G Jiang1, W Li2, D Wang2, C Shen2, Y Ji2, W Zheng2. 1. Tianjin Centres for Disease Control and Prevention, Tianjin, China; School of Public Health, Tianjin Medical University, Tianjin, China. Electronic address: jiangguohongtjcdc@126.com. 2. Tianjin Centres for Disease Control and Prevention, Tianjin, China.
Abstract
OBJECTIVES: To examine the trends in epidemiological transition of stroke over the last two decades in Tianjin, and investigate the subtypes of stroke. STUDY DESIGN: A population-based epidemiological study using data from the Stroke Incidence Surveillance System of the Tianjin Centres for Disease Control and Prevention from 1988 to 2010. METHODS: Almost 500,000 cases were analysed to examine changes in the incidence of stroke between 1988 and 2010 by age, sex, subtype, year and urban/rural status. RESULTS: The incidence of stroke amongst males increased from 136.8/100,000 in 1988 to 387.0/100,000 in 2010, and the incidence amongst females increased from 65.9/100,000 in 1988 to 249.7/100,000 in 2010. Over the study period, the proportion of haemorrhagic strokes decreased and the proportion of ischaemic strokes increased sharply in both men and woman; the differences were significant. CONCLUSION: The distribution of stroke subtypes changed dramatically over the study period. Changes in trend and subtypes of stroke have raised new challenges and there is a need for adjustment for stroke prevention in Tianjin.
OBJECTIVES: To examine the trends in epidemiological transition of stroke over the last two decades in Tianjin, and investigate the subtypes of stroke. STUDY DESIGN: A population-based epidemiological study using data from the Stroke Incidence Surveillance System of the Tianjin Centres for Disease Control and Prevention from 1988 to 2010. METHODS: Almost 500,000 cases were analysed to examine changes in the incidence of stroke between 1988 and 2010 by age, sex, subtype, year and urban/rural status. RESULTS: The incidence of stroke amongst males increased from 136.8/100,000 in 1988 to 387.0/100,000 in 2010, and the incidence amongst females increased from 65.9/100,000 in 1988 to 249.7/100,000 in 2010. Over the study period, the proportion of haemorrhagic strokes decreased and the proportion of ischaemic strokes increased sharply in both men and woman; the differences were significant. CONCLUSION: The distribution of stroke subtypes changed dramatically over the study period. Changes in trend and subtypes of stroke have raised new challenges and there is a need for adjustment for stroke prevention in Tianjin.
Authors: Yizhao Ni; Kathleen Alwell; Charles J Moomaw; Daniel Woo; Opeolu Adeoye; Matthew L Flaherty; Simona Ferioli; Jason Mackey; Felipe De Los Rios La Rosa; Sharyl Martini; Pooja Khatri; Dawn Kleindorfer; Brett M Kissela Journal: PLoS One Date: 2018-02-14 Impact factor: 3.240