Stroke Statistics in Korea: Part I. Epidemiology and Risk Factors: A Report from the Korean Stroke Society and Clinical Research Center for Stroke
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The aim of the Part I of Stroke Statistics in Korea is to summarize nationally representative data of the epidemiology and risk factors of stroke in a single document. Every year, approximately 105,000 people experience a new or recurrent stroke and more than 26,000 die of stroke, which indicates that every 5 minutes stroke attacks someone and every 20 minutes stroke kills someone in Korea. Stroke accounts for roughly 1 of every 10 deaths. The estimated stroke prevalence is about 795,000 in people aged ≥30 years. The nationwide total cost for stroke care was 3,737 billion Korean won (US$3.3 billion) in 2005. Fortunately, the annual stroke mortality rate decreased substantially by 28.3% during the first decade of the 21th century (53.2/100,000 in 2010). Among OECD countries, Korea had the lowest in-hospital 30-day case-fatality rate for ischemic stroke and ranked third lowest for hemorrhagic stroke in 2009. The proportion of ischemic stroke has steadily increased and accounted for 76% of all strokes in 2009. According to hospital registry studies, the 90-day mortality rate was 3-7% for ischemic stroke and 17% for intracerebral hemorrhage. For risk factors, among Korean adults ≥30 years of age, one in 3-4 has hypertension, one in 10 diabetes, and one in 7 hypercholesterolemia. One in 3 Korean adults ≥19 years of age is obese. Over the last 10years, the prevalence of hypertension slightly decreased, but the prevalence of diabetes, hypercholesterolemia, and obesity increased. Smoking prevalence in men has decreased, but is still as high as 48%. This report could be a valuable resource for establishing health care policy and guiding future research directions.
Abstract
The aim of the Part I of Stroke Statistics in Korea is to summarize nationally representative data of the epidemiology and risk factors of stroke in a single document. Every year, approximately 105,000 people experience a new or recurrent stroke and more than 26,000 die of stroke, which indicates that every 5 minutes stroke attacks someone and every 20 minutes stroke kills someone in Korea. Stroke accounts for roughly 1 of every 10 deaths. The estimated stroke prevalence is about 795,000 in people aged ≥30 years. The nationwide total cost for stroke care was 3,737 billion Korean won (US$3.3 billion) in 2005. Fortunately, the annual stroke mortality rate decreased substantially by 28.3% during the first decade of the 21th century (53.2/100,000 in 2010). Among OECD countries, Korea had the lowest in-hospital 30-day case-fatality rate for ischemic stroke and ranked third lowest for hemorrhagic stroke in 2009. The proportion of ischemic stroke has steadily increased and accounted for 76% of all strokes in 2009. According to hospital registry studies, the 90-day mortality rate was 3-7% for ischemic stroke and 17% for intracerebral hemorrhage. For risk factors, among Korean adults ≥30 years of age, one in 3-4 has hypertension, one in 10 diabetes, and one in 7 hypercholesterolemia. One in 3 Korean adults ≥19 years of age is obese. Over the last 10years, the prevalence of hypertension slightly decreased, but the prevalence of diabetes, hypercholesterolemia, and obesity increased. Smoking prevalence in men has decreased, but is still as high as 48%. This report could be a valuable resource for establishing health care policy and guiding future research directions.
참고문헌 (42)
- "Organization for Economic Cooperation and Development. OECD Economic Surveys: Korea 2010"[URL]
- Asplund K, "Country comparisons of human stroke research since 2001", Stroke, 43, pp.830~837 (2012)
- Construction of national surveillance system for cardiovascular & cerebrovascular diseases, , Korean Center for Disease Control, ~ (2006)
- Jung KH, "Secular trends in ischemic stroke characteristics in a rapidly developed country: results from the Korean Stroke Registry Study (secular trends in Korean stroke)", Circ Cardiovasc Qual Outcomes, 5, pp.327~334 (2012)
- "Korean Statistical Information Service (KOSIS). Population projections and summary indicator for Korea (Population items)"[URL]
- Development of strategy and action plans for major chronic diseases prevention and control, , Korean Center for Disease Control, ~ (2004)
- Korean Health Insurance Review & Assessment Service, , Report of assessment for quality of acute stroke care in Korea, ~ (2005)
