(Stroke. 1995;26:919-923.)
© 1995 American Heart Association, Inc.
Articles |
Community-Based Stroke Incidence Trends From the 1970s Through the 1980s in East Germany
From the Centre for Epidemiology and Health Research Berlin, Zepernick, Germany.
Correspondence to Dr Dorothea Eisenblätter, Centre for Epidemiology and Health Research Berlin, Schönerlinder Straße 11-12, D-16341 Zepernick, Germany.
Background and Purpose Stroke mortality has declined in most industrialized countries, but incidence rates have increased in some populations while they remained stable or even decreased in others. This study reports stroke incidence trends in East Germany over the past decades.
Methods Prospective community-based stroke registers were run in East Germany over two different time periods: 1972 through 1973 in the Berlin-Lichtenberg district and 1985 through 1988 in 14 districts in the central and southern part of the country. Stroke cases were collected and validated in a uniform way using both the World Health Organization (WHO) recommendations for community stroke registers and the guidelines of the WHO MONICA protocol.
Results Annual age-adjusted incidence rates of first-ever strokes rose among men aged 25 to 64 years from 48.4 per 100 000 in 1972 through 1973 to 88.0 per 100 000 in 1985 through 1988 (P<.05); incidence rates remained unchanged among women in this age range (52.6 and 52.5 per 100 000, respectively). Age-specific incidence rates increased among men in all age groups up to 74 years. Rising stroke rates were also observed in women under 55 years and between the ages of 65 and 74 years, whereas in women aged 55 to 65 years incidence rates declined by more than a third (P<.05). During the period from 1985 through 1988, stroke rates did not change.
Conclusions An increase in stroke incidence was detected that can be associated with a deteriorating risk factor profile in the East German population and, in particular, with hypertension in men.
Key Words: East Germany • epidemiology • incidence
This article has been cited by other articles:
 |
|
 |
|
  M. J. Goldacre, M. Duncan, M. Griffith, and P. M. Rothwell Mortality Rates for Stroke in England From 1979 to 2004: Trends, Diagnostic Precision, and Artifacts Stroke, August 1, 2008; 39(8): 2197 - 2203. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Carandang, S. Seshadri, A. Beiser, M. Kelly-Hayes, C. S. Kase, W. B. Kannel, and P. A. Wolf Trends in Incidence, Lifetime Risk, Severity, and 30-Day Mortality of Stroke Over the Past 50 Years JAMA, December 27, 2006; 296(24): 2939 - 2946. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Vibo, J. Korv, and M. Roose The Third Stroke Registry in Tartu, Estonia: Decline of Stroke Incidence and 28-Day Case-Fatality Rate Since 1991 Stroke, December 1, 2005; 36(12): 2544 - 2548. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Stegmayr and K. Asplund Stroke in Northern Sweden Scand J Public Health, October 1, 2003; 31(5): 60 - 69. [Abstract] [PDF]
|
|
|
|
 |
|
 M Hollander, P J Koudstaal, M L Bots, D E Grobbee, A Hofman, and M M B Breteler Incidence, risk, and case fatality of first ever stroke in the elderly population. The Rotterdam Study J. Neurol. Neurosurg. Psychiatry, March 1, 2003; 74(3): 317 - 321. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Stegmayr, T. Vinogradova, S. Malyutina, M. Peltonen, Y. Nikitin, and K. Asplund Widening Gap of Stroke Between East and West : Eight-Year Trends in Occurrence and Risk Factors in Russia and Sweden Stroke, January 1, 2000; 31(1): 2 - 8. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Thorvaldsen, M. Davidsen, H. Bronnum-Hansen, and M. Schroll Stable Stroke Occurrence Despite Incidence Reduction in an Aging Population : Stroke Trends in the Danish Monitoring Trends and Determinants in Cardiovascular Disease (MONICA) Population Stroke, December 1, 1999; 30(12): 2529 - 2534. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A Stewart, R Dundas, R S Howard, A G Rudd, and C D A Wolfe Ethnic differences in incidence of stroke: prospective study with stroke register BMJ, April 10, 1999; 318(7189): 967 - 971. [Abstract] [Full Text]
|
|
|
|
|
|
M. Lemesle, C. Milan, J. Faivre, T. Moreau, M. Giroud, and R. Dumas Incidence Trends of Ischemic Stroke and Transient Ischemic Attacks in a Well-Defined French Population From 1985 Through 1994 Stroke, February 1, 1999; 30(2): 371 - 377. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. L. Kolominsky-Rabas, C. Sarti, P. U. Heuschmann, C. Graf, S. Siemonsen, B. Neundoerfer, A. Katalinic, E. Lang, K.-G. Gassmann, and T. R. von Stockert A Prospective Community-Based Study of Stroke in Germany—The Erlangen Stroke Project (ESPro) : Incidence and Case Fatality at 1, 3, and 12 Months Stroke, December 1, 1998; 29(12): 2501 - 2506. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Truelsen, E. Prescott, M. Gronbak, P. Schnohr, and G. Boysen Trends in Stroke Incidence : The Copenhagen City Heart Study Stroke, October 1, 1997; 28(10): 1903 - 1907. [Abstract] [Full Text]
|
|
|
|
|
|
D. Ryglewicz, M. Polakowska, W. Lechowicz, G. Broda, M. Roszkiewicz, B. Jasinski, and D. B. Hier Stroke Mortality Rates in Poland Did Not Decline Between 1984 and 1992 Stroke, April 1, 1997; 28(4): 752 - 757. [Abstract] [Full Text]
|
|
|
|
|
|
P. Thorvaldsen, K. Kuulasmaa, A.-M. Rajakangas, D. Rastenyte, C. Sarti, and L. Wilhelmsen Stroke Trends in the WHO MONICA Project Stroke, March 1, 1997; 28(3): 500 - 506. [Abstract] [Full Text]
|
|
|
|
|
|
J. Tuomilehto, D. Rastenyte, J. Sivenius, C. Sarti, P. Immonen-Raiha, E. Kaarsalo, K. Kuulasmaa, E. V. Narva, V. Salomaa, K. Salmi, et al. Ten-Year Trends in Stroke Incidence and Mortality in the FINMONICA Stroke Study Stroke, May 1, 1996; 27(5): 825 - 832. [Abstract] [Full Text]
|
|
|
|
|
|
R. Bonita and R. Beaglehole The Enigma of the Decline in Stroke Deaths in the United States : The Search for an Explanation Stroke, March 1, 1996; 27(3): 370 - 372. [Full Text]
|
|
|
|
|
|
J. Korv, M. Roose, and A.-E. Kaasik Changed Incidence and Case-Fatality Rates of First-Ever Stroke Between 1970 and 1993 in Tartu, Estonia Stroke, February 1, 1996; 27(2): 199 - 203. [Abstract] [Full Text]
|
|