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Q: Stroke - Acute, SubAcute, and Chronic - Incidence +Prevalence - US and Europe ( Answered 5 out of 5 stars,   2 Comments )
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Subject: Stroke - Acute, SubAcute, and Chronic - Incidence +Prevalence - US and Europe
Category: Health > Conditions and Diseases
Asked by: crystal4290-ga
List Price: $40.00
Posted: 21 Jun 2004 22:20 PDT
Expires: 21 Jul 2004 22:20 PDT
Question ID: 364368
I need to know the annual incidence and prevelence of Stroke, Acute,
Sub-Acute and Chronic for US and Europe.  I prefer the most recent
year possible, but need the incidence for any one year from 2000 or
later, if that is possible.
  

It will be helpful to know the different age group with the disease,
if that is possible and this is evidently very important with the
rehabilitation program we are considering.

As for the European nations, France, Germany, Italy, UK,
Netherlands...and any others that you might be able to add in.

Thank you for your help!

Ask me any questions, and I will be MOST happy to answer.  See the
other questions that are similar

Request for Question Clarification by umiat-ga on 22 Jun 2004 08:27 PDT
Hi, Crystal,

 I have found very detailed information (updated for 2004) on stroke
statistics for the US, including age, race and gender. While the
statistics are not broken down into acute, subacute and chronic
attacks, there is statistical information relating to mortality, new
and recurrent attacks (lumped together) and hospital discharges.

 I have also found stroke deaths by age for men and women in various
European countries, but again, the "categories" of stroke are not
identified.

 Would these types of statistics be of interest even if they cannot be
broken down into stroke categories?

umiat

Clarification of Question by crystal4290-ga on 22 Jun 2004 09:04 PDT
Hi Umiat,

That will be just fine - and thank you for your efforts.  I look
forward to seeing the data.
Answer  
Subject: Re: Stroke - Acute, SubAcute, and Chronic - Incidence +Prevalence - US and Europe
Answered By: umiat-ga on 22 Jun 2004 10:38 PDT
Rated:5 out of 5 stars
 
Hi, Crystal!

 What a pleasure to have someone who answers clarifications in such a
timely fashion and is so willing to work with the researchers here at
GA!!

 I hope the following statistics prove helpful for you! Some of them
may overlap but I wanted to make the actual statistics easy to access.

==
  
The American Heart Association has compiled some extensive statistics
on Stroke, updated for 2004.

"Heart Disease and Stroke Statistics - Update 2004." AHA
http://www.americanheart.org/downloadable/heart/1079736729696HDSStats2004UpdateREV3-19-04.pdf

* See the section on Stroke

=

From "New stats show heart disease still America's No. 1 killer,
stroke No. 3." AHA Journal Report. 01/01/2004
http://www.americanheart.org/presenter.jhtml?identifier=3018015

"Stroke is the third leading cause of death among Americans.  Each
year, about 700,000 people experience a new or recurrent stroke. **
About 500,000 of these are first attacks, and 200,000 are recurrent.
Stroke accounted for more than one of every 15 deaths in the country
in 2001"

=

Highlights from the US Stroke Statistics from the Internet Stroke Center
http://www.strokecenter.org/pat/stats.htm

* At all ages, 40,000 more women than men have a stroke. 

* 28% of people who suffer a stroke in a given year are under age 65. 

* Compared with whites, young African Americans have a two- to threefold 
  greater risk of ischemic stroke, and African-American men and women are more 
  likely to die of stroke. 

* About 47 percent of stroke deaths occur out of hospital. 

* About 4.7 million stroke survivors (2.3 million men, 2.4 million women) are 
  alive today. 
 
* The estimated age-adjusted prevalence of stroke for Americans aged 20 years 
  and older is 2.2% for non-Hispanic white men and 1.5% for women; for non-
  Hispanic blacks, 2.5% for men and 3.2% for women; and for Mexican Americans, 
  2.3% for men and 1.3% for women (NHANES III, 1988-1994). 

* Stroke is the leading cause of serious, long-term disability in the United 
  States. 

* 7.6% of ischemic strokes and 37.5% of hemorrhagic strokes result in death 
  within 30 days. 

