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Stroke in Asia: geographical variations and temporal trends
Man Mohan Mehndiratta1, Maria Khan2, Prachi Mehndiratta3
1Department of Neurology, Janakpuri Superspeciality Hospital, New Delhi, India.
Journal of Neurology, Neurosurgery, and Psychiatry
|April 29, 2014
Summary
Stroke incidence is rising in Asia, with earlier onset and a shift towards ischemic strokes. More standardized data is crucial for effective prevention and intervention strategies in the region.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Asian countries face diverse disease patterns due to epidemiological transition.
- Stroke accounts for a significant portion of global mortality in Asia.
Purpose of the Study:
- To review stroke epidemiology data in Asia.
- To analyze temporal trends and predict future stroke patterns.
- To identify data gaps and methodological inconsistencies.
Main Methods:
- Review of existing epidemiological data on stroke in Asian countries.
- Analysis of temporal trends in stroke incidence, prevalence, and subtypes over two decades.
- Examination of gender differences in stroke risk factors and outcomes.
Main Results:
- Lack of standardized, comparable epidemiological data across Asian countries.
- Rising stroke incidence, earlier age of onset, and an increase in ischemic strokes.
- Declining lacunar strokes, with intracranial large artery atherosclerosis emerging as a predominant cause.
Conclusions:
- Urgent need for standardized stroke epidemiological studies in Asia, especially in developing nations.
- Asia requires prioritization for stroke interventions and preventive strategies.
- Understanding gender-specific differences is vital for targeted public health policies.
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