(Stroke. 1996;27:1499-1501.)
© 1996 American Heart Association, Inc.
Articles |
Prevalence of Stroke in the General Population
The Rotterdam Study
the Departments of Epidemiology and Biostatistics (M.L.B., S.J.L., A.H., A.W.H., D.E.G.) and General Practice (A.W.H.), Erasmus University Medical School, and the Department of Neurology, University Hospital Rotterdam (P.J.K.), Rotterdam, Netherlands.
Correspondence to Prof D.E. Grobbee, Department of Epidemiology and Biostatistics, Erasmus University Medical School, PO Box 1738, 3000 DR Rotterdam, Netherlands.
Background and Purpose We assessed the prevalence of self-reported and medically confirmed stroke and the degree to which the event had led to hospitalization.
Methods From all participants of the Rotterdam Study, a population-based cohort study of 7983 subjects aged 55 years and older living in a suburb of Ommoord in Rotterdam, information on stroke history was obtained by the question, "Did you ever suffer from a stroke, diagnosed by a physician?" Supplementary medical information was obtained from general practitioner or hospital discharge records.
Results Prevalence of self-reported stroke was 2.5% in men aged 55 to 64 years, 5.0% in men aged 65 to 74 years, 8.9% in men aged 75 to 84 years, and 11.6% in men aged 85 years or older. Corresponding figures for women were 1.6%, 3.3%, 6.7%, and 10.5%, respectively. Of the self-reported strokes, 67% could be confirmed by medical information. In 53% (95% confidence interval, 47% to 60%) of subjects with a confirmed stroke, the event had led to hospital admission. The proportion of hospitalized patients decreased with age.
Conclusions The present study provides valid age- and sex-specific estimates of prevalence of stroke. A substantial proportion of patients with stroke is not hospitalized.
Key Words: diagnosis • elderly • epidemiology • hospitalization
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