* 8% of men and 11% of women will have a stroke within six (6) years after a 
  heart attack. 

* 14% of people who have a stroke or TIA will have another within a year. 

* 22% of men and 25% of women who have an initial stroke die within a year.


==

Statistical Reports from the Centers for Disease Control:

"Atlas of Stroke Mortality: Racial, Ethnic and Geographic Disparities
in the United States."
http://www.cdc.gov/cvh/maps/strokeatlas/atlas_download.htm

 "The third in a series of CDC atlases related to cardiovascular
disease, which have been published through a collaboration between
CDC, West Virginia University, and the University of South Florida.
This Atlas provides, for the first time, an extensive series of
national and state maps that show local disparities in stroke death
rates for the five largest racial and ethnic groups in the United
States (i.e., American Indians and Alaska Natives, Asians and Pacific
Islanders, blacks, Hispanics, and whites)."

From the Atlas: "State Fact Sheets About Stroke Mortality in the Total
Population." http://www.cdc.gov/cvh/maps/strokeatlas/factsheets/index.htm

=

"Section II - The Burden of Heart Disease, Stroke, Cancer, and
Diabetes, United States." (2004)
http://www.cdc.gov/nccdphp/burdenbook2004/Section02/stroke.htm

=

"Interactive State Maps." 
http://www.cdc.gov/cvh/maps/statemaps.htm 

 "The interactive maps present heart disease and stroke mortality
rates, county-by-county, for the state, racial/ethnic group, and
gender of your choice."

==

The National Center for Health Statistics has compiled some FasStats
concerning Stroke/Cerebrovascular Disease. You may want to look up the
individual reports, but the list of relevant statistics may prove to
be just as useful.

See "Stroke/Cerebrovascular Disease." FasTats. NCHS
http://64.233.167.104/search?q=cache:sGW9zeF9XYsJ:www.cdc.gov/nchs/fastats/stroke.htm+stroke+statistics&hl=en
 


International Statistics including Europe (Updated for 2004)
============================================================

Statistics regarding stroke deaths per year in individual countries
have been compiled by the World Health Organization. You can see
stroke statistics broken down for males and females ages 35-74.

See "International Cardiovascular Disease Statistics." AHA. (Updated 2004)
http://www.americanheart.org/downloadable/heart/1077185395308FS06INT4(ebook).pdf

==

HeartStats.org has compiled a series of reports on their website that
relate to stroke deaths in Europe. Most of the reports are in
powerpoint or Excel so you will need to go to the website and download
the reports of interest

Heartstat.org
http://www.heartstats.org/atozpage.asp?id=2251 

"Death rates from stroke for people aged 65-74, 1970-2001, England (Figure)"
Source: Office for National Statistics (2003).        
   
"Death rates from stroke for people aged under 65, 1970-2001, England (Figure)"
Source: Office for National Statistics (2003).        
   
"Deaths from CHD, stroke and all other diseases of the circulatory
system, people aged under 75, 1970-2001, England, with Our Healthier
Nation milestone and target (Figure)
Source: Office for National Statistics (2003). 



Further articles of interest (includes some statistics)
========================================================

"Acute neurological stroke care in Europe: results of the European
Stroke Care Inventory." Brainin M, Bornstein N, Boysen G, Demarin V.
Eur J Neurol 2000 Jan;7(1):5-10.
http://www.skyaid.org/Skyaid%20Org/Medical/european_stroke_care.htm

=

"Sex Differences in the Clinical Presentation, Resource Use, and
3-Month Outcome of Acute Stroke in Europe - Data From a Multicenter
Multinational Hospital-Based Registry." Stroke. 2003; 34:1114.)
http://stroke.ahajournals.org/cgi/content/full/34/5/1114

=

"IS10: The incidence, natural history, resource use, and outcome of
stroke [2 of 2]," by Dr. Charles Wolfe. Department of Health. (UK)
Published: 10/09/2002
http://www.dh.gov.uk/PolicyAndGuidance/ResearchAndDevelopment/ResearchAndDevelopmentAZ/CardiovascularDiseaseAndStroke/CardiovascularDiseaseAndStrokeArticle/fs/en?CONTENT_ID=4001899&chk=ZDLGdE

=

You can find some varying statistics on Cerebrovascular Disease by
punching in different parameters for countries on the WHO Regional
Site for Europe
http://hfadb.who.dk/hfa/

=

"Better care for stroke patients." Nursing & Midwifery Council. August 2003
http://www.nmc-uk.org/nmc/main/news/expertsCallForBetterStrokeCare.html

 "About 100,000 people in the UK suffer a first stroke each year and
around 300,000 people in England and Wales are currently living with
the effects of a stroke."

