Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study
BACKGROUND AND PURPOSE: The trends in stroke incidence reported so far have not been entirely consistent, although declining trends in mortality from stroke have been reported from a number of studies around the world. This study aims to evaluate the 10-year trends (from 1983 through 1992) in incide...
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ftlithuaniansrc:oai:elaba:4841473 2023-05-15T17:00:06+02:00 Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study Tuomilehto, Jaakko Daiva, Rastenytė Sivenius, Juhani Sarti, Cinzia Immonen-Raiha, Pirjo Kaarsalo, Esko Kuulasmaa, Kari Narva, Erkki V. Salomaa, Veikko Salmi, Kalervo Torppa, Jorma 1996 http://lsmu.lvb.lt/LSMU:ELABAPDB4841473&prefLang=en_US eng eng http://lsmu.lvb.lt/LSMU:ELABAPDB4841473&prefLang=en_US Stroke : a journal of cerebral circulation, 1996, vol. 27, no. 5, p. 825-832 ISSN 0039-2499 Epidemiology Finland Incidence Mortality info:eu-repo/semantics/article 1996 ftlithuaniansrc 2021-12-02T00:14:43Z BACKGROUND AND PURPOSE: The trends in stroke incidence reported so far have not been entirely consistent, although declining trends in mortality from stroke have been reported from a number of studies around the world. This study aims to evaluate the 10-year trends (from 1983 through 1992) in incidence, attack rate, and mortality of stroke in the Finnish population. METHODS: A population-based stroke register was set up in the early 1980s to collect data on all suspected events of acute stroke that occurred in the population aged 25 to 74 years permanently residing in three geographic areas of Finland: the provinces of Kuopio and North Karelia in eastern Finland and the Turku-Loimaa area in southwestern Finland. Trends in age-standardized attack rates, incidence, and mortality were calculated for the period studied. RESULTS: During the 10-year study period, 11 392 acute stroke events occurred in the monitored populations. A statistically significant decline was observed in the pooled FINMONICA data, both in the incidence of stroke (-1.7% with 95% confidence interval [CI], -3.0% to -0.5% per year in men; -2.2% with 95% CI, -3.6% to -0.7% per year in women) and in mortality from stroke (-5.2% with 95% CI, -8.2% to -2.2% per year; -4.7% with 95% CI, -8.2% to -1.2% per year). The attack rate of stroke also declined significantly in both sexes. When the areas were considered separately, the declining trends were observed within each area. The decline in incidence of stroke was, however, statistically significant only among men and women in Kuopio and among women in Turku/Loimaa. Mortality declined significantly in all three areas among men but among women only in Kuopio. The incidence to mortality rate ratio increased during the study period, indicating a steeper fall in mortality than in incidence. CONCLUSIONS: A substantial decline in both stroke incidence and mortality was observed in the adult and elderly population in the FINMONICA study areas. Part but not a Article in Journal/Newspaper karelia* LSRC VL (Lithuanian Social Research Centre Virtual Library) |
institution |
Open Polar |
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LSRC VL (Lithuanian Social Research Centre Virtual Library) |
op_collection_id |
ftlithuaniansrc |
language |
English |
topic |
Epidemiology Finland Incidence Mortality |
spellingShingle |
Epidemiology Finland Incidence Mortality Tuomilehto, Jaakko Daiva, Rastenytė Sivenius, Juhani Sarti, Cinzia Immonen-Raiha, Pirjo Kaarsalo, Esko Kuulasmaa, Kari Narva, Erkki V. Salomaa, Veikko Salmi, Kalervo Torppa, Jorma Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study |
topic_facet |
Epidemiology Finland Incidence Mortality |
description |
BACKGROUND AND PURPOSE: The trends in stroke incidence reported so far have not been entirely consistent, although declining trends in mortality from stroke have been reported from a number of studies around the world. This study aims to evaluate the 10-year trends (from 1983 through 1992) in incidence, attack rate, and mortality of stroke in the Finnish population. METHODS: A population-based stroke register was set up in the early 1980s to collect data on all suspected events of acute stroke that occurred in the population aged 25 to 74 years permanently residing in three geographic areas of Finland: the provinces of Kuopio and North Karelia in eastern Finland and the Turku-Loimaa area in southwestern Finland. Trends in age-standardized attack rates, incidence, and mortality were calculated for the period studied. RESULTS: During the 10-year study period, 11 392 acute stroke events occurred in the monitored populations. A statistically significant decline was observed in the pooled FINMONICA data, both in the incidence of stroke (-1.7% with 95% confidence interval [CI], -3.0% to -0.5% per year in men; -2.2% with 95% CI, -3.6% to -0.7% per year in women) and in mortality from stroke (-5.2% with 95% CI, -8.2% to -2.2% per year; -4.7% with 95% CI, -8.2% to -1.2% per year). The attack rate of stroke also declined significantly in both sexes. When the areas were considered separately, the declining trends were observed within each area. The decline in incidence of stroke was, however, statistically significant only among men and women in Kuopio and among women in Turku/Loimaa. Mortality declined significantly in all three areas among men but among women only in Kuopio. The incidence to mortality rate ratio increased during the study period, indicating a steeper fall in mortality than in incidence. CONCLUSIONS: A substantial decline in both stroke incidence and mortality was observed in the adult and elderly population in the FINMONICA study areas. Part but not a |
format |
Article in Journal/Newspaper |
author |
Tuomilehto, Jaakko Daiva, Rastenytė Sivenius, Juhani Sarti, Cinzia Immonen-Raiha, Pirjo Kaarsalo, Esko Kuulasmaa, Kari Narva, Erkki V. Salomaa, Veikko Salmi, Kalervo Torppa, Jorma |
author_facet |
Tuomilehto, Jaakko Daiva, Rastenytė Sivenius, Juhani Sarti, Cinzia Immonen-Raiha, Pirjo Kaarsalo, Esko Kuulasmaa, Kari Narva, Erkki V. Salomaa, Veikko Salmi, Kalervo Torppa, Jorma |
author_sort |
Tuomilehto, Jaakko |
title |
Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study |
title_short |
Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study |
title_full |
Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study |
title_fullStr |
Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study |
title_full_unstemmed |
Ten-year trends in stroke incidence and mortality in the FINMONICA Stroke Study |
title_sort |
ten-year trends in stroke incidence and mortality in the finmonica stroke study |
publishDate |
1996 |
url |
http://lsmu.lvb.lt/LSMU:ELABAPDB4841473&prefLang=en_US |
genre |
karelia* |
genre_facet |
karelia* |
op_source |
Stroke : a journal of cerebral circulation, 1996, vol. 27, no. 5, p. 825-832 ISSN 0039-2499 |
op_relation |
http://lsmu.lvb.lt/LSMU:ELABAPDB4841473&prefLang=en_US |
_version_ |
1766052726256435200 |