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Time Trends in Incidence of Pathological and Etiological Stroke Subtypes during 16 Years: The Erlangen Stroke Project

Background: Population-based data, which continuously monitors time trends in stroke epidemiology are limited. We investigated the incidence of pathological and etiological stroke subtypes over a 16 year time period. Methods: Data were collected within the Erlangen Stroke Project (ESPro), a prospect... Full description

Journal Title: Neuroepidemiology 2015, Vol.44 (1), p.24-29
Main Author: Kolominsky-Rabas, Peter L
Other Authors: Wiedmann, Silke , Weingärtner, Michael , Liman, Thomas G , Endres, Matthias , Schwab, Stefan , Buchfelder, Michael , Heuschmann, Peter U
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Basel, Switzerland: S. Karger AG
ID: ISSN: 0251-5350
Link: https://www.ncbi.nlm.nih.gov/pubmed/25659352
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recordid: cdi_proquest_journals_1663946564
title: Time Trends in Incidence of Pathological and Etiological Stroke Subtypes during 16 Years: The Erlangen Stroke Project
format: Article
creator:
  • Kolominsky-Rabas, Peter L
  • Wiedmann, Silke
  • Weingärtner, Michael
  • Liman, Thomas G
  • Endres, Matthias
  • Schwab, Stefan
  • Buchfelder, Michael
  • Heuschmann, Peter U
subjects:
  • Aged
  • Aged, 80 and over
  • Brain Ischemia - epidemiology
  • Brain Ischemia - etiology
  • Brain Ischemia - pathology
  • Causes of
  • Female
  • Germany - epidemiology
  • Humans
  • Identification and classification
  • Incidence
  • Intracranial Hemorrhages - epidemiology
  • Intracranial Hemorrhages - etiology
  • Intracranial Hemorrhages - pathology
  • Male
  • Middle Aged
  • Original Paper
  • Prospective Studies
  • Registries
  • Statistics
  • Stroke (Disease)
  • Stroke - epidemiology
  • Stroke - etiology
  • Stroke - pathology
ispartof: Neuroepidemiology, 2015, Vol.44 (1), p.24-29
description: Background: Population-based data, which continuously monitors time trends in stroke epidemiology are limited. We investigated the incidence of pathological and etiological stroke subtypes over a 16 year time period. Methods: Data were collected within the Erlangen Stroke Project (ESPro), a prospective, population-based stroke register in Germany covering a total study population of 105,164 inhabitants (2010). Etiology of ischemic stroke was classified according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. Results: Between January 1995 and December 2010, 3,243 patients with first-ever stroke were documented. The median age was 75 and 55% were females. The total stroke incidence decreased over the 16 year study period in men (Incidence Rate Ratio 1995-1996 vs. 2009-2010 (IRR) 0.78; 95% CI 0.58-0.90) but not in women. Among stroke subtypes, a decrease in ischemic stroke incidence (IRR 0.73; 95% CI 0.57-0.93) and of large artery atherosclerotic stroke (IRR 0.27; 95% CI 0.12-0.59) was found in men and an increase of stroke due to small artery occlusion in women (IRR 2.33; 95% CI 1.39-3.90). Conclusions: Variations in time trends of pathological and etiological stroke subtypes were found between men and women that might be linked to gender differences in the development of major vascular risk factors in the study population.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0251-5350
fulltext: fulltext
issn:
  • 0251-5350
  • 1423-0208
url: Link


