RT Journal Article
SR Electronic
T1 Trend of declining stroke mortality in China: reasons and analysis
JF Stroke and Vascular Neurology
FD BMJ Publishing Group Ltd
SP 132
OP 139
DO 10.1136/svn-2017-000098
VO 2
IS 3
A1 Wenzhi Wang
A1 David Wang
A1 Hongmei Liu
A1 Haixin Sun
A1 Bin Jiang
A1 Xiaojuan Ru
A1 Dongling Sun
A1 Zhenghong Chen
A1 Yongjun Wang
YR 2017
UL http://svn.bmj.com/content/2/3/132.abstract
AB Introduction There is a downward trend of stroke-related mortality in the USA. By reviewing all published articles on stroke mortality in China, we analysed its trend and possible factors that have influenced the trend.Methods Both English and Chinese literatures were searched on the mortality of stroke or cerebrovascular diseases in China. Potential papers related to this topic were identified from PubMed, Medline, Embase, Cochrane Library, Wanfang Database, SINOMED and China National Knowledge Infrastructure databases.Results Comparing the results from the most recent population-based epidemiological survey and databank from the national Center for Disease Control and Prevention, the age-adjusted stroke mortality rate has shown a downward trend among both urban and rural population in the past 30 years in China. Comparing with 30 years ago, the rate of stroke mortality has decreased by more than 31% in urban/suburban population and 11% in rural population. In men, the age-adjusted stroke mortality rate decreased by 18.9% and in women by 24.9% between 1994 and 2013. Factors that may have contributed to the trend of decreased stroke mortality rate include (1) improved healthcare coverage and healthcare environment; (2) improved treatment options and medical technology; (3) support by government to educate the public on stroke and stroke prevention; and (4) improved public knowledge on stroke.Conclusions The age-adjusted stroke mortality rate in China has shown a downward trend among both urban and rural population in the past 30 years. The major influencing factors that helped in reducing stroke mortality in China included improved healthcare coverage, healthcare environment, the updated treatment options and modern medical technology.