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Stroke in Asia: an epidemiological consideration.
1Division of Neurology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Clinical Neuropharmacology
|January 1, 1990
Summary
Stroke epidemiology data in Asia is limited and often difficult to compare. However, Thailand shows a significant and increasing trend in stroke incidence and mortality, highlighting a critical public health concern.
Area of Science:
- Epidemiology
- Public Health
- Neurology
Background:
- Limited epidemiological data on stroke exists for many Asian countries compared to Western nations.
- Existing Asian studies often suffer from deficiencies, hindering cross-country comparisons.
- Data retrieval from local journals and developing countries presents challenges due to publication practices and time lags.
Purpose of the Study:
- To highlight the increasing trend of stroke incidence and mortality in Thailand.
- To provide an overview of stroke statistics in Thailand based on available public health data.
- To underscore the need for more comprehensive stroke research in Asia.
Main Methods:
- Analysis of Thailand's Public Health Statistics on cerebrovascular disease (CVD) from 1950 to 1984.
- Review of hospital admission data for CVD cases.
- Inclusion of a community-based survey on CVD prevalence in Bangkok.
Main Results:
- Cerebrovascular disease death rates in Thailand increased from 3.7/100,000 in 1950 to 11.8/100,000 in 1983.
- Patient incidence of stroke rose from 12.7/100,000 in 1981 to 18.7/100,000 in 1984.
- Immediate death rates (within 4 weeks) varied significantly by stroke type: 19.5% for nonembolic cerebral infarction, 37% for cerebral embolism, and 85% for cerebral hemorrhage.
Conclusions:
- Stroke represents a growing public health problem in Thailand.
- The data indicates a substantial increase in stroke burden over several decades.
- Urgent attention and further research are needed to address the rising stroke epidemic in Thailand and similar Asian regions.