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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Stroke mortality and trends from 1990 to 2006 in 39 countries from Europe and Central Asia: Implications for control of high blood pressure
European Heart Journal, Volume 32, No. 11, Year 2011
Notification
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Description
AimsThe aim of the present study was to extend our understanding of international trends in stroke and major sequelae in Europe and countries peripheral to Europe by assessing: (1) current mortality rates, (2) the most recent 15-year prevalence trends, and (3) the relationship between systolic blood pressure in community surveys and national stroke mortality. Methods and resultsData were obtained from the World Health Organization (WHO www.who.int/whosis/database/mort/table.cfm), and represent national vital statistics as reported by 39 countries (European and Central Asian countries) using a standard format and population-based cardiovascular surveys. Total numbers of deaths by stroke (International Classification of Diseases 430438, 444) and the age, sex-adjusted incidence rates were obtained and grouped according to three standard demographic categories: A, B, and C (WHO). A Bayesian linear mixed effect model was fitted to the annual mortality rates. Higher rates of stroke mortality were observed for B and C group countries as compared with those countries belonging to Group A (e.g. Bulgaria 273.9 and 281.1; Israel 37.7 and 45.4 per 100 000 men and women, respectively). Even though the mortality rates within the country groupings were relatively similar, countries with marked deviation from the average were observed, mainly in Groups B and C. Stroke mortality decreased sharply in Group A during the period of study; conversely it had increased substantially in Group B and to a lesser extent in Group C. For both sexes markedly higher rates were noted moving from west to east, with some exceptions. Conclusion We have entered a period of rapidly increasing international inequality in stroke risk, where countries with low adult mortality in the latter 20th century extended their downward trend and countries with moderate as well as high mortality have on average seen unprecedented increases in death rates from stroke. © 2011 The Author.
Authors & Co-Authors
Redón Más, Josep
Spain, Madrid
Hospital Clínico San Carlos
Olsen, Michael Hecht
Denmark, Glostrup
Amtssygehuset I Glostrup
Cooper, Richard S.
United States, Maywood
Loyola University Stritch School of Medicine
Zurriaga, Óscar
Unknown Affiliation
Laurent, Stéphane L.
France, Paris
Hôpital Européen Georges-pompidou
Cífková, Renata
Czech Republic, Prague
Institutu Klinické a Experimentální Medicíny
Coca, Antonio
Spain, Barcelona
Institut D'investigacions Biomèdiques August pi I Sunyer - Idibaps
Mancia, Giuseppe
Italy, Monza
Azienda Ospedaliera San Gerardo Monza
Statistics
Citations: 186
Authors: 8
Affiliations: 7
Identifiers
Doi:
10.1093/eurheartj/ehr045
ISSN:
15229645
Research Areas
Noncommunicable Diseases
Study Design
Cross Sectional Study
Cohort Study
Participants Gender
Male
Female