Temporal trends in stroke incidence and case-fatality rates in Arcadia, Greece: A sequential, prospective, population-based study
| Autor: | George Ntaios, Nikolaos K. Gatselis, Michiel L. Bots, Konstantinos Vemmos, Eleftheria Karakatsani, Maria Kazakou, Persefoni Karachalia, Dimitrios Lambrou, Anastasia Gamvoula, Eleni Korompoki, Romanos Ntiloudis, Konstantina Aravantinou-Fatorou, Aikaterini Karagianni, Stavros Bellos, Evangelos Tsampalas, Eleni Karantali, Konstantinos Makaritsis, Georgia Karamatzianni, Georgios Georgiopoulos, Stella Angeloglou, Erold Ajdini, Maria Lypiridou, Konstantinos Xynos |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Greece biology business.industry Incidence Incidence (epidemiology) biology.organism_classification medicine.disease Stroke Population based study Health services Arcadia Neurology Case fatality rate Epidemiology Income Humans Medicine Prospective Studies Registries business Stroke incidence Demography |
| Zdroj: | International Journal of Stroke. 17:37-47 |
| ISSN: | 1747-4949 1747-4930 |
| DOI: | 10.1177/1747493021995594 |
| Popis: | Background Stroke incidence and case-fatality are reported to decline in high-income countries during the last decades. Epidemiological studies are important for health services to organize prevention and treatment strategies. Aims The aim of this population-based study was to determine temporal trends of stroke incidence and case-fatality rates of first-ever stroke in Arcadia, a prefecture in southern Greece. Methods All first-ever stroke cases in the Arcadia prefecture were ascertained using the same standard criteria and multiple overlapping sources in three study periods: from November 1993 to October 1995; 2004; and 2015–2016. Crude and age-adjusted to European population incidence rates were compared using Poisson regression. Twenty-eight days case fatality rates were estimated and compared using the same method. Results In total, 1315 patients with first-ever stroke were identified. The age-standardized incidence to the European population was 252 per 100,000 person-years (95% CI 231–239) in 1993/1995, 252 (95% CI 223–286) in 2004, and 211 (192–232) in 2015/2016. The overall age- and sex-adjusted incidence rates fell by 16% (incidence rates ratio 0.84, 95% CI: 0.72–0.97). Similarly, 28-day case-fatality rate decreased by 28% (case fatality rate ratio = 0.72, 95% CI: 0.58–0.90). Conclusions This population-based study reports a significant decline in stroke incidence and mortality rates in southern Greece between 1993 and 2016. |
| Databáze: | OpenAIRE |
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