Prevalence, Incidence, and Mortality of Stroke in China: Results from a Nationwide Population-Based Survey of 480 687 Adults

Circulation

Volumn 135, Issue 8, 2017, Pages 759-771

  Wang, Wenzhi ^a   Jiang, Bin ^a   Sun, Haixin ^a   Ru, Xiaojuan ^a   Sun, Dongling ^a   Wang, Linhong ^c   Wang, Limin ^c   Jiang, Yong ^b   Li, Yichong ^c   Wang, Yilong ^b   Chen, Zhenghong ^a   Wu, Shengping ^a   Zhang, Yazhuo ^a   Wang, David ^d   Wang, Yongjun ^b   Feigin, Valery L ^e  

^a CAPITAL MEDICAL UNIVERSITY   (China)

^b CAPITAL MEDICAL UNIVERSITY   (China)

^c CHINESE CENTER FOR DISEASE CONTROL AND PREVENTION   (China)

^d UNIVERSITY OF ILLINOIS   (United States)

^e AUCKLAND UNIVERSITY OF TECHNOLOGY   (New Zealand)

Author keywords

demographics; incidence; mortality; prevalence; stroke; surveys and questionnaires

Indexed keywords

ADULT; AGE; AGED; ALCOHOL CONSUMPTION; ARTICLE; ATRIAL FIBRILLATION; AUTOPSY; BRAIN HEMORRHAGE; BRAIN ISCHEMIA; CEREBROVASCULAR ACCIDENT; CHINA; CHINESE; COMPUTER ASSISTED TOMOGRAPHY; DIABETES MELLITUS; DYSLIPIDEMIA; FEMALE; HUMAN; HYPERTENSION; INCIDENCE; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MORTALITY; MORTALITY RATE; NEUROIMAGING; NUCLEAR MAGNETIC RESONANCE IMAGING; PREVALENCE; PRIORITY JOURNAL; RISK FACTOR; RURAL AREA; SMOKING; SUBARACHNOID HEMORRHAGE; SURVIVOR; TRANSIENT ISCHEMIC ATTACK; URBAN AREA; VERY ELDERLY; BRAIN; DIAGNOSTIC IMAGING; PATHOLOGY; QUESTIONNAIRE; RURAL POPULATION; SEX DIFFERENCE; STROKE; SURVIVAL RATE; URBAN POPULATION; X-RAY COMPUTED TOMOGRAPHY; YOUNG ADULT;

ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; BRAIN; CHINA; FEMALE; HUMANS; MALE; MIDDLE AGED; PREVALENCE; RURAL POPULATION; SEX FACTORS; STROKE; SURVEYS AND QUESTIONNAIRES; SURVIVAL RATE; TOMOGRAPHY, X-RAY COMPUTED; URBAN POPULATION; YOUNG ADULT;

EID: 85009380295     PISSN: 00097322     EISSN: 15244539     Source Type: Journal    
DOI: 10.1161/CIRCULATIONAHA.116.025250     Document Type: Article

References (50)

