作者
GBD Collaborators, Valery L Feigin, Benjamin A Stark, Catherine Owens Johnson, Gregory A Roth, Catherine Bisignano, Gdiom Gebreheat Abady, Mitra Abbasifard, Mohsen Abbasi-Kangevari, Foad Abd-Allah, Vida Abedi, Ahmed Abualhasan, Niveen ME Abu-Rmeileh, Abdelrahman I Abushouk, Oladimeji M Adebayo, Gina Agarwal, Pradyumna Agasthi, Bright Opoku Ahinkorah, Sohail Ahmad, Sepideh Ahmadi, Yusra Ahmed Salih, Budi Aji, Samaneh Akbarpour, Rufus Olusola Akinyemi, Hanadi Al Hamad, Fares Alahdab, Mohammad Alif, Vahid Alipour, Syed Mohamed Aljunid, Sami Almustanyir, Rajaa M Al-Raddadi, Rustam Al-Shahi Salman, Nelson Alvis-Guzman, Robert Ancuceanu, Deanna Anderlini, Jason A Anderson, Adnan Ansar, Ippazio Cosimo Antonazzo, Jalal Arabloo, Johan Ärnlöv, Kurnia Dwi Artanti, Zahra Aryan, Samaneh Asgari, Tahira Ashraf, Mohammad Athar, Alok Atreya, Marcel Ausloos, Atif Amin Baig, Ovidiu Constantin Baltatu, Maciej Banach, Miguel A Barboza, Suzanne Lyn Barker-Collo, Till Winfried Bärnighausen, Mark Thomaz Ugliara Barone, Sanjay Basu, Gholamreza Bazmandegan, Ettore Beghi, Mahya Beheshti, Yannick Béjot, Arielle Wilder Bell, Derrick A Bennett, Isabela M Bensenor, Woldesellassie Mequanint Bezabhe, Yihienew Mequanint Bezabih, Akshaya Srikanth Bhagavathula, Pankaj Bhardwaj, Krittika Bhattacharyya, Ali Bijani, Boris Bikbov, Mulugeta M Birhanu, Archith Boloor, Aime Bonny, Michael Brauer, Hermann Brenner, Dana Bryazka, Zahid A Butt, Florentino Luciano Caetano dos Santos, Ismael R Campos-Nonato, Carlos Cantu-Brito, Juan J Carrero, Carlos A Castañeda-Orjuela, Alberico L Catapano, Promit Ananyo Chakraborty, Jaykaran Charan, Sonali Gajanan Choudhari
发表日期
2021/10/1
期刊
The Lancet Neurology
卷号
20
期号
10
页码范围
795-820
简介
BackgroundRegularly updated data on stroke and its pathological types, including data on their incidence, prevalence, mortality, disability, risk factors, and epidemiological trends, are important for evidence-based stroke care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) aims to provide a standardised and comprehensive measurement of these metrics at global, regional, and national levels.MethodsWe applied GBD 2019 analytical tools to calculate stroke incidence, prevalence, mortality, disability-adjusted life-years (DALYs), and the population attributable fraction (PAF) of DALYs (with corresponding 95% uncertainty intervals [UIs]) associated with 19 risk factors, for 204 countries and territories from 1990 to 2019. These estimates were provided for ischaemic stroke, intracerebral haemorrhage, subarachnoid haemorrhage, and all strokes combined, and stratified by sex, age group, and World Bank country income level.FindingsIn 2019, there were 12·2 million (95% UI 11·0-13·6) incident cases of stroke, 101 million (93·2-111) prevalent cases of stroke, 143 million (133-153) DALYs due to stroke, and 6·55 million (6·00-7·02) deaths from stroke. Globally, stroke remained the second-leading cause of death (11·6% [10·8-12·2] of total deaths) and the third-leading cause of death and disability combined (5·7% [5·1-6·2] of total DALYs) in 2019. From 1990 to 2019, the absolute number of incident strokes increased by 70·0% (67·0-73·0), prevalent strokes increased by 85·0% (83·0-88·0), deaths from stroke increased by 43·0% (31·0-55·0), and DALYs due to stroke increased by 32·0% (22·0-42·0 …
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GBD Collaborators, VL Feigin, BA Stark, CO Johnson… - The Lancet Neurology, 2021