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[Epidemiology of stroke].

Michael Brainin1, Alexandra Dachenhausen, Michaela Steiner

  • 1Neurologische Abteilung, Donauklinikum Gugging und Neurozentrum Donau-Universität Krems, Hauptstrasse 2, A-3400 Maria Gugging. brainin@donau-uni.ac.at

Wiener Medizinische Wochenschrift (1946)
|March 8, 2003
PubMed
Summary

Stroke incidence is rising globally, particularly in developing nations, posing a significant health challenge. In Austria, while stroke mortality decreased, incidence remains high, with substantial disability rates observed post-stroke.

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Global stroke mortality is decreasing in industrialized nations, but incidence is projected to rise, especially in developing countries.
  • Stroke represents a growing global health burden, necessitating focused public health and clinical strategies.
  • In Austria, stroke mortality halved between 1970 and 1994, now standing at 100 per 100,000 inhabitants annually.

Purpose of the Study:

  • To analyze current stroke incidence, mortality, and recurrence rates in Austria.
  • To assess the impact of stroke on patient outcomes, including disability and short-term mortality.
  • To provide data for informing stroke prevention and management strategies within the Austrian healthcare system.

Main Methods:

  • Utilized data from the Austrian Stroke Unit Registry, encompassing information from 15 stroke units.

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  • Analyzed epidemiological data including incidence rates, mortality figures, and recurrent stroke frequencies.
  • Evaluated 3-month mortality and residual disability rates among stroke patients.

    • Main Results:

    • Austrian stroke incidence rates are estimated at 200-300 per 100,000 inhabitants per year.
    • Recurrent stroke rates are 6-12% within the first year and 5-8% in subsequent years.
    • Three-month mortality following stroke is 11.7%, with 40% of survivors experiencing moderate to pronounced residual disabilities.

    Conclusions:

    • Despite reduced mortality, Austria faces significant stroke incidence and a considerable burden of long-term disability.
    • The findings underscore the need for continued efforts in stroke prevention, acute treatment, and rehabilitation.
    • Data from stroke registries are crucial for understanding disease burden and guiding healthcare policy.