1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, Abraham JP, Abu-Rmeileh NM, Achoki T, AlBuhairan FS, Alemu ZA, Alfonso R, Ali MK, Ali R, Guzman NA, Ammar W, Anwari P, Banerjee A, Barquera S, Basu S, Bennett DA, Bhutta Z, Blore J, Cabral N, Nonato IC, Chang JC, Chowdhury R, Courville KJ, Criqui MH, Cundiff DK, Dabhadkar KC, Dandona L, Davis A, Dayama A, Dharmaratne SD, Ding EL, Durrani AM, Esteghamati A, Farzadfar F, Fay DF, Feigin VL, Flaxman A, Forouzanfar MH, Goto A, Green MA, Gupta R, Hafezi-Nejad N, Hankey GJ, Harewood HC, Havmoeller R, Hay S, Hernandez L, Husseini A, Idrisov BT, Ikeda N, Islami F, Jahangir E, Jassal SK, Jee SH, Jeffreys M, Jonas JB, Kabagambe EK, Khalifa SE, Kengne AP, Khader YS, Khang YH, Kim D, Kimokoti RW, Kinge JM, Kokubo Y, Kosen S, Kwan G, Lai T, Leinsalu M, Li Y, Liang X, Liu S, Logroscino G, Lotufo PA, Lu Y, Ma J, Mainoo NK, Mensah GA, Merriman TR, Mokdad AH, Moschandreas J, Naghavi M, Naheed A, Nand D, Narayan KM, Nelson EL, Neuhouser ML, Nisar MI, Ohkubo T, Oti SO, Pedroza A, Prabhakaran D, Roy N, Sampson U, Seo H, Sepanlou SG, Shibuya K, Shiri R, Shiue I, Singh GM, Singh JA, Skirbekk V, Stapelberg NJ, Sturua L, Sykes BL, Tobias M, Tran BX, Trasande L, Toyoshima H, van de Vijver S, Vasankari TJ, Veerman JL, Velasquez-Melendez G, Vlassov VV, Vollset SE, Vos T, Wang C, Wang X, Weiderpass E, Werdecker A, Wright JL, Yang YC, Yatsuya H, Yoon J, Yoon SJ, Zhao Y, Zhou M, Zhu S, Lopez AD, Murray CJ, Gakidou E, Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014 384 766 781. doi: 10.1016/S0140-6736(14)60460-8.
2. Feigin VL, Krishnamurthi RV, Parmar P, Norrving B, Mensah GA, Bennett DA, Barker-Collo S, Moran AE, Sacco RL, Truelsen T, Davis S, Pandian JD, Naghavi M, Forouzanfar MH, Nguyen G, Johnson CO, Vos T, Meretoja A, Murray CJ, Roth GA, GBD 2013 Writing Group; GBD 2013 Stroke Panel Experts Group Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: The GBD 2013 Study. Neuroepidemiology 2015 45 161 176. doi: 10.1159/000441085.
3. Chen Z, The Third Nationwide Survey on Causes of Death 2008 Beijing The Peking Union Medical College Press
4. Liu L, Wang D, Wong KS, Wang Y, Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke 2011 42 3651 3654. doi: 10.1161/STROKEAHA.111.635755.
5. Zhou M, Wang H, Zhu J, Chen W, Wang L, Liu S, Li Y, Wang L, Liu Y, Yin P, Liu J, Yu S, Tan F, Barber RM, Coates MM, Dicker D, Fraser M, González-Medina D, Hamavid H, Hao Y, Hu G, Jiang G, Kan H, Lopez AD, Phillips MR, She J, Vos T, Wan X, Xu G, Yan LL, Yu C, Zhao Y, Zheng Y, Zou X, Naghavi M, Wang Y, Murray CJ, Yang G, Liang X, Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the Global Burden of Disease Study 2013. Lancet 2016 387 251 272. doi: 10.1016/S0140-6736(15)00551-6.
6. Li SC, Schoenberg BS, Wang CC, Cheng XM, Bolis CL, Wang KJ, Cerebrovascular disease in the People's Republic of China: epidemiologic and clinical features. Neurology 1985 35 1708 1713
7. Wang CC, Epidemiology of cerebrovascular disease in an urban community of Beijing, People's Republic of China. Neuroepidemiology 1983 2 121 134
8. Wang CC, Cheng XM, Li SC, Wang WZ, Wu SP, Wang KJ, Zhou SS, Zhao F, Dai QS, Song JR, Cai Y, Epidemiological survey of neurological disorders in six urban areas of the People's Republic of China. Zhong-Hua-Shen-Jing-Wai-ke-Za-Zhi 1985 1 2 7
9. Zhao D, Liu J, Wang W, Zeng Z, Cheng J, Liu J, Sun J, Wu Z, Epidemiological transition of stroke in China: twenty-one-year observational study from the Sino-MONICA-Beijing Project. Stroke 2008 39 1668 1674. doi: 10.1161/STROKEAHA.107.502807.