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titleTime Trends in Incidence of Pathological and Etiological Stroke Subtypes during 16 Years: The Erlangen Stroke Project
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creatorKolominsky-Rabas, Peter L ; Wiedmann, Silke ; Weingärtner, Michael ; Liman, Thomas G ; Endres, Matthias ; Schwab, Stefan ; Buchfelder, Michael ; Heuschmann, Peter U
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descriptionBackground: Population-based data, which continuously monitors time trends in stroke epidemiology are limited. We investigated the incidence of pathological and etiological stroke subtypes over a 16 year time period. Methods: Data were collected within the Erlangen Stroke Project (ESPro), a prospective, population-based stroke register in Germany covering a total study population of 105,164 inhabitants (2010). Etiology of ischemic stroke was classified according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. Results: Between January 1995 and December 2010, 3,243 patients with first-ever stroke were documented. The median age was 75 and 55% were females. The total stroke incidence decreased over the 16 year study period in men (Incidence Rate Ratio 1995-1996 vs. 2009-2010 (IRR) 0.78; 95% CI 0.58-0.90) but not in women. Among stroke subtypes, a decrease in ischemic stroke incidence (IRR 0.73; 95% CI 0.57-0.93) and of large artery atherosclerotic stroke (IRR 0.27; 95% CI 0.12-0.59) was found in men and an increase of stroke due to small artery occlusion in women (IRR 2.33; 95% CI 1.39-3.90). Conclusions: Variations in time trends of pathological and etiological stroke subtypes were found between men and women that might be linked to gender differences in the development of major vascular risk factors in the study population.
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subjectAged ; Aged, 80 and over ; Brain Ischemia - epidemiology ; Brain Ischemia - etiology ; Brain Ischemia - pathology ; Causes of ; Female ; Germany - epidemiology ; Humans ; Identification and classification ; Incidence ; Intracranial Hemorrhages - epidemiology ; Intracranial Hemorrhages - etiology ; Intracranial Hemorrhages - pathology ; Male ; Middle Aged ; Original Paper ; Prospective Studies ; Registries ; Statistics ; Stroke (Disease) ; Stroke - epidemiology ; Stroke - etiology ; Stroke - pathology
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descriptionBackground: Population-based data, which continuously monitors time trends in stroke epidemiology are limited. We investigated the incidence of pathological and etiological stroke subtypes over a 16 year time period. Methods: Data were collected within the Erlangen Stroke Project (ESPro), a prospective, population-based stroke register in Germany covering a total study population of 105,164 inhabitants (2010). Etiology of ischemic stroke was classified according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. Results: Between January 1995 and December 2010, 3,243 patients with first-ever stroke were documented. The median age was 75 and 55% were females. The total stroke incidence decreased over the 16 year study period in men (Incidence Rate Ratio 1995-1996 vs. 2009-2010 (IRR) 0.78; 95% CI 0.58-0.90) but not in women. Among stroke subtypes, a decrease in ischemic stroke incidence (IRR 0.73; 95% CI 0.57-0.93) and of large artery atherosclerotic stroke (IRR 0.27; 95% CI 0.12-0.59) was found in men and an increase of stroke due to small artery occlusion in women (IRR 2.33; 95% CI 1.39-3.90). Conclusions: Variations in time trends of pathological and etiological stroke subtypes were found between men and women that might be linked to gender differences in the development of major vascular risk factors in the study population.
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abstractBackground: Population-based data, which continuously monitors time trends in stroke epidemiology are limited. We investigated the incidence of pathological and etiological stroke subtypes over a 16 year time period. Methods: Data were collected within the Erlangen Stroke Project (ESPro), a prospective, population-based stroke register in Germany covering a total study population of 105,164 inhabitants (2010). Etiology of ischemic stroke was classified according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. Results: Between January 1995 and December 2010, 3,243 patients with first-ever stroke were documented. The median age was 75 and 55% were females. The total stroke incidence decreased over the 16 year study period in men (Incidence Rate Ratio 1995-1996 vs. 2009-2010 (IRR) 0.78; 95% CI 0.58-0.90) but not in women. Among stroke subtypes, a decrease in ischemic stroke incidence (IRR 0.73; 95% CI 0.57-0.93) and of large artery atherosclerotic stroke (IRR 0.27; 95% CI 0.12-0.59) was found in men and an increase of stroke due to small artery occlusion in women (IRR 2.33; 95% CI 1.39-3.90). Conclusions: Variations in time trends of pathological and etiological stroke subtypes were found between men and women that might be linked to gender differences in the development of major vascular risk factors in the study population.
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