Subtypes and case-fatality rates of stroke:

Jeng, Jiann‐Shing; Lee, Ti-Kai; Chang, Yang-Chyuan; Huang, Zei-Shung; Ng, Sien-Kiat; Chen, Rong-Chi; Yip, Ping-Keung

doi:10.1016/s0022-510x(98)00046-x

Cited by 42 publications

(8 citation statements)

References 36 publications

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“…Generally, the 30-day survival rates of cerebral hemorrhage (81%) and cerebral infarction (96%) patients in this study were higher than those of previous reports from a community (Hu et al 1992) and medical center-based studies in Taiwan (Jeng et al 1998). In addition, the 90-day survival rates of ischemic stroke patients noted in this study (92%) were slightly higher than those obtained from another medical center in Taiwan (Chang et al 2006).…”

Section: Discussioncontrasting

confidence: 78%

“…The incidence of first-time stroke among Taiwanese over 36 years of age is 330 per 100,000; this value is higher than those reported for the United Kingdom and the United States but is comparable to those of Japan and Mainland China (Hu et al 1992). A number of studies have reported one-month (Hu et al 1992;Jeng et al 1998) or 3-month (Chang et al 2006) mortality rates of stroke; however, the one-year mortality remains to be investigated in Taiwan. Moreover, previous studies have determined the risk factors for the oneyear mortality of stroke in Australia (Anderson et al 1994), Greece (Vemmos et al 2000), and Hong Kong (Wong and Li 2003); however, the studies involved only a limited number of study participants.…”

Section: Introductionmentioning

confidence: 77%

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Improving the One-Year Mortality of Stroke Patients: An 18-Year Observation in a Teaching Hospital

Chen

Lee

et al. 2014

Tohoku J. Exp. Med.

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Long-term follow-up and comparison of serial changes in the one-year mortality after stroke are important in assessing the quality of stroke management. This study determined the one-year survival rate and prognostic factors of hospitalized hemorrhagic and ischemic stroke patients from 1991 to 2008 in a teaching hospital in Taiwan. We also evaluated the improvements in the one-year mortality after stroke during an 18-year study period. Patients admitted for cerebral hemorrhage (n = 3,678) and cerebral infarction (n = 16,010), identified from an in-patient electronic database, were linked to the National Death Registry of Taiwan. Actuarial analysis was used to determine the one-year survival rates, and Cox proportional hazard regression model was used to investigate the predictors for the one-year mortality of stroke patients. For patients with cerebral hemorrhage and infarction and who were admitted from 1991 to 2008, the one-year survival rates were 71% and 84%, respectively. In addition, stroke patients who also suffered from myocardial infarction, chronic renal illness, and pneumonia and had high Charlson comorbidity index scores showed increased risks of mortality due to cerebral hemorrhage and infarction. Compared with the patients admitted from 1991 to 1996, those admitted from 1997 to 2002 and from 2003 to 2008 showed 15%-20% and 20%-25% reduction in one-year mortality risk in cerebral hemorrhage and infarction, respectively. This result demonstrates the continuous quality improvement of stroke management in the hospital from 1991 to 2008. Further reduction in one-year mortality can be achieved by early recognition and prompt treatment of certain comorbidities.

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Section: Discussioncontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 77%

Improving the One-Year Mortality of Stroke Patients: An 18-Year Observation in a Teaching Hospital

Chen

Lee

et al. 2014

Tohoku J. Exp. Med.

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“…Ischemic stroke and hemorrhagic stroke differ in terms of risk factors, case fatality and recurrence rates [1,2,3,4,5,6], and therefore have different implications for preventive programs and resources required for treatment. Therefore, in analyzing the stroke trends it is important to examine the stroke subtypes separately.…”

Section: Introductionmentioning

confidence: 99%

“…Intracerebral hemorrhage occurs more frequently in Chinese than in Western populations [7]. Ischemic strokes constitute approximately 50–70% of stroke events in Asian populations, compared with approximately 60–90% for Western populations [2,4,8,9,10,11,12,13,14,15]. Decreasing trends in incidence have been observed for both ischemic and hemorrhagic strokes in the United Kingdom, Italy, France and Australia [11,16,17,18].…”

