Epidemiological Factors of Stroke: A Survey of the Current Status in China
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Stroke is the leading cause of death in China and confers a huge burden and effort on patients and health professionals. China has the world’s largest population and has been experiencing a rapid economic development. In this article, we review the current status of stroke epidemiological features and risk factors, and the recently ongoing stroke epidemiological survey in China. Epidemiological studies suggested that stroke incidence increases with age and that the elderly population is expected to increase over time in China. Stroke mortality increased gradually from 1990 to 2000 but declined since the beginning of the 21st century, probably related to better control of vascular risk factors and the advances in acute stroke care. The Chinese lifestyle has changed rapidly during the past 3 decades. Moreover, China is a big country with substantial geographic disparities. The geographical variation and chronological trend of vascular risk factors may determine changes in the prevalence and subtypes of stroke in China. In this review, the current Chinese researches on the critical management of stroke and the potential direction and support of the Chinese government are discussed.
Abstract
Stroke is the leading cause of death in China and confers a huge burden and effort on patients and health professionals. China has the world’s largest population and has been experiencing a rapid economic development. In this article, we review the current status of stroke epidemiological features and risk factors, and the recently ongoing stroke epidemiological survey in China. Epidemiological studies suggested that stroke incidence increases with age and that the elderly population is expected to increase over time in China. Stroke mortality increased gradually from 1990 to 2000 but declined since the beginning of the 21st century, probably related to better control of vascular risk factors and the advances in acute stroke care. The Chinese lifestyle has changed rapidly during the past 3 decades. Moreover, China is a big country with substantial geographic disparities. The geographical variation and chronological trend of vascular risk factors may determine changes in the prevalence and subtypes of stroke in China. In this review, the current Chinese researches on the critical management of stroke and the potential direction and support of the Chinese government are discussed.
참고문헌 (30)
- Johnston SC, "Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modeling", Lancet Neurol, 8, pp.345~354 (2009)
- Chen Z, "The mortality and death cause of national sample areas. In: Chen Z, ed. The Third National Survey on the Cause of Death, I ed", pp.14~15 (2008), Peking Union Medical University Press
- Hu XL, "The economic burden of ischemic stroke in China", China Healthcare Economy, 22, pp.18~20 (2003)
- Ministry of Health PRC, "2010 Annual Chinese Healthcare Statistics" (2010), China Union Medical University Publication
- Wang CC, "Epidemiological survey of neurological disorders in six urban areas of Peoples Republic of China", Zhong-Hua Shen-Jing Wai-ke Za-Zhi, 1, pp.2~8 (1985)
- Li ZS, "Epidemiological survey of cerebrovascular disease in rural areas of China", Zhong-Hua Shen-Jing Wai-ke Za-Zhi, 5, pp.7~11 (1989)
- Xue GB, "Epidemiological survey: stroke in urban and rural areas of China", Chin Med J, 104, pp.697~704 (1991)
- Wang WZ, "Stroke epidemiology and community-based prevention. In: Zhang GJ. Research progress of cerebral vascular disease" (2000), Chinese medical science and Technology Press
- Thorvaldsen P, "Stroke trends in the WHO MONICA project", Stroke, 28, pp.500~506 (1997)
- Cheng XM, "Stroke in China, 1986 through 1990", Stroke, 26, pp.1990~1994 (1995)
- Jiang B, "Incidence and trends of stroke and its subtypes in China: results from three large cities", Stroke, 37, pp.63~68 (2006)
- Chen XM, "Epidemiology of cerebrovascular diseases, In Cerebrovascular Diseases", pp.4~16 (1993), Chinese Science and Technology Publishing House
- Strong K, "Preventing stroke: saving lives around the world", Lancet Neurol, 6, pp.182~187 (2007)
- World Health Organization, "World Health Report 2004: Changing History. Geneva" (2004), World Health Organization
- Feigin VL, "Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century", Lancet Neurol, 2, pp.43~53 (2003)
- "Incidence and Prevalence: 2006 Chart Book on Cardiovascular and Lung Diseases" (2006), National Heart, Lung, and Blood Institute
- Zhang LF, "Proportion of different subtypes of stroke in China", Stroke, 34, pp.2091~2096 (2003)
- Yang QD, "Incidence of cerebral hemorrhag in the Changsha Community: a prospective study from 1986 to 2000", Cerebrovasc Dis, 17, pp.303~313 (2004)
- Qureshi AI, "Intracerebral haemorrhag", Lancet, 373, pp.1632~1644 (2009)
- Wang YL, "Survey on acute cerebrovascular events care in China", Int J Stroke, 2, pp.56~57 (2006)
- Zhao D, "Epidemiological transition of stroke in China: twenty-one-year observational study from the Sino-MONICA-Beijing Project", Stroke, 39, pp.1668~1674 (2008)
- Wang YJ, "Prevalence and outcomes of symptomatic intracranial atherosclerosis in China"
- Pu YH, "eographic and gender difference for distribution of intracranial atherosclerosis in China"
- Casper ML, "Atlas of Stroke Mortality: Racial, Ethnic, and Geographic Disparities in the United States. Atlanta, Ga: Department of Health and Human Services" (2003), Centers for Disease Control and Prevention
- Yao CH, "Dietary survey in Beijing in 1983", Chinese Med J, 98, pp.439~441 (1985)
- Pang XH, "Nutritionan health status of the Beijing residents", Chinese J Preventive Medicine, 39, pp.269~272 (2005)
- Critchley J, "Explaining the increasing in coronary heart disease mortality rate in Beijing between 1984 and 1999", Circulation, 110, pp.1236~1244 (2004)
- Liu S, "The trends of cardiovascular risk factors in urban and rural areas of Beijing during 1984-1999", J Cardiovascular & Pulmonary Disease, 25, pp.129~134 (2006)
- Liu M, "Stroke in China: epidemiology, prevention, and management strategies", Lancet Neurol, 6, pp.456~464 (2007)
- Liu L, "Stroke and Stroke Care in China: Huge Burden, Significant Workload, and a National Priority", Stroke, 42, pp.3651~3654 (2011)
