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Stroke, Vol 20, 725-729, Copyright © 1989 by American Heart Association

ARTICLES

Incidence, mortality, and case-fatality rate of stroke in northern Israel

L Epstein, S Rishpon, E Bental, G Brook, A Tamir, B Gross, M Szwarc, J Manelis and T Pillar
Department of Family and Community Health, Faculty of Medicine, Israel Institute of Technology, Haifa.

We studied the incidence and mortality of stroke in northern Israel to determine possible reasons for the differences previously found in mortality from this condition between the sex and ethnic groups in Israel as a whole. We identified 1,149 cases of stroke during 1984. While the age-standardized incidence was higher in men, the case- fatality rate was twice as high in women. After controlling for ethnic origin, we found that incidence was higher only in men of Western origin, while the female rates were higher in women of Asian and North African extraction. The case-fatality rate was substantially higher in women in all ethnic groups. These differences, especially in relation to the case-fatality rate, have important implications for health services in relation to both possible preventive action and to management of the acute disease phase.

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