- Korean Health Insurance Review & Assessment Service, , Report of assessment for quality of acute stroke care in Korea, ~ (2008)
- Korean Health Insurance Review & Assessment Service, , Report of assessment for quality of acute stroke care in Korea, ~ (2010)
- Han DH, "Current status of stroke management in Korea", Jpn J Stroke, 24, pp.295~304 (2002)
- Adams HP, Jr, "Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment", Stroke, 24, pp.35~41 (1993)
- Korea Health Statistics 2005: Korea National Health and Nutrition Examination Survey (KNHANES III), "Ministry of Health & Welfare", ~ (2005)
- Korea National Health and Nutrition Examination Survey (KNHANES V), "Ministry of Health & Welfare", ~ (2010)
- Annual Report on the Cause of Death Statistics, , Korean Statistical Information Service (KOSIS, ~ (2010)
- "Annual Report on the Cause of Death Statistics"[URL]
- Health Behavior and Chronic Disease Statistics, , Korean Center for Disease Control, ~ (2005)
- OECD, "Health at a Glance 2011: OECD Indicators" (2011), OECD Publishing
- Duncan PW, "Measurement of motor recovery after stroke. Outcome assessment and sample size requirements", Stroke, 23, pp.1084~1089 (1992)
- Lees KR, "Contemporary Outcome Measures in Acute Stroke Research", Stroke, 43, pp.1163~1170 (2012)
- Kasner SE, "Clinical interpretation and use of stroke scales", Lancet Neurol, 5, pp.603~612 (2006)
- Hong KS, "Impact of neurological and medical complications on 3-month outcomes in acute ischaemic stroke", European Journal of Neurology, 15, pp.1324~1331 (2008)
- Kim J, "Different prognostic value of white blood cell subtypes in patients with acute cerebral infarction", Atherosclerosis, 222, pp.464~467 (2012)
- 고영채, "급성 뇌경색 환자에서 뇌졸중치료실과 일반병동 치료 후 사망률과 의존성의 차이", 대한신경과학회지, 27(2), pp.116~122 (2009), 대한신경과학회
- 김규홍, "Predictors of 30-Day Mortality and 90-Day Functional Recovery after Primary Intracerebral Hemorrhage :Hospital Based Multivariate Analysis in 585 Patients", 대한신경외과학회지, 45(6), pp.341~349 (2009), 대한신경외과학회
- Murray CJ, "Rethinking DALYs. In: Murray CJ, Lopez AD. The Global Burden of Disease", pp.1~98 (1996), Harvard University Press
- Kim AS, "Global variation in the relative burden of stroke and ischemic heart disease", Circulation, 124, pp.314~323 (2011)
- Johnston SC, "Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modelling", Lancet Neurol, 8, pp.345~354 (2009)
- 홍근식, "Burden of Ischemic Stroke in Korea: Analysis of Disability-Adjusted Life Years Lost", Journal of Clinical Neurology, 7(2), pp.77~84 (2011), 대한신경과학회
- 임승지, "건강보험 청구자료를 이용한 우리나라 뇌졸중 환자의 사회경제적 비용 추계", 예방의학회지, 42(4), pp.251~260 (2009), 대한예방의학회
- Kang HY, "Estimating the lifetime economic burden of stroke according to the age of onset in South Korea: a cost of illness study", BMC Public Health, 11, pp.646~ (2011)
- Lewington S, "Agespecific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies", Lancet, 360, pp.1903~1913 (2002)
- Psaty BM, "Health outcomes associated with various antihypertensive therapies used as first-line agents: a network meta-analysis", JAMA, 289, pp.2534~2544 (2003)
- Kearney PM, "He J. Global burden of hypertension: analysis of worldwide data", Lancet, 365, pp.217~223 (2005)
- Korea National Health and Nutrition Examination Survey (KNHANES IV), "Ministry of Health & Welfare", ~ (2009)
- Roger VL, "Heart disease and stroke statistics–2012update: a report from the American Heart Association", Circulation, 125, pp.220~ (2012)
- Stratton IM, "Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study", BMJ, 321, pp.405~412 (2000)
- Amarenco P, "Lipid management in the prevention of stroke: review and updated meta-analysis of statins for stroke prevention", Lancet Neurol, 8, pp.453~463 (2009)
- Jeong Joon Hoon, "Prevalence of and Risk Factors for Atrial Fibrillation in Korean Adults Older than 40 Years", Journal of Korean Medical Science, 20(1), pp.26~ (2005), 대한의학회
- Go AS, "Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study", JAMA, 285, pp.2370~2375 (2001)
- Jee SH, "Smoking and atherosclerotic cardiovascular disease in men with low levels of serum cholesterol: the Korea Medical Insurance Corporation Study", JAMA, 282, pp.2149~2155 (1999)
- Jee SH, "Smoking and atherosclerotic cardiovascular disease in women with lower levels of serum cholesterol", Atherosclerosis, 190, pp.306~312 (2007)
- 박태환, "한국인에서 허혈성 뇌졸중에 대한 주요 위험인자들의 인구기여위험도", 대한뇌졸중학회지, 10(2), pp.125~133 (2008), 대한뇌졸중학회