Evolution sur vingt ans des taux d'incidence et de mortalité des AVC au sein de la population de dijon intra-muros: 1985-2004 [Trends in stroke incidence and case-fatality rates over a 20-year period (1985-2004) in Dijon, France]

Details

Serval ID
serval:BIB_18DAEEE45419
Type
Article: article from journal or magazin.
Collection
Publications
Title
Evolution sur vingt ans des taux d'incidence et de mortalité des AVC au sein de la population de dijon intra-muros: 1985-2004 [Trends in stroke incidence and case-fatality rates over a 20-year period (1985-2004) in Dijon, France]
Journal
Bulletin de l'Academie nationale de medecine
Author(s)
Bejot Y., Giroud M., Rouaud O., Benatru I., Moreau T., Freycz M., Osseby G.V.
Working group(s)
Neurologues Hospitaliers et Libéraux de Dijon
ISSN
0001-4079 (Print)
ISSN-L
0001-4079
Publication state
Published
Issued date
02/2007
Peer-reviewed
Oui
Volume
191
Number
2
Pages
305-22; discussion 322-4
Language
french
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Publication Status: ppublish
Abstract
With progress in stroke prevention it is important to evaluate epidemiological trends over a long period and in an unselected population. We estimated changes in stroke incidence, the case-fatality rate, risk factors, and the use of primary prevention, based on a continuous registry of a well-defined population, from 1985 to 2004. We recorded 3142 ischemic strokes, 341 primary cerebral hemorrhages and 74 subarachnoid hemorrhages. During the 20-year study period, age at first stroke increased by 5 years in men and 8 years in women. Comparing the periods 1985-1989 and 2000-2004, the age - and sex-adjusted incidence rates of first-ever strokes were stable, except for lacunar strokes, the incidence of which increased significantly (p = 0.05), and also cardio-embolic stroke, the incidence of which fell significantly (p = 0.01). Twenty-eight-day case-fatality rates fell significantly, especially for lacunar stroke (p = 0.05) and primary cerebral hemorrhage (p = 0.03). The frequency of hypercholesterolemia and diabetes increased significantly (p < 0.01). In contrast, the frequency of myocardial infarction fell significantly (p = 0.02). The frequency of smoking and diastolic blood pressure J 90 mmHg also fell, but the difference was not significant because of missing data. The frequency of pre-stroke antiplatelet and anticoagulant treatment increased significantly (p < 0.01). The age - and sex-adjusted incidence rates of stroke in Dijon, France, have thus been stable for the past 20 years. Age at stroke onset has increased, the case-fatality rate has fallen, antiplatelet treatment is more frequent, and the frequency of some pre-stroke risk factors has fallen.
Keywords
Adult, Age Factors, Aged, Aged, 80 and over, Brain Ischemia/epidemiology, Cerebral Hemorrhage/epidemiology, Data Interpretation, Statistical, Female, France/epidemiology, Humans, Incidence, Male, Middle Aged, Population Surveillance, Primary Prevention, Risk Factors, Sex Factors, Stroke/epidemiology, Stroke/mortality, Stroke/prevention & control, Subarachnoid Hemorrhage/epidemiology
Pubmed
Web of science
Create date
22/08/2024 12:55
Last modification date
23/08/2024 9:34
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