Stroke In China, 1986 Through 1990

Cheng, Xue-ming; Ziegler, Dewey K.; Lai, Yen-Huei C.; Li, Shi-Chuo; Jiang, Guoxing; Du, Xin; Wang, Wenzhi; Wu, Shengping; Bao, Su-Ge; Bao, Qiu-Ju

doi:10.1161/01.str.26.11.1990

Cited by 69 publications

(45 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This alleviates some of our concerns that the increasing trend of IS was a result of increasingly used neuroimaging technology over years. Consistent with a previous report, 23 we found stroke incidence was the highest in Changsha, followed by Beijing and Shanghai. Despite the general geographic gradient with a higher incidence of stroke in the north than south in China, 1,24 there is evidence that the southern city of Changsha has an unexpectedly high rate of stroke incidence, 3,[23][24] and the reasons for this exception should be further investigated.…”

Section: Incidence Rates Of Stroke Subtypessupporting

confidence: 93%

Incidence and Trends of Stroke and Its Subtypes in China

Jiang

Wang

Chen

et al. 2006

Stroke

Self Cite

260

219

View full text Add to dashboard Cite

Background and Purpose-To examine the incidence and trends of stroke and its major subtypes during the 1990s in 3 cities in China. Methods-Stroke cases registered between 1991 to 2000 were initially identified through the stroke surveillance networks established in Beijing, Shanghai, and Changsha, and then confirmed by neurologists. Results-The age-standardized incidence rates per 100 000 person years of overall first-ever stroke were 135.0 (95% CI, 126.5 to 144.6) in Beijing, 76.1 (70.6 to 82.6) in Shanghai, and 150.0 (141.3 to 160.0) in Changsha during the 1990s. Incidence of ischemic stroke (IS) was highest in Beijing, followed by Changsha and Shanghai; for intracerebral hemorrhage (ICH), the highest rate was found in Changsha, followed by Beijing and Shanghai. The same order as ICH was also observed for subarachnoid hemorrhage. The age-adjusted incidence of overall stroke and ICH for individuals Ն55 years of age in our populations was generally higher than that from Western populations. During the 1990s, ICH incidence decreased significantly at a rate of 12.0% per year in Beijing, 4.4% in Shanghai, and 7.7% in Changsha; in contrast, except for Changsha, IS incidence increased in Beijing (5.0% per year) and Shanghai (7.7%). Conclusions-There is a geographic variation in the incidence of stroke and its subtypes among these 3 cities, but the incidence of overall and hemorrhagic stroke in China is generally higher than that in the Western countries. Interestingly, the decrease in ICH and increase in IS during the past decade may reflect some underlying changes of risk factors in

show abstract

Section: Incidence Rates Of Stroke Subtypessupporting

confidence: 93%

Incidence and Trends of Stroke and Its Subtypes in China

Jiang

Wang

Chen

et al. 2006

Stroke

Self Cite

260

219

View full text Add to dashboard Cite

show abstract

“…A slight decrease in the incidence in men older than 75 years of age was observed in Auckland, New Zealand, 19 in China, 21 and in Copenhagen, Denmark. 22 In Söderhamn, Sweden, 23 there was a marked increase of stroke incidence in women.…”

Section: Discussionmentioning

confidence: 91%

Incidence Trends of Ischemic Stroke and Transient Ischemic Attacks in a Well-Defined French Population From 1985 Through 1994

