Stroke, Vol 25, 1738-1745, Copyright © 1994 by American Heart Association
B Stegmayr, K Asplund and PO Wester
BACKGROUND AND PURPOSE--Incidence, case-fatality rate at 28 days, and
severity of acute stroke were recorded for 7 years in a large
population-based stroke register to understand the reasons for the decline
in stroke mortality in northern Sweden. METHODS: Within the framework of
the World Health Organization MONICA Project, acute stroke was monitored in
people aged 35 to 74 years in northern Sweden from 1985 through 1991
(target population in 1985, 238,948). RESULTS: The annual incidence of
stroke decreased by an average of 2.3%/y in men aged 35 to 64 years (P =
.074) and increased significantly by 1.1%/y in men aged 65 to 74 years (P =
.041). No significant changes in incidence occurred in either age group in
women. The 28-day case-fatality rate in first-ever strokes (both sexes
together) declined from 21.9% to 15.4% in patients aged 65 to 74 years (P =
.02). Among survivors, the proportion with extensive motor deficits (at any
time during the first 28 days) declined in patients younger than 65 years
as well as in those older than 65 years (P = .007 and P = .019,
respectively). In patients aged 35 to 64 years, the proportion with
aphasia/dysphasia also decreased significantly (P = .032), but no such
trend was seen in those aged 65 to 74 years. CONCLUSIONS: A shift toward
higher ages has been noted in the occurrence of first-ever strokes in men,
while incidence has remained unchanged in women. During the 7 years of
observation, stroke has become a less severe disease.
ARTICLES
Trends in incidence, case-fatality rate, and severity of stroke in northern Sweden, 1985-1991
Department of Medicine, University Hospital, Umea, Sweden.
This article has been cited by other articles:
 |
|
 |
|
  J. D. Lewsey, M. Gillies, P. S. Jhund, J. W.T. Chalmers, A. Redpath, A. Briggs, M. Walters, P. Langhorne, S. Capewell, J. J.V. McMurray, et al. Sex Differences in Incidence, Mortality, and Survival in Individuals With Stroke in Scotland, 1986 to 2005 Stroke, April 1, 2009; 40(4): 1038 - 1043. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Reklaitiene, V. Janilionis, M. Noreika, A. Tamosiunas, D. Virviciute, and D. Sopagiene Effects of age, period and cohort on stroke mortality among a middle-aged Lithuanian urban population from 1980 to 2004 Scand J Public Health, August 1, 2008; 36(6): 573 - 579. [Abstract] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
Md. S. Islam, C. S. Anderson, G. J. Hankey, K. Hardie, K. Carter, R. Broadhurst, and K. Jamrozik Trends in Incidence and Outcome of Stroke in Perth, Western Australia During 1989 to 2001: The Perth Community Stroke Study Stroke, March 1, 2008; 39(3): 776 - 782. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Hallstrom, A.-C. Jonsson, C. Nerbrand, B. Norrving, and A. Lindgren Stroke Incidence and Survival in the Beginning of the 21st Century in Southern Sweden: Comparisons With the Late 20th Century and Projections Into the Future Stroke, January 1, 2008; 39(1): 10 - 15. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Rastenyte, D. Sopagiene, D. Virviciute, and K. Jureniene Diverging trends in the incidence and mortality of stroke during the period 1986--2002: A study from the Stroke register in Kaunas, Lithuania Scand J Public Health, October 1, 2006; 34(5): 488 - 495. [Abstract] [PDF]
|
|
|
|
|
|
I. Benatru, O. Rouaud, J. Durier, F. Contegal, G. Couvreur, Y. Bejot, G. V. Osseby, D. Ben Salem, F. Ricolfi, T. Moreau, et al. Stable Stroke Incidence Rates but Improved Case-Fatality in Dijon, France, From 1985 to 2004 Stroke, July 1, 2006; 37(7): 1674 - 1679. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Medin, A. Nordlund, and K. Ekberg Increasing Stroke Incidence in Sweden Between 1989 and 2000 Among Persons Aged 30 to 65 Years: Evidence From the Swedish Hospital Discharge Register Stroke, May 1, 2004; 35(5): 1047 - 1051. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Johansson, J.-H. Jansson, B. Stegmayr, T. K. Nilsson, G. Hallmans, and K. Boman Hemostatic Factors as Risk Markers for Intracerebral Hemorrhage: A Prospective Incident Case-Referent Study Stroke, April 1, 2004; 35(4): 826 - 830. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Sivenius, J. Tuomilehto, P. Immonen-Raiha, M. Kaarisalo, C. Sarti, J. Torppa, K. Kuulasmaa, M. Mahonen, A. Lehtonen, and V. Salomaa Continuous 15-Year Decrease in Incidence and Mortality of Stroke in Finland: The FINSTROKE Study Stroke, February 1, 2004; 35(2): 420 - 425. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Stegmayr and K. Asplund Stroke in Northern Sweden Scand J Public Health, November 1, 2003; 31(61_suppl): 60 - 69. [Abstract] [PDF]
|
|
|
|
|
|
Bibliography Scand J Public Health, November 1, 2003; 31(61_suppl): 85 - 91. [PDF]
|
|
|
|
|
|
