"The Epidemic characteristics of stroke death from 2012 to 2021 in Chongqing, China"

作者全名："Ding, Xianbin; Ding, Rui; Chen, Liling; Jiao, Yan; Xu, Jie; Zhang, Guiting; Wang, Qiuting; Xie, Jiaxi; Gao, Yang; Yang, Xianxian"

作者地址："[Ding, Xianbin; Chen, Liling; Jiao, Yan; Xu, Jie; Zhang, Guiting; Gao, Yang; Yang, Xianxian] Chongqing Municipal Ctr Dis Control & Prevent, Chongqing, Peoples R China; [Ding, Rui] Chongqing Med Univ, Med Coll 1, Chongqing, Peoples R China; [Wang, Qiuting] Chongqing Med Univ, Med & Social Dev Res Ctr, Sch Publ Hlth & Management, Chongqing, Peoples R China; [Xie, Jiaxi] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Vic 3053, Australia; [Gao, Yang] Chongqing Ctr Dis Control & Prevent, Dept Noncommunicable Dis Control & Prevent, 8 Changjiang second Rd, Chongqing 400042, Peoples R China"

通信作者："Gao, Y (通讯作者)，Chongqing Ctr Dis Control & Prevent, Dept Noncommunicable Dis Control & Prevent, 8 Changjiang second Rd, Chongqing 400042, Peoples R China."

来源：CEREBROVASCULAR DISEASES

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:001026723700001

JCR分区：Q3

影响因子：2.2

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：　

摘要："Introduction Stroke has become a major disease that threatens the global population's health and is a major public health problem that needs to be solved in China. Therefore, it is essential to analyze the trend of the mortality of stroke and its epidemic characteristic of stroke death. Methods Death cases of stroke were reported to the national death registry system by the medical staff of all medical institutions, and the population data every year were obtained from District or County's Statistic Bureau in Chongqing. They were analyzed to calculate the mortality, age-standardized mortality rate by Chinese standardization population (ASMRC), age-specific mortality, proportion, and annual percent of change (APC) according to the ICD-10 code. ASMRC was based on the standard population of the 6th census in China, 2010. The stroke mortality of each subgroup was compared using the Chi-square test. Trend analysis was presented by APC.Results The crude mortality of stroke increased from 96.29 per 100,000 in 2012 to 115.93 per 100,000 significantly, with the APC of 2.02% (t = 2.82, P = 0.022) in Chongqing. ASMRC of stroke was 56.47 per 100,000 in 2012 and 54.70 per 100,000 in 2021, and its trend change was stable (APC = -0.01, t = 0.07, P = 0.947). The crude mortality of stroke in males was higher than that in females every year (P < 0.05). The death proportion of intracerebral hemorrhage dwindled from 60.53% in 2012 to 49.88% in 2021, whereas the death proportion of ischemic stroke increased from 20.92% in 2012 to 39.96% in 2021. The average age of stroke death was delayed from 73.43 years old in 2012 to 76.52 years old in 2021 significantly (t = 18.12, P < 0.001). The percentage of stroke death at home increased from 75.23% in 2012 to 79.23% in 2021, while the percentage of stroke death at hospitals decreased from 17.89% in 2012 to 15.89% in 2021. Conclusion The crude mortality of stroke surged, and intracerebral hemorrhage was the main death cause of all subtypes. The mortality of stroke in males and rural residents was higher than that in females and urban residents. Most stroke deaths occurred at home. Male and rural residents were crucial populations for stroke prevention and control. It should be improved medical resources in rural areas and enhanced capability of stroke diagnosis and treatment."

基金机构：National Key Ramp;D Program of China [2018YFC131404]

基金资助正文：This work was supported by the National Key R & D Program of China (grant number: 2018YFC131404).