Truelsen T, Piechowski-Jóźwiak B, Bonita R, Mathers C, Bogousslavsky J, Boysen G
World Health Organization, Geneva, Switzerland.
Eur J Neurol. 2006 Jun;13(6):581-98. doi: 10.1111/j.1468-1331.2006.01138.x.
Reliable data on stroke incidence and prevalence are essential for calculating the burden of stroke and the planning of prevention and treatment of stroke patients. In the current study we have reviewed the published data from EU countries, Iceland, Norway, and Switzerland, and provide WHO estimates for stroke incidence and prevalence in these countries. Studies on stroke epidemiology published in peer-reviewed journals during the past 10 years were identified using Medline/PubMed searches, and reviewed using the structure of WHO's stroke component of the WHO InfoBase. WHO estimates for stroke incidence and prevalence for each country were calculated from routine mortality statistics. Rates from studies that met the 'ideal' criteria were compared with WHO's estimates. Forty-four incidence studies and 12 prevalence studies were identified. There were several methodological differences that hampered comparisons of data. WHO stroke estimates were in good agreement with results from 'ideal' stroke population studies. According to the WHO estimates the number of stroke events in these selected countries is likely to increase from 1.1 million per year in 2000 to more than 1.5 million per year in 2025 solely because of the demographic changes. Until better and more stroke studies are available, the WHO stroke estimates may provide the best data for understanding the stroke burden in countries where no stroke data currently exists. A standardized protocol for stroke surveillance is recommended.
中风发病率和患病率的可靠数据对于计算中风负担以及规划中风患者的预防和治疗至关重要。在本研究中，我们回顾了欧盟国家、冰岛、挪威和瑞士已发表的数据，并提供了世界卫生组织（WHO）对这些国家中风发病率和患病率的估计。通过Medline/PubMed检索，确定了过去10年在同行评审期刊上发表的中风流行病学研究，并使用WHO信息库中WHO中风部分的结构进行了审查。每个国家的中风发病率和患病率的WHO估计值是根据常规死亡率统计数据计算得出的。将符合“理想”标准的研究结果与WHO的估计值进行了比较。共确定了44项发病率研究和12项患病率研究。存在一些方法学上的差异，妨碍了数据的比较。WHO的中风估计值与“理想”中风人群研究的结果高度一致。根据WHO的估计，仅由于人口结构变化，这些选定国家的中风事件数量可能从2000年的每年110万增加到2025年的每年超过150万。在获得更好、更多的中风研究之前，WHO的中风估计值可能为了解目前尚无中风数据的国家的中风负担提供最佳数据。建议采用标准化的中风监测方案。