H. Pessah-Rasmussen, G. Engstrom, I. Jerntorp, and L. Janzon Increasing Stroke Incidence and Decreasing Case Fatality, 1989-1998: A Study From the Stroke Register in Malmo, Sweden Stroke, April 1, 2003; 34(4): 913 - 918. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. S. Rathore, A. R. Hinn, L. S. Cooper, H. A. Tyroler, and W. D. Rosamond Characterization of Incident Stroke Signs and Symptoms: Findings From the Atherosclerosis Risk in Communities Study Stroke, November 1, 2002; 33(11): 2718 - 2721. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Hallstrom, B. Norrving, and A. Lindgren Stroke in Lund-Orup, Sweden: Improved Long-Term Survival Among Elderly Stroke Patients Stroke, June 1, 2002; 33(6): 1624 - 1629. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Jonsson and K. Asplund Does Pretreatment With Statins Improve Clinical Outcome After Stroke? : A Pilot Case-Referent Study Stroke, May 1, 2001; 32(5): 1112 - 1115. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Malm, B. Kristensen, B. Stegmayr, M. Fagerlund, and L.-O. Koskinen Three-year survival and functional outcome of patients with idiopathic adult hydrocephalus syndrome Neurology, August 22, 2000; 55(4): 576 - 578. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Ramnemark, M. Nilsson, B. Borssen, and Y. Gustafson Stroke, a Major and Increasing Risk Factor for Femoral Neck Fracture Stroke, July 1, 2000; 31(7): 1572 - 1577. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Ahmed, B. Stegmayr, J. Trifunovic, L. Weinehall, G. Hallmans, and A. K. Lefvert Anticardiolipin Antibodies Are Not an Independent Risk Factor for Stroke : An Incident Case-Referent Study Nested Within the MONICA and Vasterbotten Cohort Project Stroke, June 1, 2000; 31(6): 1289 - 1293. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Numminen, M. Kaste, K. Aho, O. Waltimo, and M. Kotila Decreased Severity of Brain Infarct Can in Part Explain the Decreasing Case Fatality Rate of Stroke Stroke, March 1, 2000; 31(3): 651 - 655. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Johansson, B. Norrving, and A. Lindgren Increased Stroke Incidence in Lund-Orup, Sweden, Between 1983 to 1985 and 1993 to 1995 Stroke, February 1, 2000; 31(2): 481 - 486. [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]
|
|
|
|
|
|
K. Jamrozik, R. J. Broadhurst, N. Lai, G. J. Hankey, P. W. Burvill, and C. S. Anderson Trends in the Incidence, Severity, and Short-Term Outcome of Stroke in Perth, Western Australia Stroke, October 1, 1999; 30(10): 2105 - 2111. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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. Wester, J. Radberg, B. Lundgren, and M. Peltonen Factors Associated With Delayed Admission to Hospital and In-Hospital Delays> in Acute Stroke and TIA : A Prospective, Multicenter Study Stroke, January 1, 1999; 30(1): 40 - 48. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Elneihoum, M. Goransson, P. Falke, and L. Janzon Three-Year Survival and Recurrence After Stroke in Malmo, Sweden : An Analysis of Stroke Registry Data Stroke, October 1, 1998; 29(10): 2114 - 2117. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Peltonen, B. Stegmayr, and K. Asplund Time Trends in Long-term Survival After Stroke : The Northern Sweden Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) Study, 1985–1994 Stroke, July 1, 1998; 29(7): 1358 - 1365. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Bonita, N. Solomon, and J. B. Broad Prevalence of Stroke and Stroke-Related Disability : Estimates From the Auckland Stroke Studies Stroke, October 1, 1997; 28(10): 1898 - 1902. [Abstract] [Full Text]
|
|
|
|
|
|
B. Kristensen, J. Malm, B. Carlberg, B. Stegmayr, C. Backman, M. Fagerlund, and T. Olsson Epidemiology and Etiology of Ischemic Stroke in Young Adults Aged 18 to 44 Years in Northern Sweden Stroke, September 1, 1997; 28(9): 1702 - 1709. [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]
|
|
|
|
|
|
M. Peltonen and K. Asplund Age-Period-Cohort Effects on Stroke Mortality in Sweden 1969-1993 and Forecasts Up to the Year 2003 Stroke, November 1, 1996; 27(11): 1981 - 1985. [Abstract] [Full Text]
|
|
|
|
|
|
N. E. Mayo, D. Neville, S. Kirkland, T. Ostbye, C. A. Mustard, B. Reeder, M. Joffres, G. Brauer, and A. R. Levy Hospitalization and Case-Fatality Rates for Stroke in Canada From 1982 Through 1991: The Canadian Collaborative Study Group of Stroke Hospitalizations1 Stroke, July 1, 1996; 27(7): 1215 - 1220. [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]
|
|
|
|
|
|
G. Lauria, M. Gentile, G. Fassetta, I. Casetta, F. Agnoli, G. Andreotta, C. Barp, G. Caneve, A. Cavallaro, R. Cielo, et al. Incidence and Prognosis of Stroke in the Belluno Province, Italy : First-Year Results of a Community-Based Study Stroke, October 1, 1995; 26(10): 1787 - 1793. [Abstract] [Full Text]
|
|
|
|
|
|
R. Bonita and R. Beaglehole Monitoring Stroke : An International Challenge Stroke, April 1, 1995; 26(4): 541 - 542. [Full Text]
|
|
|
|
|
|
P. Thorvaldsen, K. Asplund, K. Kuulasmaa, A.-M. Rajakangas, and M. Schroll Stroke Incidence, Case Fatality, and Mortality in the WHO MONICA Project Stroke, March 1, 1995; 26(3): 361 - 367. [Abstract] [Full Text]
|
|