBAN;
D O I
10.3389/fneur.2018.00583
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Previous studies have shown that Hunan Province has a high incidence of stroke and a high proportion of intracerebral hemorrhage (ICH). Considering the changes over the past three decades, little is known about the current epidemiological characteristics of stroke in Hunan Province. In 2013, a cross-sectional study was conducted at seven national disease surveillance points (DSPs) in Hunan Province. A multistage cluster sampling method was used to select a representative sample. A total of 21,156 participants aged 20 years and older were examined. Among the 21,156 participants, the number of prevalent strokes, incident strokes and deaths was 307, 87, and 36, respectively. The 2010 China census-standardized prevalence, incidence and mortality were 1191.0 per 100,000 people (95% confidence interval (CI) 1044.8-1337.2], 333.6 per 100,000 person-years (95% CI 255.7-411.5) and 129.7 per 100,000 person-years (95% CI 81.1-178.3), respectively. lschemic stroke (IS), ICH, subarachnoid hemorrhage (SAH), and stroke of undetermined type (UND) constituted 50.6, 41.4, 5.7, and 2.3% of all incident stroke cases, respectively. Tianxin, Liuyang, Wuling, and Hongjiang have high proportions of ICH (61.5, 58.3, 60, and 50%, respectively). Hypertension is the most common risk factor for prevalent stroke (71.34%), followed by smoking (30.62%) and alcohol use (25.73%). In conclusion, Hunan Province has an extremely heavy stroke burden. The high proportion of ICH is not limited to the Changsha community; it represents an important issue for all of Hunan Province.
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页数:8
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