Stroke, Vol 23, 1237-1241, Copyright © 1992 by American Heart Association
HH Hu, WY Sheng, FL Chu, CF Lan and BN Chiang
BACKGROUND AND PURPOSE: Few epidemiological studies concerning the
incidence of stroke have been conducted in Taiwan. In an attempt to
investigate this common disease, we studied the incidence of stroke in
Taiwan in a prospective incidence study. METHODS: A cohort of 8,562
stroke-free people were followed up for 4 years to observe new stroke
occurrence. The methods of sampling the study population have been reported
elsewhere. In addition to the help of local doctors, who reported the new
stroke cases, we also sent public nurses to visit the study population
annually to screen the new cases of stroke. RESULTS: There were 104 (61 men
and 43 women) first-ever stroke cases identified by a neurologist in a
period between October 1, 1986 and December 31, 1990. The average annual
incidence rate of first-ever stroke for people aged 36 years or older in
this study was 330 per 100,000. Incidence rate was higher in eastern Taiwan
and in rural communities. Percentages of the major types of stroke were as
follows: cerebral infarction, 71%; cerebral hemorrhage, 22%; subarachnoid
hemorrhage, 1%; and unclassified, 6%. The significant risk factors for
stroke were hypertension and intake of food with a high sodium content.
CONCLUSIONS: The age-specific incidence rates in this study are higher than
those reported from the United Kingdom and the United States. The rates are
close to those in a report from Japan and a report from a city in mainland
China at the same latitude. Cerebral hemorrhages are more common among
people in Taiwan than among Occidental people.
ARTICLES
Incidence of stroke in Taiwan
Department of Neurology, Taipei Veterans General Hospital, Taiwan, Republic of China.
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