Temporal trends and characteristics of stroke in China in the past 15 years_West China Medical Journal

Authors：

WANG Yanan ,  WU Simiao , LIU Ming

Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WU Simiao, Email: simiao.wu@hotmail.com

Keywords：

Stroke; Epidemiology; China

DOI：

10.7507/1002-0179.202105046

Video：

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Stroke is a severe disease with high incidence, high recurrence, high disability, and high mortality rates. China has the highest prevalence of stroke in the world, where it is a leading cause of death and disability for adults. There is a struggling way to prevent and control stroke to reduce the disease burden. This review summarizes the temporal trends and characteristics of stroke in China, with an aim to provide baseline reference for stroke prevention and treatment in China. There was an increase in the incidence and prevalence of stroke in China in the past 15 years. The incidence, prevalence, mortality, and disability-adjusted life years of stroke in China were higher than those in developed countries such as the United Kingdom, the United States, and Japan. High-quality studies and standardized diagnosis and treatment are needed to overcome challenges in stroke prevention and treatment in China.

Citation： WANG Yanan, WU Simiao, LIU Ming. Temporal trends and characteristics of stroke in China in the past 15 years. West China Medical Journal, 2021, 36(6): 803-807. doi: 10.7507/1002-0179.202105046 Copy

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27.	Yan S, Gan Y, Li L, et al. Sex differences in risk factors for stroke: a nationwide survey of 700, 000 Chinese adults. Eur J Prev Cardiol, 2020, 27(3): 323-327.
28.	Xia F, Yu X, Li Y, et al. Geographic variations of stroke incidence in Chinese communities: an 18-year prospective cohort study from 1997 to 2015. J Stroke, 2020, 22(3): 345-356.
29.	国家卫生健康委统计信息中心. 2018 年全国第六次卫生服务统计调查报告. 北京: 人民卫生出版社, 2021: 38.
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2. Wu SM, Wu B, Liu M, et al. Stroke in China: advances and challenges in epidemiology, prevention, and management. Lancet Neurol, 2019, 18(4): 394-405.
3. Moran A, Gu D, Zhao D, et al. Future cardiovascular disease in China: Markov model and risk factor scenario projections from the coronary heart disease policy model-China. Circ Cardiovasc Qual Outcomes, 2010, 3(3): 243-252.
4. Global Burden of Disease Collaborative Network. Global burden of disease study 2019 (GBD 2019) results. (2020-10-17)[2021-05-07]. http://ghdx.healthdata.org/gbd-results-tool.
5. Wang P, Wang Y, Zhao X, et al. In-hospital medical complications associated with stroke recurrence after initial ischemic stroke: a prospective cohort study from the China National Stroke Registry. Medicine (Baltimore), 2016, 95: e4929.
6. Tan Y, Pan Y, Liu L, et al. One-year outcomes and secondary prevention in patients after acute minor stroke: results from the China National Stroke Registry. Neurol Res, 2017, 39(6): 484-491.
7. Chen Y, Wright N, Guo Y, et al. Mortality and recurrent vascular events after first incident stroke: a 9-year community-based study of 0.5 million Chinese adults. Lancet Glob Health, 2020, 8(4): e580-e590.
8. 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018. 中华神经科杂志, 2018, 51: 666-682.
9. Liu J, Zheng L, Cheng Y, et al. Trends in outcomes of patients with ischemic stroke treated between 2002 and 2016: insights from a Chinese cohort. Circ Cardiovasc Qual Outcomes, 2019, 12(12): e005610.
10. 国家卫生健康委脑卒中防治工程委员会. 中国脑卒中防治报告 2019. 北京: 人民卫生出版社, 2020: 175-176.
11. Wang W, Jiang B, Sun H, et al. Prevalence, incidence, and mortality of stroke in China: results from a nationwide population-based survey of 480 687 adults. Circulation, 2017, 135(8): 759-771.
12. 中华人民共和国卫生部. 2006 中国卫生统计年鉴. (2006-09-09)[2021-05-07]. http://www.nhc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2006/index.html.
13. 中华人民共和国卫生部. 2007 中国卫生统计年鉴. (2007-12-10)[2021-05-07]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=37168.
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15. 中华人民共和国卫生部. 2009 中国卫生统计年鉴. (2009-08-26)[2021-05-07]. http://www.nhc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2009/t-10.files/sheet007.htm.
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17. 中华人民共和国卫生部. 2011 中国卫生统计年鉴. (2013-01-06)[2021-05-07]. http://www.nhc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2011/index2011.html.
18. 中华人民共和国卫生部. 2012 中国卫生统计年鉴. (2013-08-28)[2021-05-07]. http://www.nhc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2012/index2012.html.
19. 国家卫生和计划生育委员会. 2013 中国卫生和计划生育统计年鉴. (2014-04-26)[2021-05-07]. http://www.nhc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2013/index2013.html.
20. 国家卫生和计划生育委员会. 2014 中国卫生和计划生育统计年鉴. 北京: 中国协和医科大学出版社, 2014: 285-301.
21. 国家卫生和计划生育委员会. 2015 中国卫生和计划生育统计年鉴. 北京: 中国协和医科大学出版社, 2015: 285-301.
22. 国家卫生和计划生育委员会. 2016 中国卫生和计划生育统计年鉴. 北京: 中国协和医科大学出版社, 2016: 283-297.
23. 国家卫生和计划生育委员会. 2017 中国卫生和计划生育统计年鉴. 北京: 中国协和医科大学出版社, 2017: 283-297.
24. 国家卫生健康委员会. 2018 中国卫生健康统计年鉴. 北京: 中国协和医科大学出版社, 2018: 285-299.
25. 国家卫生健康委员会. 2019 中国卫生健康统计年鉴. 北京: 中国协和医科大学出版社, 2019: 283-297.
26. 国家卫生健康委员会. 2020 中国卫生健康统计年鉴. 北京: 中国协和医科大学出版社, 2020: 281-295.
27. Yan S, Gan Y, Li L, et al. Sex differences in risk factors for stroke: a nationwide survey of 700, 000 Chinese adults. Eur J Prev Cardiol, 2020, 27(3): 323-327.
28. Xia F, Yu X, Li Y, et al. Geographic variations of stroke incidence in Chinese communities: an 18-year prospective cohort study from 1997 to 2015. J Stroke, 2020, 22(3): 345-356.
29. 国家卫生健康委统计信息中心. 2018 年全国第六次卫生服务统计调查报告. 北京: 人民卫生出版社, 2021: 38.
30. Xing L, Jing L, Tian Y, et al. High prevalence of stroke and uncontrolled associated risk factors are major public health challenges in rural Northeast China: a population-based study. Int J Stroke, 2020, 15(4): 399-411.

West China Medical Journal

Temporal trends and characteristics of stroke in China in the past 15 years

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