Sunday, October 23, 2022

Global stroke statistics 2022

 

 What an absolute useless pile of shit. NOTHING ON 100% RECOVERY! Just maybe stroke survivors might want to know that.

“What's measured, improves.” So said management legend and author Peter F. Drucker 

Global stroke statistics 2022

Abstract

Background:

Contemporary data on stroke epidemiology and the availability of national stroke clinical registries are important for providing evidence to improve practice and support policy decisions.

Aims:

To update the most current incidence, case-fatality, and mortality rates on stroke and identify national stroke clinical registries worldwide.

Methods:

We searched multiple databases (based on our existing search strategy) to identify new original papers, published between 1 November 2018 and 15 December 2021, that met ideal criteria for data on stroke incidence and case-fatality, and added these to the studies reported in our last review. To identify national stroke clinical registries, we updated our last search, using PubMed, from 6 February 2015 until 6 January 2022. We also screened reference lists of review papers, citation history of papers, and the gray literature. Mortality codes for International Classification of Diseases (ICD)-9 and ICD-10 were extracted from the World Health Organization (WHO) for each country providing these data. Population denominators were obtained from the United Nations (UN) or WHO (when data were unavailable in the UN database). Crude and adjusted stroke mortality rates were calculated using country-specific population denominators, and the most recent years of mortality data available for each country.

Results:

Since our last report in 2020, there were two countries (Chile and France) with new incidence studies meeting criteria for ideal population-based studies. New data on case-fatality were found for Chile and Kenya. The most current mortality data were available for the year 2014 (1 country), 2015 (2 countries), 2016 (11 countries), 2017 (10 countries), 2018 (19 countries), 2019 (36 countries), and 2020 (29 countries). Four countries (Libya, Solomon Islands, United Arab Emirates, and Lebanon) reported mortality data for the first time. Since our last report on registries in 2017, we identified seven more national stroke clinical registries, predominantly in high-income countries. These newly identified registries yielded limited information.

Conclusions:

Up-to-date data on stroke incidence, case-fatality, and mortality continue to provide evidence of disparities and the scale of burden in low- and middle-income countries. Although more national stroke clinical registries were identified, information from these newly identified registries was limited. Highlighting data scarcity or even where a country is ranked might help facilitate more research or greater policy attention in this field.

Introduction

The worldwide burden of stroke remains massive, and there is a continued need to understand trends of the disease and its impact on each country, to guide policy decisions and healthcare planning. We have previously reported stroke statistics by country.13 We have also previously recognized the value of national stroke clinical registries, not just for routine monitoring of patient characteristics, access to clinical care, and health outcomes, but also their potential to be a reliable supplement or substitute for epidemiological studies in countries where a large proportion of the population is hospitalized.3,4 This fourth issue is part of an ongoing series to update information on (1) stroke incidence, case-fatality and mortality, and availability of national stroke clinical registries around the world; and (2) highlight where data are lacking or outdated.

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