BACKGROUND AND PURPOSE: We assessed the prevalence of self-reported and medically confirmed stroke and the degree to which the event had led to hospitalization. METHODS: From all participants of the Rotterdam Study, a population-based cohort study of 7983 subjects aged 55 years and older living in a suburb of Ommoord in Rotterdam, information on stroke history was obtained by the question, "Did you ever suffer from a stroke, diagnosed by a physician?" Supplementary medical information was obtained from general practitioner or hospital discharge records. RESULTS: Prevalence of self-reported stroke was 2.5% in men aged 55 to 64 years, 5.0% in men aged 65 to 74 years, 8.9% in men aged 75 to 84 years, and 11.6% in men aged 85 years or older. Corresponding figures for women were 1.6%, 3.3%, 6.7%, and 10.5%, respectively. Of the self-reported strokes, 67% could be confirmed by medical information. In 53% (95% confidence interval, 47% to 60%) of subjects with a confirmed stroke, the event had led to hospital admission. The proportion of hospitalized patients decreased with age. CONCLUSIONS: The present study provides valid age- and sex-specific estimates of prevalence of stroke. A substantial proportion of patients with stroke is not hospitalized.
BACKGROUND AND PURPOSE: We assessed the prevalence of self-reported and medically confirmed stroke and the degree to which the event had led to hospitalization. METHODS: From all participants of the Rotterdam Study, a population-based cohort study of 7983 subjects aged 55 years and older living in a suburb of Ommoord in Rotterdam, information on stroke history was obtained by the question, "Did you ever suffer from a stroke, diagnosed by a physician?" Supplementary medical information was obtained from general practitioner or hospital discharge records. RESULTS: Prevalence of self-reported stroke was 2.5% in men aged 55 to 64 years, 5.0% in men aged 65 to 74 years, 8.9% in men aged 75 to 84 years, and 11.6% in men aged 85 years or older. Corresponding figures for women were 1.6%, 3.3%, 6.7%, and 10.5%, respectively. Of the self-reported strokes, 67% could be confirmed by medical information. In 53% (95% confidence interval, 47% to 60%) of subjects with a confirmed stroke, the event had led to hospital admission. The proportion of hospitalized patients decreased with age. CONCLUSIONS: The present study provides valid age- and sex-specific estimates of prevalence of stroke. A substantial proportion of patients with stroke is not hospitalized.
Authors: Stefan Walter; Johan Mackenbach; Zoltán Vokó; Stefan Lhachimi; M Arfan Ikram; André G Uitterlinden; Anne B Newman; Joanne M Murabito; Melissa E Garcia; Vilmundur Gudnason; Toshiko Tanaka; Gregory J Tranah; Henri Wallaschofski; Thomas Kocher; Lenore J Launer; Nora Franceschini; Maarten Schipper; Albert Hofman; Henning Tiemeier Journal: Am J Public Health Date: 2012-02-16 Impact factor: 9.308
Authors: M J E van Rijn; A J C Slooter; M J Bos; C F B S Catarino; P J Koudstaal; A Hofman; M M B Breteler; C M van Duijn Journal: J Neurol Neurosurg Psychiatry Date: 2006-01 Impact factor: 10.154
Authors: Richard Mayeux; Christiane Reitz; Adam M Brickman; Mary N Haan; Jennifer J Manly; M Maria Glymour; Christopher C Weiss; Kristine Yaffe; Laura Middleton; Hugh C Hendrie; Lauren H Warren; Kathleen M Hayden; Kathleen A Welsh-Bohmer; John C S Breitner; John C Morris Journal: Alzheimers Dement Date: 2011-01 Impact factor: 21.566
Authors: V P Alberts; M J Bos; P J Koudstaal; A Hofman; J C M Witteman; B H C Stricker; M M B Breteler Journal: Eur J Epidemiol Date: 2010-11 Impact factor: 8.082
Authors: Christiane Reitz; Nicole Schupf; José A Luchsinger; Adam M Brickman; Jennifer J Manly; Howard Andrews; Ming X Tang; Charles DeCarli; Truman R Brown; Richard Mayeux Journal: Arch Neurol Date: 2009-05-11