1 Department of Medicine, Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia.
2 Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, USA.
Int J Stroke. 2017 Oct;12(8):796-801. doi: 10.1177/1747493017730782. Epub 2017 Sep 12.
Background Current information on mortality attributed to stroke among different countries is important for policy development and monitoring prevention strategies. Unfortunately, mortality data reported to the World Health Organization by different countries are inconsistent. Aims and/or hypothesis To update the repository of the most recent country-specific data on mortality from stroke for countries that provide data using a broad code for "cerebrovascular disease." Methods Data on mortality from stroke were obtained from the World Health Organization mortality database. We searched for countries that provided data, since 1999, on a combined category of "cerebrovascular disease" (code 1609) that incorporated International Classification of Diseases (10th edition) codes I60-I69. Using population denominators provided by the World Health Organization for the same year when available, or alternatively estimates obtained from the United Nations, we calculated crude mortality from "cerebrovascular disease" and mortality adjusted to the World Health Organization world population. We used the most recent year reported to the World Health Organization, as well as comparing changes over time. Results Since 1999, seven countries have provided these mortality data. Among these countries, crude mortality was greatest in the Russian Federation (in 2011), Ukraine (2012), and Belarus (2011) and was greater in women than men in these countries. Crude mortality was positively correlated with the proportion of the population aged ≥65 years but not with time. Age-adjusted mortality was greatest in the Russian Federation and Turkmenistan, and greater in men than women. Over time, mortality declined, with the greatest decline per annum evident in Kazakhstan (8.7%) and the Russian Federation (7.0%). Conclusions Among countries that provided data to the World Health Organization using a broad category of "cerebrovascular disease," there was a decline in mortality in two of the countries that previously had some of the largest mortality rates for stroke.
当前不同国家中风死亡率的相关信息对于制定政策和监测预防策略非常重要。不幸的是，不同国家向世界卫生组织报告的死亡率数据并不一致。
目的和/或假设：更新使用广泛的“脑血管疾病”类别提供数据的国家中风死亡率的最新国家特定数据存储库。
中风死亡率数据来自世界卫生组织死亡率数据库。我们寻找自 1999 年以来，提供了包含国际疾病分类（第十版）I60-I69 代码的“脑血管疾病”综合类别的国家的数据。使用世界卫生组织提供的同年人口数（如有），或者使用联合国获得的估计数，我们计算了“脑血管疾病”的粗死亡率和调整到世界卫生组织世界人口的死亡率。我们使用向世界卫生组织报告的最新年份，并比较随时间的变化。
自 1999 年以来，有七个国家提供了这些死亡率数据。在这些国家中，俄罗斯联邦（2011 年）、乌克兰（2012 年）和白俄罗斯（2011 年）的粗死亡率最高，且女性的死亡率高于男性。粗死亡率与≥65 岁人口比例呈正相关，但与时间无关。俄罗斯联邦和土库曼斯坦的年龄调整死亡率最高，男性的死亡率高于女性。随着时间的推移，死亡率下降，哈萨克斯坦（8.7%）和俄罗斯联邦（7.0%）的年降幅最大。
在向世界卫生组织提供使用“脑血管疾病”广泛类别的数据的国家中，两个国家的死亡率下降，这两个国家之前的中风死亡率最高。