=

Older UK Stroke Statistics (1990's) for men and women may be found in
the tables in the following article:

"Latest Figures Show the Health of most of the Nation is Catching up
with Europe." Press Release. OHE.org. (2003)
http://www.ohe.org/ohe/ohehome.nsf/News%20Pages/news15edition?opendocument


==

 If any of the information I have provided needs further
clarification, please let me know. I will be happy to help if I can!

umiat 

Google Search
stroke statistics
US stroke statistics
Europe stroke statistics
UK Stroke statistics
cerebrovascular disease
stroke statistics +subacute +acute
center for disease control

Clarification of Answer by umiat-ga on 26 Jun 2004 23:50 PDT
Hi, Crystal!

 Recent comprehensive stroke statistics for European countries are
scarce. I don't think you will find anything more comprehensive than
the following article, which I did not initially include because I
thought the data might not be recent enough for your needs. The
article makes mention of the fact that recent (and future) statistics
are not to be expected any time soon.

 "Acute Neurological Stroke Care in Europe; results of the European
Stroke Care Inventory." European Journal of Neurology (2000) 
http://www.efns.org/guidelines/gl_16.pdf

** This article DOES contain stroke statistics by country, (including
patients treated per year, mortality, not hospitalized, recurrent
strokes, hemorrhagic strokes, etc)

** Please see "Table 1: Clinical epidemiology of stroke in Europe."

(I am not sure exactly what year the actual data was collected, but it
is considered the most recent as of the article's published date)


==


 Unfortunately, the article I provided in my initial answer -
"International Cardiovascular Disease Statistics" - lumps stroke
statistics under Cardiovascular disease, which doesn't help you much.
However, there is hospital discharge data as well as statistics for
the number of strokes per year.

* The average rates of hospital discharges in the European Union were:

  * For Stroke - 356,000 

* CVD is the leading cause of death in Europe (accounting for 4
million deaths each year, of which

 * nearly one-third are from stroke

"International Cardiovascular Disease Statistics"
http://www.americanheart.org/downloadable/heart/1077185395308FS06INT4(ebook).pdf


==

From another article I provided initially:

"About 100,000 people in the UK suffer a *first stroke* each
year...around 300,000 people in England and Wales are currently living
with the effects of a stroke."
http://www.nmc-uk.org/nmc/main/news/expertsCallForBetterStrokeCare.html

==

 Unfortunately, this is really the only European data that is even
slightly comprehensive in nature. Any other articles I found were
simply small studies based on localized populations.

 I hope the results published by the European Stroke Care Inventory
can be used for your presentation, as they are likely the most
comprehensive statistics that currently exist.

umiat
crystal4290-ga rated this answer:5 out of 5 stars and gave an additional tip of: $5.00
This is really great research!  I appreciate the timly and RIGHT on info

Comments  
Subject: Re: Stroke - Acute, SubAcute, and Chronic - Incidence +Prevalence - US and Europe
From: umiat-ga on 22 Jun 2004 11:07 PDT
 
Thank you very much, Crystal!
Subject: Re: Stroke - Acute, SubAcute, and Chronic - Incidence +Prevalence - US and Europe
From: crystal4290-ga on 26 Jun 2004 15:53 PDT
 
Umiat - 

I need to ask for some clarification on the stroke numbers.  I have
gone through everything that you have provided, and I can not find any
information for Europe save one reference to part of the UK.  There
are ample DEATH statistics, but the incidence, and prevelence (what I
need) do not seem to be there.  Am I missing something?

Thank you for your help!  I am having a meeting on Monday early AM,
and I need to have these numbers to decide about the research.

Thank in advance

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