10. Zeng J, Hong Z, Huang MS, Zhou B, Wang B, Jin MH, Lv CZ, Surveillance of stroke incidence and case fatality in Shanghai, China. [Chinese]. Fudan University J Med Sci 2002 29 101 104
11. Yang G, Wang Y, Zeng Y, Gao GF, Liang X, Zhou M, Wan X, Yu S, Jiang Y, Naghavi M, Vos T, Wang H, Lopez AD, Murray CJ, Rapid health transition in China, 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet 2013 381 1987 2015. doi: 10.1016/S0140-6736(13)61097-1.
12. Feigin VL, Roth GA, Naghavi M, Parmar P, Krishnamurthi R, Chugh S, Mensah GA, Norrving B, Shiue I, Ng M, Estep K, Cercy K, Murray CJ, Forouzanfar MH, Global Burden of Diseases, Injuries and Risk Factors Study 2013 and Stroke Experts Writing Group Global burden of stroke and risk factors in 188 countries, during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Neurol 2016 15 913 924. doi: 10.1016/S1474-4422(16)30073-4
13. Li W, Gu H, Teo KK, Bo J, Wang Y, Yang J, Wang X, Zhang H, Sun Y, Jia X, He X, Zhao X, Cheng X, Li J, Rangarajan S, Chen C, Yusuf S, Liu L, Liu B, Hu B, Jin G, Chen H, Yang J, Wang K, Zhang L, Deng Q, Bing R, Chen T, Xu T, Wang W, Zhao W, Chang X, Hou X, Bai X, Liu X, Zhai Y, Li D, Chen D, Jin H, Tian J, Ma Y, Li Y, He C, You K, Zhang S, Tian X, Xu X, Di J, Wu J, Wang M, Zhou Q, Zhang S, Han A, Cao M, Wu J, Jiang W, Qiang D, Qin J, Qian S, Shi S, Zhou Y, Qian Z, Liu Z, Dong C, Wan M, Li J, Tang J, Mo Y, Bian R, Lou Q, Lei R, Hu L, Xiong S, Zhong Y, Li N, Tang X, Ye S, Liu Y, Li C, Li Y, Fu M, Wang Q, Fu X, Xing X, Guo B, Feng H, Xu L, Yang Y, Wu HMR, Wang Y, Ma X, Liu H, Ma Y, Liao X, Yuan B, Zhao Q, Xu G, He H, Liu J, Chen M, Deng W, Lu F, Liu Z, Zhang H, Sun S, Wang S, Zhao Y, Diao Y, Shi X, Ren D, Wei C, Zhang L, Wang J, Fan L, Liu G, Hou Y, Wu C, Ma G, Wei H, Wang J, Bao X, Tang Y, Liu T, Zhi Y, Zhang P, Wang A, Wang H, Liu J, Liu Q, Wang R, Wu J, Aili A, Wula A, Bula A, Yang D, Wen Q, Reshalaiti, Xiao Y, Shi Q, Shao Y, He J, Li K, Bai W, Yang J, Jiang Y, Liu H, Yang S, Hypertension prevalence, awareness, treatment, and control in 115 rural and urban communities involving 47 000 people from China. J Hypertens 2016 34 39 46
14. Li D, Lv J, Liu F, Liu P, Yang X, Feng Y, Chen G, Hao M, Hypertension burden and control in mainland China: analysis of nationwide data 2003-2012. Int J Cardiol 2015 184 637 644. doi: 10.1016/j.ijcard.2015.03.045.
15. Xu Y, Wang L, He J, Bi Y, Li M, Wang T, Wang L, Jiang Y, Dai M, Lu J, Xu M, Li Y, Hu N, Li J, Mi S, Chen CS, Li G, Mu Y, Zhao J, Kong L, Chen J, Lai S, Wang W, Zhao W, Ning G, 2010 China Noncommunicable Disease Surveillance Group Prevalence and control of diabetes in Chinese adults. JAMA 2013 310 948 959. doi: 10.1001/jama.2013.168118.
16. Zhang YX, Wang ZX, Zhao JS, Chu ZH, Trends in overweight and obesity among rural children and adolescents from 1985 to 2014 in Shandong, China. Eur J Prev Cardiol 2016 23 1314 1320. doi: 10.1177/2047487316643830.
17. Han J, Chen X, A meta-analysis of cigarette smoking prevalence among adolescents in China: 1981-2010. Int J Environ Res Public Health 2015 12 4617 4630. doi: 10.3390/ijerph120504617.
18. Yang G, Rao C, Ma J, Wang L, Wan X, Dubrovsky G, Lopez AD, Validation of verbal autopsy procedures for adult deaths in China. Int J Epidemiol 2006 35 741 748. doi: 10.1093/ije/dyi181.
19. Murray C, Lozano R, Flaxman A, Vahdatpour A, Lopez A, Robust metrics for assessing the performance of different verbal autopsy cause assignment methods in validation studies. Popul Health Metrics 2011 9,28 1 11
