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[Trends in case fatality of hemorrhagic stroke and ischemic stroke in China, 2015-2019]

X R Chen1, J Wu1, L Hou1

  • 1National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

Zhonghua Liu Xing Bing Xue Za Zhi = Zhonghua Liuxingbingxue Zazhi
|August 25, 2025
PubMed

Insights

From 2015 to 2019, both hemorrhagic stroke (HS) and ischemic stroke (IS) case fatality rates within 28 days decreased in China. However, significant variations persist across stroke types, age groups, and urban-rural settings, necessitating targeted interventions.

Area of Science:

  • Cardiovascular Epidemiology
  • Neurology
  • Public Health

Context:

  • Stroke remains a leading cause of death and disability globally.
  • Understanding epidemiological characteristics of stroke outcomes is crucial for public health interventions.
  • China has a high burden of cardiovascular diseases, including stroke.

Purpose:

  • To analyze the epidemiological features of 28-day case fatality for hemorrhagic stroke (HS) and ischemic stroke (IS) in China from 2015 to 2019.
  • To identify trends and variations in stroke case fatality based on stroke subtype, age, and geographic location (urban vs. rural).

Summary:

  • The study analyzed 28-day case fatality data for over 200,000 stroke deaths (HS and IS) across China between 2015 and 2019.
  • While overall case fatality decreased significantly for both HS and IS, HS consistently had a higher fatality rate than IS.
  • Higher fatality rates were observed in older age groups and rural areas for both stroke types, with notable differences in the magnitude of decrease between urban and rural populations.

Impact:

  • The findings highlight a positive trend in reducing stroke mortality but underscore persistent disparities.
  • Results indicate the need for tailored stroke prevention, treatment, and post-stroke management strategies in China.
  • This research provides valuable data for public health policy and resource allocation to address the stroke burden effectively.

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