Stroke, Vol 12, 460-466, Copyright © 1981 by American Heart Association
H Tanaka, Y Ueda, C Date, T Baba, H Yamashita, M Hayashi, H Shoji, K Owada, KI Baba, M Shibuya, T Kon and R Detels
A stroke registry was established in Shibata City, Niigata Prefecture,
Japan (population 75,000) in 1976. WHO recommendations for criteria were
followed. This paper reports stroke incidence for the initial 3 years of
the registry: 1976 through 1978. All living patients were examined
clinically by a staff physician. Only patients with a diagnosis of first
stroke were included in the study. Sensitivity of the referral system was
estimated at 85 + %, comparable to that in American studies. Average annual
incidence per 1,000 in resident greater than or equal to 20 years was 2.61
for all strokes (3.42 for males; 1.88 for females), 0.20 for subarachnoid
hemorrhage, 0.61 for cerebral hemorrhage, 1.51 for cerebral infarction -
rates similar to those reported 10-20 years previously for the United
States. The male- female ratio, 2:1, reflected a high rate among males, low
among females. Rats among Shibata males were higher than 1972 U.S. rates
reported by the Epidemiologic Study Group; rates among Shibata females were
lower than corresponding U.S. rates. Incidence of all strokes combined
increased with age, the age relationship being strongest for cerebral
infarction. No subarachnoid hemorrhage was observed in Shibata residents
greater than or equal to 70 years of age.
ARTICLES
Incidence of stroke in Shibata, Japan: 1976-1978
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