國家衛生研究院 NHRI:Item 3990099045/11414

NHRI > Institute of Population Health Sciences > Li-Kwang Chen > Conference Papers/Meeting Abstract > Item 3990099045/11414

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/11414

Title:	Stroke incidence, subtypes, and trends in Taiwan in the early 21st century
Authors:	Tsai, CF;Yip, PK;Teng, NC;Chen, LK
Contributors:	Institute of Population Health Sciences
Abstract:	Background and Objective: Chinese populations have been reported to have a higher stroke incidence and a higher proportion of intracerebral hemorrhage compared with white populations. However, there are few large population-based studies of stroke incidence, subtypes, and trends at Taiwan in the 21st century. Methods: We investigated the incidence of stroke, pathological types, and case fatality each year from 2004 to 2011, using the Taiwan National Health Insurance Research Database. Incidence was reported as age-adjusted rate, standardized to the “WHO” world populations. Also, we performed time-trends analyses for incidence and case fatality of all strokes, for each pathological type, and for both sexes. Results: The age-adjusted incidence of all strokes per 100,000 person-years had declined from 251 (95% CI 249–253) in 2004 to 210 (95% CI 209–212) in 2011 (p < 0.001), which was higher in men than women each year. Among pathological types of stroke, the incidence of intracerebral hemorrhage had a remarkable decrease in both sexes from 2004 to 2011 (p < 0.001), while the incidence of ischemic stroke had significantly decreased only in women, but not in men or all (all: p = 0.055, men: p = 0.399, women: p = 0.004). As for one-month case fatality, it had reduced significantly in all strokes (p < 0.001). Conclusion: The incidence of all strokes has declined in Taiwan in the early 21st century, but only significantly in intracerebral hemorrhage, not in ischemic stroke. These findings suggest that there is need to make more effective strategies for prevention of ischemic stroke, particularly in men.
Date:	2018-09-04
Relation:	Cerebrovascular Diseases. 2018 Sep 4;46(Suppl. 1):13.
Link to:	https://doi.org/10.1159/000493155
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1015-9770&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000444117300031
Appears in Collections:	[Li-Kwang Chen] Conference Papers/Meeting Abstract

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