Lemesle

Milan

Faivre

et al. 1999

Stroke

View full text Add to dashboard Cite

Background and Purpose-The changing incidence of ischemic stroke is of major concern in view of its public health impact, to define the population concerned, to identify risk factors, and to set up health-care systems. The aim of this study was to evaluate the time trends associated with the incidence of all the subtypes of ischemic stroke and transient ischemic attacks in a well-defined population for 10 years. Methods-Since 1985, a population registry has recorded each patient living in Dijon (France) who suffered from a cerebrovascular disease (CVD) regardless of the type of management. This study involved all patients suffering from their first ischemic stroke and their first transient ischemic attacks (TIAs) during 1 calendar year between January 1, 1985 and December 31, 1994. The incidence changes according to age, sex, and type of cerebral ischemic event (cortico-subcortical infarct, lacunar infarct, and TIA) were studied on the basis of their annual variations. Results-During the 10-year study period, 834 cortico-subcortical infarcts (52.1%), 296 lacunar infarcts (18.5%), 369 TIAs (23.1%), and 101 undetermined ischemic strokes (6.3%) were collected. The incidence of all ischemic events was relatively stable in both sexes over the 10-year period. However, the incidence rates differed according to age and type of ischemia. An increased incidence of cerebral cortico-subcortical infarct was observed in patients older than 75 years of age (ϩ5.45% annual change [AC] in men, PϽ0.05; ϩ5.09% AC in women, NS). In parallel, a higher proportion of emboligenic cardiac arrhythmias was observed in these patients (PϽ0.001). The incidence of lacunar infarcts tended to decrease, regardless of age but mainly in men under younger than 75 years of age (Ϫ12.74% AC in men, NS; ϩ0.31% AC in women, NS). The incidence of TIAs was relatively stable in both sexes. Because our population consisted of a large number of elderly subjects, the increase in cardioembolic causes could partially explain the increased incidence of cerebral cortico-subcortical infarcts in patients older than 75 years of age. Conclusions-These preliminary data emphasize the importance of stroke surveillance in considering the variations of the different mechanisms of ischemic cerebrovascular disease. Although the incidence of TIA is stable and the incidence of lacunes tends to decrease in men, mainly before 75 years of age, we emphasize the rise of the crude incidence of cortico-subcortical infarcts in men older than 75 years of age, induced by an increase in cardioembolic causes. (Stroke. 1999;30:371-377.)

show abstract

“…In 1986, a stroke prevention project was launched in seven urban clinical centers in China [7, 8]: Beijing, Shanjhai, Changsha, Harbin, Yinchuang, Changchun, and Zhengzhou. In each city, two distinct and convenient geographical areas comprising about 10,000 people were chosen.…”

Section: Methodsmentioning

confidence: 99%

“…Hypertension is an important risk factor for stroke in the People’s Republic of China [5, 6], with 49.5% of the excess annual mortality from stroke attributable to hypertension. As part of a longitudinal study in urban China, over 37,000 people had their blood pressure measured and were then followed prospectively for the occurrence of stroke [7, 8]. Data from this study were included in a collaborative effort to characterize the relation between blood pressure and stroke [4].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Study of Blood Pressure and Stroke in over 37,000 People in China

Fang

Longstreth

et al. 2001

Cerebrovasc Dis

Self Cite

View full text Add to dashboard Cite

As part of a longitudinal study performed in urban China, 37,655 subjects were evaluated for stroke risk factors, including having their blood pressure measured in a standard fashion. The cohort was followed for 3.5 years during which time 427 subjects experienced incident strokes – 221 ischemic, 203 hemorrhagic, and 3 undefined. Both systolic and diastolic blood pressure were significantly related to risk of stroke and stroke type. Associations were stronger for systolic than diastolic blood pressure. These results emphasize the importance of systolic blood pressure, as opposed to diastolic, as a risk factor for stroke. In this study, the risk of stroke is increased by about 25% with each 10 mm Hg increase in systolic blood pressure.

show abstract

Stroke In China, 1986 Through 1990

Cited by 69 publications

References 19 publications

Incidence and Trends of Stroke and Its Subtypes in China

Incidence and Trends of Stroke and Its Subtypes in China

Incidence Trends of Ischemic Stroke and Transient Ischemic Attacks in a Well-Defined French Population From 1985 Through 1994

Longitudinal Study of Blood Pressure and Stroke in over 37,000 People in China

Contact Info

Product

Resources

About