Tanaka H, Ueda Y, Date C, Baba T, Yamashita H, Hayashi M, Shoji H, Owada K, Baba K I, Shibuya M, Kon T, Detels R
Stroke. 1981 Jul-Aug;12(4):460-6. doi: 10.1161/01.str.12.4.460.
A stroke registry was established in Shibata City, Niigata Prefecture, Japan (population 75,000) in 1976. WHO recommendations for criteria were followed. This paper reports stroke incidence for the initial 3 years of the registry: 1976 through 1978. All living patients were examined clinically by a staff physician. Only patients with a diagnosis of first stroke were included in the study. Sensitivity of the referral system was estimated at 85 + %, comparable to that in American studies. Average annual incidence per 1,000 in resident greater than or equal to 20 years was 2.61 for all strokes (3.42 for males; 1.88 for females), 0.20 for subarachnoid hemorrhage, 0.61 for cerebral hemorrhage, 1.51 for cerebral infarction - rates similar to those reported 10-20 years previously for the United States. The male-female ratio, 2:1, reflected a high rate among males, low among females. Rats among Shibata males were higher than 1972 U.S. rates reported by the Epidemiologic Study Group; rates among Shibata females were lower than corresponding U.S. rates. Incidence of all strokes combined increased with age, the age relationship being strongest for cerebral infarction. No subarachnoid hemorrhage was observed in Shibata residents greater than or equal to 70 years of age.
1976年，日本新潟县柴田市（人口75,000）建立了一个卒中登记处。该登记处遵循了世界卫生组织的标准建议。本文报告了该登记处最初3年（1976年至1978年）的卒中发病率。所有在世患者均由一名内科医生进行临床检查。本研究仅纳入首次卒中诊断的患者。转诊系统的敏感度估计为85%以上，与美国的研究结果相当。年龄大于或等于20岁的居民中，所有卒中的年平均发病率为每1000人2.61例（男性为3.42例；女性为1.88例），蛛网膜下腔出血为0.20例，脑出血为0.61例，脑梗死为1.51例——这些发病率与美国10至20年前报告的发病率相似。男女比例为2:1，反映出男性发病率高，女性发病率低。柴田市男性的发病率高于流行病学研究小组报告的1972年美国发病率；柴田市女性的发病率低于相应的美国发病率。所有卒中合并发病率随年龄增加，年龄与发病率的关系在脑梗死中最为明显。在年龄大于或等于70岁的柴田市居民中未观察到蛛网膜下腔出血。
