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Published on: May 22, 2019
Burden of stroke in Singapore
N Venketasubramanian1, C L H Chen
1Department of Neurology, National Neuroscience Institute, Singapore, Singapore.
Insights
Stroke is a major cause of death and hospitalization in Singapore. An aging population and high risk factors will increase the stroke burden, necessitating a national disease management plan.
Area of Science:
- Public Health
- Epidemiology
- Healthcare Management
Background:
- Stroke is Singapore's fourth leading cause of death and a significant cause of hospitalization.
- In 2006, stroke had a crude death rate of 40.4/100,000, a prevalence of 3.65%, and an incidence of 1.8/1000.
- Hemorrhagic strokes account for approximately 25% of all stroke cases.
Purpose of the Study:
- To highlight the current burden of stroke in Singapore.
- To project the future impact of stroke on healthcare and society.
- To advocate for a comprehensive national disease management plan.
Main Methods:
- Analysis of national mortality and hospitalization data.
- Assessment of stroke prevalence and incidence rates.
- Consideration of demographic trends (aging population) and risk factor prevalence.
Main Results:
- Stroke represents a significant public health challenge in Singapore.
- The aging population and prevalent risk factors are expected to dramatically increase the future stroke burden.
- Current healthcare infrastructure includes subsidized care and rehabilitative services, with a national support group established.
Conclusions:
- A proactive national disease management plan is essential to address the growing stroke burden.
- Integrating high-quality clinical care with robust research is crucial for effective stroke management.
- The findings underscore the need for strategic planning to mitigate the impact of stroke on Singapore's healthcare system and society.
Abstract:
Stroke is Singapore's fourth leading cause of death, with a crude death rate of 40.4/100 000 in 2006, a prevalence of 3.65% and an incidence of 1.8/1000, and is among the top 10 causes of hospitalization. Approximately one-quarter of strokes are hemorrhagic. Hospital care for acute stroke costs about US$5000. Subsidized healthcare is widely available for primary level and hospital care, as are rehabilitative services. A national stroke support group has been established. With our rapidly aging population, coupled with the high prevalence of stroke risk factors in the community, the burden of stroke is expected to increase dramatically in the years to come, posing challenges to the healthcare system and society. A national disease management plan incorporating high-quality clinical care coupled with research would be essential.
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