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[Cerebrovascular mortality in Spain].

M T Olalla1, M J Medrano, M J Sierra

  • 1Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España.

Revista De Neurologia
|March 4, 2000
PubMed
Summary
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Cerebrovascular disease mortality in Spain has declined significantly over the past two decades, particularly in older age groups. Continued efforts are crucial to further reduce incidence, severity, and mortality from these disorders.

Area of Science:

  • Epidemiology
  • Public Health
  • Gerontology

Background:

  • Cerebrovascular disease remains a leading cause of death in Spain, ranking second for men and first for women.
  • Despite a considerable reduction in mortality over the last twenty years, ongoing research is vital.

Framework:

  • A 45-year time series analysis (1951-1995) examined mortality trends by age, sex, period, and birth cohort.
  • Geographical distribution of mortality was analyzed for the 1991-1995 period.
  • International comparisons were made with other industrialized nations.

Implementation:

  • Mortality rates due to cerebrovascular disease have decreased across all demographics.
  • The decline has accelerated in recent years, especially among the elderly.
  • Both period and cohort effects contribute to the observed mortality reduction.

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Implications:

  • Geographical patterns reveal a north-south gradient in mortality within Spain.
  • While overall international mortality is medium-low, some Spanish provinces exhibit high rates.
  • Further investigation into incidence, severity, mortality, and risk factor distribution is essential.