Stroke, Vol 23, 1410-1415, Copyright © 1992 by American Heart Association
P Harmsen, A Tsipogianni and L Wilhelmsen
BACKGROUND AND PURPOSE: Stroke risk factors have been shown to change with
time in several places; simultaneously, stroke incidence rates have
increased in some and decreased in other places. In Goteborg, Sweden,
cardiovascular epidemiological research has included stroke registration
since 1971. From these data on stroke, incidence and fatality rates from a
17-year period are given. METHODS: During the period 1971-1987 all cases of
stroke occurring in people aged 15-65 years in the city of Goteborg were
uniformly recorded, with an estimated case detection rate of 90% or more.
RESULTS: Age-adjusted incidence rates of first-ever stroke by sex did not
change during the period. Age-specific rates and rates for individual types
of stroke (subarachnoid hemorrhage, intracerebral hemorrhage, and cerebral
infarction-unspecified stroke combined) were also largely unchanged. A
slight increase in the incidence rate of intracerebral hemorrhage may be
due to better detection after computed tomography came into use in 1976.
Stroke fatality rates declined through the whole period in both sexes and
all age groups, markedly so for intracerebral hemorrhage and subarachnoid
hemorrhage. CONCLUSIONS: This conforms with vital statistics for Goteborg
and for Sweden of declining stroke mortality during the period. The decline
in stroke fatality rates may be related to decreases in smoking habits and
blood pressure together with an increase in the percentage of people on
antihypertensive treatment among middle-aged men, and to some extent even
middle-aged women, reported from the same population. Why stroke incidence
rates did not decline concomitantly is unexplained.
ARTICLES
Stroke incidence rates were unchanged, while fatality rates declined, during 1971-1987 in Goteborg, Sweden
Department of Neurology, University of Goteborg, Ostra Hospital, Sweden.
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