Increasing stroke incidence in Sweden between 1989 and 2000 among persons aged 30 to 65 years: Evidence from the Swedish Hospital Discharge Register
Increasing stroke incidence in Sweden between 1989 and 2000 among persons aged 30 to 65 years: Evidence from the Swedish Hospital Discharge Register
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DOI：
10.1161/01.str.0000125866.78674.96
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发表时间：
2004-05-01
期刊：
影响因子：
8.3
通讯作者：
Ekberg, K
中科院分区：
文献类型：
--
作者：
Medin, J;Nordlund, A;Ekberg, K
背景和目的--瑞典的中风死亡率正在下降，其他西欧国家也是如此。然而，据报告，瑞典65岁以下人口的死亡率出现了下降和上升。这项研究的目的是比较时期和1991年、1998年和2000年在瑞典30至65岁人群中的卒中发病率。方法：纳入了至2000年期间瑞典医院出院登记处中所有30至65岁的首次卒中患者。结果：年龄标准化的3年平均发病率增加了19%，男性从98.9‰增加到118.0/10万，女性从48.4‰增加到64.4%，从1991年到1998年和2000年增加了33%。增幅最大的是年龄在60岁以下的人群。在县一级，年龄标准化中风发病率的变化从小幅下降(-3%)到大幅上升(82%)不等。结论--1989年至2000年间，瑞典男性和女性的中风发病率均有所增加。在女性中，这一增幅更大。这要求在研究风险因素和规划预防和促进健康方面采取行动，并表明需要针对性别开展研究。
Background and Purpose - Stroke mortality is decreasing in Sweden, as is the case in other Western European countries. However, both decreases and increases have been reported in Sweden for persons younger than age 65 years. The aim of this study was to compare the incidence of stroke in Sweden between the periods 1989 and 1991 and 1998 and 2000 in persons aged 30 to 65 years.Methods - All first-ever stroke patients aged 30 to 65 years in the Swedish Hospital Discharge Register between 1989 and 2000 were included.Results - The age-standardized, 3-year average incidence increased by 19%, from 98.9 to 118.0 per 100 000 among men, and by 33%, from 48.4 to 64.4 among women, between 1989 and 1991 and 1998 and 2000. The largest increase was seen among those younger than 60 years. On a county level, the change in age-standardized stroke incidence varied from small decreases (-3%) to large increases (82%).Conclusion - Stroke incidence increased in Sweden for both men and women between 1989 and 2000. The increase was larger among women. This calls for action when it comes to studying risk factors and planning for prevention and health promotion and indicates the need for gender-specific studies.