20. Murray C, Lopez A, Black R, Ahuja R, Mohd Ali S, Baqui A, Dandona L, Dantzer E, Das V, Dhingra U, Dutta A, Fawzi W, Flaxman A, Gomez S, Hernandez B, Joshi R, Kalter H, Kumar A, Kumar V, Lozano R, Lucero M, Mehta S, Neal B, Ohno S, Prasad R, Praveen D, Premji Z, Ramirez-Villalobos D, Remolador H, Riley I, Romero M, Said M, Sanvictores D, Sazawal S, Tallo V, Population Health Metrics Research Consortium gold standard verbal autopsy validation study: design, implementation, and development of analysis datasets. Popul Health Metrics 2011 9,27 1 15
21. Feigin VL, Stroke in developing countries: can the epidemic be stopped and outcomes improved? Lancet Neurol 2007 6 94 97. doi: 10.1016/S1474-4422(07)70007-8.
22. Rocca WA, Reggio A, Savettieri G, Salemi G, Patti F, Meneghini F, Grigoletto F, Morgante L, Di Perri R, Stroke incidence and survival in three Sicilian municipalities. Sicilian Neuro-Epidemiologic Study (SNES) Group. Ital J Neurol Sci 1998 19 351 356
23. Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T, Cerebrovascular disease in the community: results of a WHO collaborative study. Bull World Health Organ 1980 58 113 130
24. Kalkonde YV, Sahane V, Deshmukh MD, Nila S, Mandava P, Bang A, High Prevalence of stroke in rural Gadchiroli, India: a community-based study. Neuroepidemiology 2016 46 235 239. doi: 10.1159/000444487.
25. Chang T, Gajasinghe S, Arambepola C, Prevalence of stroke and its risk factors in urban Sri Lanka: population-based study. Stroke 2015 46 2965 2968. doi: 10.1161/STROKEAHA.115.010203.
26. Khedr EM, Fawi G, Abdela M, Mohammed TA, Ahmed MA, El-Fetoh NA, Zaki AF, Prevalence of ischemic and hemorrhagic strokes in Qena Governorate, Egypt: community-based study. J Stroke Cerebrovasc Dis 2014 23 1843 1848. doi: 10.1016/j.jstrokecerebrovasdis.2014.03.001.
27. de Jesús Llibre J, Valhuerdi A, Fernández O, Llibre JC, Porto R, López AM, Marcheco B, Moreno C, Prevalence of stroke and associated risk factors in older adults in Havana City and Matanzas Provinces, Cuba (10/66 population-based study). MEDICC Rev 2010 12 20 26
28. Jaillard AS, Hommel M, Mazetti P, Prevalence of stroke at high altitude (3380 m) in Cuzco, a town of Peru. A population-based study. Stroke 1995 26 562 568
29. Aho K, Reunanen A, Aromaa A, Knekt P, Maatela J, Prevalence of stroke in Finland. Stroke 1986 17 681 686
30. Truelsen T, Piechowski-Jóźwiak B, Bonita R, Mathers C, Bogousslavsky J, Boysen G, Stroke incidence and prevalence in Europe: a review of available data. Eur J Neurol 2006 13 581 598. doi: 10.1111/j.1468-1331.2006.01138.x.
31. Fang J, Shaw KM, George MG, Prevalence of stroke-United States, 2006-2010. MMWR Morb Mortal Wkly Rep 2012 61 379 382
32. Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag V, Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol 2009 8 355 369. doi: 10.1016/S1474-4422(09)70025-0.
33. Thrift AG, Cadilhac DA, Thayabaranathan T, Howard G, Howard VJ, Rothwell PM, Donnan GA, Global stroke statistics. Int J Stroke 2014 9 6 18. doi: 10.1111/ijs.12245.
34. Jiang B, Wang WZ, Chen H, Hong Z, Yang QD, Wu SP, Du XL, Bao QJ, Incidence and trends of stroke and its subtypes in China: results from three large cities. Stroke 2006 37 63 68. doi: 10.1161/01.STR.0000194955.34820.78.
35. Chen D, Román GC, Wu GX, Wu ZS, Yao CH, Zhang M, Hirsch RP, Stroke in China (Sino-MONICA-Beijing study) 1984-1986. Neuroepidemiology 1992 11 15 23