Section: Introductionmentioning

confidence: 99%

Trends in Stroke Incidence in Hong Kong Differ by Stroke Subtype

Chau

Woo²,

Goggins

et al. 2010

Cerebrovasc Dis

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Background: The population in Hong Kong is mainly Chinese, but their lifestyle is increasingly westernized. It is uncertain whether the trends of stroke in Hong Kong would follow a Chinese or Western pattern. This is the first study to examine the trends of ischemic and hemorrhagic stroke in Hong Kong between 1999 and 2007 with a view to providing data for planning preventive programs and resources for treatment. Methods: Data from the Clinical Management System database of the Hong Kong Hospital Authority for 1999–2007 were used to examine incidence rates of stroke by subtypes among the Hong Kong population aged 35 and above. Poisson regression models were used to examine the trends in the ischemic and hemorrhagic stroke incidence in different subgroups. Results: During 1999–2007, while the age-adjusted incidence of ischemic stroke has decreased, that of hemorrhagic stroke has remained fairly stable. In the younger age group (35–44 years), the incidence of ischemic stroke remained stable, whereas that of hemorrhagic stroke has increased. Furthermore, the incidence of all stroke among Hong Kong Chinese is much higher than in many other developed countries. Conclusions: There were different trends of hemorrhagic and ischemic stroke incidence in Hong Kong. The findings highlight the public health importance of further research into the underlying causes of the increasing trend in hemorrhagic stroke in the younger age group, and the higher overall age-adjusted stroke incidence in Hong Kong compared with other developed countries.

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“…Although studies dealing with stroke and pregnancy have been assessed in both population-based and hospital-based methods, certain subtypes of stroke are often not included and most studies have been conducted in Western populations. Racial and ethnic differences in stroke subtypes and vascular risk factors have been documented in the Asian and the Western populations [10, 11, 12, 13]. The proportions of intracerebral hemorrhage and small-artery lacunar infarct are higher in Chinese and Japanese than in Caucasians.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Etiologies of Stroke during Pregnancy and Puerperium as Evidenced in Taiwanese Women

Jeng

Tang

Yip³

2004

Cerebrovasc Dis

Self Cite

114

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Background: Pregnancy is a known risk factor for stroke, but relatively few studies have been conducted in Asian populations to document the risk. This study aimed to analyze the incidence and etiologies of stroke occurring during pregnancy and puerperium in Taiwanese women. Methods: From 1984 to 2002, female patients 15 through 40 years of age with first-ever stroke during pregnancy or within 6 weeks of delivery were recruited. Stroke was classified as ischemic stroke (IS), cerebral venous thrombosis (CVT), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). The incidence, time of stroke onset (1st through 3rd trimester or puerperium), and etiologies of different stroke subtypes were analyzed. Results: Of 402 young female stroke patients, 49 had stroke during pregnancy and puerperium, including 16 with IS, 11 with CVT, 19 with ICH and 3 with SAH. After excluding referral patients, the incidences of pregnancy-related stroke were 46.2 (95% CI 30.7–69.5) per 100,000 pregnancies. 67% developed stroke in the 3rd trimester and puerperium, and 73% of CVT occurred in the puerperium period. Etiologies were well defined in 78% of patients. Eclampsia (37%) and arteriovenous malformation (26%) were the most important etiologies of ICH. For IS and CVT, rheumatic heart disease (44%) and coagulopathy (64%) were the major etiologies respectively. Conclusions: The incidence of stroke occurrence during pregnancy and puerperium in Taiwanese women is higher than that of Caucasian populations; the majority of strokes occurred in the 3rd trimester and puerperium, particularly CVT.

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Subtypes and case-fatality rates of stroke:

Cited by 42 publications

References 36 publications

Improving the One-Year Mortality of Stroke Patients: An 18-Year Observation in a Teaching Hospital

Improving the One-Year Mortality of Stroke Patients: An 18-Year Observation in a Teaching Hospital

Trends in Stroke Incidence in Hong Kong Differ by Stroke Subtype

Incidence and Etiologies of Stroke during Pregnancy and Puerperium as Evidenced in Taiwanese Women

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