Stroke Mortality in Brazil: One Example of Delayed Epidemiological Cardiovascular Transition

Lotufo, Paulo A.; Benseñor, Isabela M.

doi:10.1111/j.1747-4949.2009.00240.x

Cited by 43 publications

(57 citation statements)

References 6 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although stroke deaths have declined in the last decades 2,3 , recent mortality data also reveal cerebrovascular disease as the third cause of premature death after coronary heart disease and homicides 4 . However, the decrease in stroke mortality is not equally distributed across the country and it occurs mainly on the poorest areas of the country and among Blacks 5,6,7 . Compared to previous mortality studies 8 , there are few studies evaluating the prevalence of stroke in Brazil according to sociodemographic characteristics 9,10,11,12 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Benseñor

Goulart

Szwarcwald

et al. 2015

Arq. Neuro-Psiquiatr.

Self Cite

115

View full text Add to dashboard Cite

There is scarce data about prevalence of stroke in Brazil. The National Health Survey (PNS) is a community-based epidemiological survey, with a nationally representative sample to assess the absolute numbers with respective prevalence rates of stroke and post-stroke disabilities. It was estimated 2,231.000 stroke and 568,000 stroke cases with severe disabilities. The point prevalences was 1.6% and 1.4% in men and women, respectively. The prevalences of post-stroke disabilities were 29.5% for men and 21.5% for women. Stroke prevalence rates increased with aging, low education level, among people living in urban areas with no difference according to self-reported skin color. The degree of post-stroke disability was not statistically different according to sex, race, education level or living area. This new data from PNS show high stroke prevalence rates especially in older individuals without formal education and urban dweller, but the degree of stroke disability was not determined by the sociodemographic characteristics of the Brazilian population.

show abstract

mentioning

confidence: 99%

“…, Deborah Carvalho Malta 4,5 , Paulo A. Lotufo 1,2 Stroke mortality in Brazil has been reported the highest in South America for both genders 1 . Although stroke deaths have declined in the last decades 2,3 , recent mortality data also reveal cerebrovascular disease as the third cause of premature death after coronary heart disease and homicides 4 .…”

mentioning

confidence: 99%

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Benseñor

Goulart

Szwarcwald

et al. 2015

Arq. Neuro-Psiquiatr.

Self Cite

115

View full text Add to dashboard Cite

show abstract

“…5 One important factor in this regard relates to the social, racial and regional differences in stroke mortality in Brazil, in comparison with elsewhere, with high risk among the poorest segments, blacks and people living in northern and northeastern Brazil. [6][7][8] In relation to these two components of mortality, there is no conclusive data about their incidence in Brazil, but we can speculate that case fatality is declining because of the rise in the numbers of elderly people dying due to stroke sequelae.…”

mentioning

confidence: 99%

Stroke is still a neglected disease in Brazil

Lotufo

2015

Sao Paulo Med. J.

View full text Add to dashboard Cite

“…Determining the incidence, mortality and risk factors among IS subtypes may help to improve the public health actions and reduce the IS disease burden 12,13 . ABstrAct Aims: To measure the incidence and mortality rates of ischemic stroke (IS) subtypes in Joinville, Brazil.…”

mentioning

confidence: 99%

Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Lange

Cabral

Moro

et al. 2015

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Previous population-based studies reported the incidence and mortality of ischemic stroke (IS) subtypes in different settings, most of them on the White population from high-income countries 1,2,3,4,5,6,7,8 . In Latin America, there is only one study, which was conducted in a Spanish and Mestizo population in Iquique, Chile 9. As far as we know, no previous study has reported IS subtypes rates among predominantly White people from Latin America.The crude annual incidence rate of IS in Brazil range from 62 to 92 per 100,000 inhabitants with a mixed pattern of cardiovascular risk, characterized by high prevalence of ischemic heart disease, dyslipidemia, hypertension and diabetes 10,11 . Determining the incidence, mortality and risk factors among IS subtypes may help to improve the public health actions and reduce the IS disease burden 12,13 . ABstrAct Aims: To measure the incidence and mortality rates of ischemic stroke (IS) subtypes in Joinville, Brazil. Methods: All first-ever IS patients that occurred in Joinville from January 2005 to December 2006 were identified. The IS subtypes were classified by the TOAST criteria, and the patients were followed-up for one year after IS onset. Results: The age-adjusted incidence per 100,000 inhabitants was 26 (17-39) for large-artery atherosclerosis (LAA), 17 (11-27) for cardioembolic (CE), 29 (20-41) for small vessel occlusion (SVO), 2 (0.6-7) for stroke of other determined etiology (OTH) and 30 (20-43) for stroke of undetermined etiology (UND). The 1-year mortality rate per 100,000 inhabitants was 5 (2-11) for LAA, 6 (3-13) for CE, 1 (0.1-6) for SVO, 0.2 (0-0.9) for OTH and 9 (4-17) for UND. Conclusion: In the population of Joinville, the incidences of IS subtypes were similar to those found in other populations. These findings highlight the importance of better detection and control of atherosclerotic risk factors.

show abstract

Stroke Mortality in Brazil: One Example of Delayed Epidemiological Cardiovascular Transition

Cited by 43 publications

References 6 publications

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Stroke is still a neglected disease in Brazil

Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Contact Info

Product

Resources

About