36. Zhang XH, Guan T, Mao J, Liu L, Disparity and its time trends in stroke mortality between urban and rural populations in China 1987 to 2001: changing patterns and their implications for public health policy. Stroke 2007 38 3139 3144. doi: 10.1161/STROKEAHA.107.494336.
37. Jia Q, Liu LP, Wang YJ, Stroke in China. Clin Exp Pharmacol Physiol 2010 37 259 264. doi: 10.1111/j.1440-1681.2009.05290.x.
38. de Rooij NK, Linn FH, van der Plas JA, Algra A, Rinkel GJ, Incidence of subarachnoid haemorrhage: a systematic review with emphasis on region, age, gender and time trends. J Neurol Neurosurg Psychiatry 2007 78 1365 1372. doi: 10.1136/jnnp.2007.117655.
39. Feigin VL, Rinkel GJ, Lawes CM, Algra A, Bennett DA, van Gijn J, Anderson CS, Risk factors for subarachnoid hemorrhage: an updated systematic review of epidemiological studies. Stroke 2005 36 2773 2780. doi: 10.1161/01.STR.0000190838.02954.e8.
40. Feigin V, Parag V, Lawes CM, Rodgers A, Suh I, Woodward M, Jamrozik K, Ueshima H, Asia Pacific Cohort Studies Collaboration Smoking and elevated blood pressure are the most important risk factors for subarachnoid hemorrhage in the Asia-Pacific region: an overview of 26 cohorts involving 306,620 participants. Stroke 2005 36 1360 1365. doi: 10.1161/01.STR.0000170710.95689.41.
41. Rahilly CR, Farwell WR, Prevalence of smoking in the United States: a focus on age, sex, ethnicity, and geographic patterns. Current Cardiovascular Risk Reports 2007 1 379 383
42. Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ, Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol 2007 6 456 464. doi: 10.1016/S1474-4422(07)70004-2.
43. Zhang LF, Yang J, Hong Z, Yuan GG, Zhou BF, Zhao LC, Huang YN, Chen J, Wu YF, Collaborative Group of China Multicenter Study of Cardiovascular Epidemiology Proportion of different subtypes of stroke in China. Stroke 2003 34 2091 2096. doi: 10.1161/01.STR.0000087149.42294.8C.
44. Qureshi AI, Ezzeddine MA, Nasar A, Suri MFK, Kirmani JF, Hussein HM, Divani AA, Reddi AS, Prevalence of elevated blood pressure in 563 704 adult patients with stroke presenting to the ED in the United States. American Journal of Emergency Medicine 2007 25 32 38
45. Wu Z, Yao C, Zhao D, Wu G, Wang W, Liu J, Zeng Z, Wu Y, Sino-MONICA project: a collaborative study on trends and determinants in cardiovascular diseases in China. Part I: Morbidity and mortality monitoring. Circulation 2001 103 462 468
46. He J, Klag MJ, Wu Z, Whelton PK, Stroke in the People's Republic of China. I. Geographic variations in incidence and risk factors. Stroke 1995 26 2222 2227
47. Wu GX, Wu ZS, He BL, [Epidemiological characteristics of stroke in 16 provinces of China]. Zhonghua Yi Xue Za Zhi 1994 74 281 3, 325
48. Xue GB, Yu BX, Wang XZ, Wang GQ, Wang ZY, Stroke in urban and rural areas of China. Chin Med J (Engl) 1991 104 697 704
49. Liu L, Liu L, Ding Y, Huang Z, He B, Sun S, Zhao G, Zhang H, Miki T, Mizushima S, Ikeda K, Nara Y, Yamori Y, Ethnic and environmental differences in various markers of dietary intake and blood pressure among Chinese Han and three other minority peoples of China: results from the WHO Cardiovascular Diseases and Alimentary Comparison (CARDIAC) Study. Hypertens Res 2001 24 315 322
50. Yu Z, Nissinen A, Vartiainen E, Song G, Guo Z, Zheng G, Tuomilehto J, Tian H, Associations between socioeconomic status and cardiovascular risk factors in an urban population in China. Bull World Health Organ 2000 78 1296 1305