Stroke incidence and prevalence in Europe:: a review of available data
Stroke incidence and prevalence in Europe:: a review of available data
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DOI：
10.1111/j.1468-1331.2006.01138.x
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发表时间：
2006-06-01
影响因子：
5.1
通讯作者：
Boysen, G.
中科院分区：
文献类型：
--
作者：
Truelsen, T.;Piechowski-Jozwiak, B.;Boysen, G.
脑卒中发病率和患病率的可靠数据对于计算脑卒中负担和制定脑卒中患者的预防和治疗计划至关重要。在目前的研究中，我们回顾了来自欧盟国家、冰岛、挪威和瑞士的已发表数据，并提供了世卫组织对这些国家卒中发病率和流行率的估计。使用Medline/PubMed检索确定了过去10年在同行评议期刊上发表的卒中流行病学研究，并使用世卫组织信息库中世卫组织卒中组件的结构进行了审查。世卫组织对每个国家中风发病率和流行率的估计是根据常规死亡率统计数据计算的。符合“理想”标准的研究的比率与世卫组织的估计进行了比较。确定了44项发病率研究和12项患病率研究。有几个方法上的差异阻碍了数据的比较。世卫组织对中风的估计与“理想”中风人群研究的结果非常一致。据世卫组织估计，仅由于人口结构的变化，这些选定国家的中风事件数量可能从2000年的每年110万例增加到2025年的每年150多万例。在获得更好和更多的卒中研究之前，世卫组织卒中估计数可能为了解目前没有卒中数据的国家的卒中负担提供最佳数据。建议制定卒中监测的标准化方案。
Reliable data on stroke incidence and prevalence are essential for calculating the burden of stroke and the planning of prevention and treatment of stroke patients. In the current study we have reviewed the published data from EU countries, Iceland, Norway, and Switzerland, and provide WHO estimates for stroke incidence and prevalence in these countries. Studies on stroke epidemiology published in peer-reviewed journals during the past 10 years were identified using Medline/PubMed searches, and reviewed using the structure of WHO's stroke component of the WHO InfoBase. WHO estimates for stroke incidence and prevalence for each country were calculated from routine mortality statistics. Rates from studies that met the 'ideal' criteria were compared with WHO's estimates. Forty-four incidence studies and 12 prevalence studies were identified. There were several methodological differences that hampered comparisons of data. WHO stroke estimates were in good agreement with results from 'ideal' stroke population studies. According to the WHO estimates the number of stroke events in these selected countries is likely to increase from 1.1 million per year in 2000 to more than 1.5 million per year in 2025 solely because of the demographic changes. Until better and more stroke studies are available, the WHO stroke estimates may provide the best data for understanding the stroke burden in countries where no stroke data currently exists. A standardized protocol for stroke surveillance is recommended.