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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 4
May  2021
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DING Xian-bin, JIAO Yan, MAO De-qiang, XU Jie, TANG Wen-ge. Trend change of ischemic stroke incidence and mortality between 2012 and 2018 in Chongqing[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(4): 454-459. doi: 10.16462/j.cnki.zhjbkz.2021.04.015
Citation: DING Xian-bin, JIAO Yan, MAO De-qiang, XU Jie, TANG Wen-ge. Trend change of ischemic stroke incidence and mortality between 2012 and 2018 in Chongqing[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(4): 454-459. doi: 10.16462/j.cnki.zhjbkz.2021.04.015

Trend change of ischemic stroke incidence and mortality between 2012 and 2018 in Chongqing

doi: 10.16462/j.cnki.zhjbkz.2021.04.015
Funds:

Cohort Study of Natural Population in Heavy Pollution, Sichuan Basin 2017YFC0907303

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  • Corresponding author: DING Xian-bin, E-mail: xianbinding@126.com
  • Received Date: 2020-07-23
  • Rev Recd Date: 2020-11-08
  • Available Online: 2021-05-11
  • Publish Date: 2021-04-10
  •   Objective  To understand the trend change of ischemic stroke incidence and mortality between 2012 and 2018 in Chongqing, so as to provide suggestions for ischemic stroke prevention and control.  Methods  Cases of the ischemic stroke, were collected from the surveillance system of cardiovascular and stroke from 2012 to 2018 in Chongqing. Indicators including incidence, age standardization incidence rate(ASIR), mortality, age standardized mortality rate(ASMR), and proportion of ischemic stroke were analyzed by SPSS 25.0. The differences of the ischemic stroke incidence and mortality were compared by Chi-square test between male and female, urban and rural area. The trend change of the incidence and mortality of ischemic stroke were indicated by annual change percent (APC).  Results  The incidence and ASIR of ischemic stroke were 172.78/100 000 and 140.80/100 000 in 2012, Chongqing. The incidence and ASIR of ischemic stroke were 186.63/100 000 and 139.17/100 000 in 2018, Chongqing. APC of incidence and ASIR were 1.71% and 0.80%. And the trend changes of the incidence and ASIR had no significance (all P>0.05). The incidence of ischemic stroke in male was higher than that in female (all P < 0.05). The incidence of ischemic stroke in urban area was higher than that in rural area (all P < 0.05). The incidence of ischemic stroke increased by 6.29% annually in rural area (t=2.83, P=0.037). The mortality and ASMR of ischemic stroke increased from 17.89/100 000, 16.11/100 000 in 2012 to 39.03/100 000, 26.12/100 000 in 2018 significantly. And its APC were 15.37% (t=6.68, P=0.001) and 7.79% (t=5.43, P < 0.001). The mortality of ischemic stroke in male were higher than that in female(all P < 0.05). The mortality and ASMR of ischemic stroke increased by 14.91% (t=8.72, P < 0.001) and 12.86% (t=7.63, P=0.001) in rural area significantly.  Conclusion  The incidence and mortality of ischemic stroke in Chongqing were high. The incidence of ischemic stroke was stable in Chongqing. However, the mortality of ischemic stroke increased rapidly in Chongqing. The male and rural area were crucial for ischemic stroke prevention and control.
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