Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/32036
Title: Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
Authors: JOHNSON, Catherine OwensMinh NguyenROTH, Gregory A.NICHOLS, EmmaALAM, TahiyaABATE, DeguABD-ALLAH, FoadABDELALIM, AhmedABRAHA, Haftom NiguseABU-RMEILEH, Niveen MeADEBAYO, Oladimeji M.ADEOYE, Abiodun MoshoodAGARWAL, GinaAGRAWAL, SutapaAICHOUR, Amani NidhalAICHOUR, IbtihelAICHOUR, Miloud Taki EddineALAHDAB, FaresALI, RaghibALVIS-GUZMAN, NelsonANBER, Nahla HamedANJOMSHOA, MinaARABLOO, JalalARAUZ, AntonioARNLOV, JohanARORA, AmitAWASTHI, AshishBANACH, MaciejBARBOZA, Miguel A.BARKER-COLLO, Suzanne LynBARNIGHAUSEN, Till WinfriedBASU, SanjayBELACHEW, Abate BekeleBELAYNEH, Yaschilal MucheBENNETT, Derrick A.BENSENOR, Isabela M.BHATTACHARYYA, KrittikaBIADGO, BeleteBIJANI, AliBIKBOV, BorisSAYEED, Muhammad Shahdaat BinBUTT, Zahid A.CAHUANA-HURTADO, LuceroCARRERO, Juan J.CARVALHO, FelixCASTANEDA-ORJUELA, Carlos A.CASTRO, FranzCATALA-LOPEZ, FerranCHAIAH, YazanCHIANG, Peggy Pei-ChiaCHOI, Jee-Young J.CHRISTENSEN, HanneCHU, Dinh-ToiCORTINOVIS, MonicaDAMASCENO, Albertino Antonio MouraDANDONA, LalitDANDONA, RakhiDARYANI, AhmadDAVLETOV, KairatCOURTEN, Barbora DeCRUZ-GONGORA, Vanessa De laDEGEFA, Meaza GirmaDHARMARATNE, Samath DhammindaDIAZ, DanielDUBEY, ManishaDUKEN, Eyasu EjetaEDESSA, DumessaENDRES, MatthiasFARAON, Emerito Jose A.FARZADFAR, FarshadFERNANDES, EduardaFISCHER, FlorianFLOR, Luisa SorioGANJI, MorsalehGEBRE, Abadi KahsuGEBREMICHAEL, Teklu GebrehiwoGETA, BirhanuGEZAE, Kebede EmbayeGILL, Paramjit SinghGNEDOVSKAYA, Elena V.GOMEZ-DANTES, HectorGOULART, Alessandra C.GROSSO, GiuseppeGUO, YumingGUPTA, RajeevHAJ-MIRZAIAN, ArvinHAJ-MIRZAIAN, AryaHAMIDI, SamerHANKEY, Graeme J.HASSEN, Hamid YimamHAY, Simon I.HEGAZY, Mohamed I.HEIDARI, BehnamHERIAL, Nabeel A.HOSSEINI, Mohammad AliHOSTIUC, SorinIRVANI, Seyed Sina NaghibiISLAM, Sheikh Mohammed SharifulJAHANMEHR, NaderJAVANBAKHT, MehdiJHA, Ravi PrakashJONAS, Jost B.JOZWIAK, Jacek JerzyJURISSON, MikkKAHSAY, AmahaKALANI, RizwanKALKONDE, YogeshwarKAMIL, Teshome AbegazKANCHAN, TanujKARCH, AndreKARIMI, NargesKARIMI-SARI, HamidrezaKASAEIAN, AmirKASSA, Tesfaye DessaleKAZEMEINI, HosseinKEFALE, Adane TeshomeKHADER, Yousef SalehKHALIL, Ibrahim A.KHAN, Ejaz AhmadKHANG, Young-HoKHUBCHANDANI, JagdishKIM, DanielKIM, Yun JinKISA, AdnanKIVIMAKI, MikaKOYANAGI, AiKRISHNAMURTHI, Rita K.KUMAR, G. AnilLAFRANCONI, AlessandraLEWINGTON, SarahLI, ShanshanLO, Warren DavidLOPEZ, Alan D.LORKOWSKI, StefanLOTUFO, Paulo A.MACKAY, Mark T.MAJDAN, MarekMAJDZADEH, RezaMAJEED, AzeemMALEKZADEH, RezaMANAFI, NavidMANSOURNIA, Mohammad AliMEHNDIRATTA, Man MohanMEHTA, VarshilMENGISTU, GetnetMERETOJA, AtteMERETOJA, Tuomo J.MIAZGOWSKI, BartoszMIAZGOWSKI, TomaszMILLER, Ted R.MIRRAKHIMOV, Erkin M.MOHAJER, BahramMOHAMMAD, YousefMOHAMMADOO-KHORASANI, MiladMOHAMMED, ShafiuMOHEBI, FarnamMOKDAD, Ali H.MOKHAYERI, YaserMORADI, GhobadMORAWSKA, LidiaVELASQUEZ, Ilais MorenoMOUSAVI, Seyyed MeysamMUHAMMED, Oumer Sada S.MURUET, WalterNADERI, MehdiNAGHAVI, MohsenNAIK, GurudattaNASCIMENTO, Bruno RamosNEGOI, Ruxandra IrinaCuong Tat NguyenLong Hoang NguyenNIRAYO, Yirga LegesseNORRVING, BoNOUBIAP, Jean JacquesOFORI-ASENSO, RichardOGBO, Felix AkpojeneOLAGUNJU, Andrew T.OLAGUNJU, Tinuke O.OWOLABI, Mayowa OjoPANDIAN, Jeyaraj DuraiPATEL, ShantiPERICO, NorbertoPIRADOV, Michael A.POLINDER, SuzannePOSTMA, Maarten J.POUSTCHI, HosseinPRAKASH, V.QORBANI, MostafaRAFIEI, AlirezaRAHIM, FakherRAHIMI, KazemRAHIMI-MOVAGHAR, VafaRAHMAN, MahfuzarRAHMAN, Muhammad AzizREIS, CesarREMUZZI, GiuseppeRENZAHO, Andre M. N.RICCI, StefanoROBERTS, Nicholas L. S.ROBINSON, Stephen R.ROEVER, LeonardoROSHANDEL, GholamrezaSABBAGH, ParisaSAFARI, HoseinSAFARI, SaeedSAFIRI, SaeidSAHEBKAR, AmirhosseinZAHABI, Saleh SalehiSAMY, Abdallah M.SANTALUCIA, PaolaSANTOS, Itamar S.SANTOS, Joao VascoMILICEVIC, Milena M. SantricSARTORIUS, BennSAWANT, Arundhati R.SCHUTTE, Aletta ElisabethSEPANLOU, Sadaf G.SHAFIEESABET, AzadehSHAIKH, Masood AliSHAMS-BEYRANVAND, MehranSHEIKH, AzizSHETH, Kevin N.SHIBUYA, KenjiSHIGEMATSU, MikaSHIN, Min-JeongSHIUE, IvySIABANI, SorayaSOBAIH, Badr HasanSPOSATO, Luciano A.SUTRADHAR, IpsitaSYLAJA, P. A.SZOEKE, Cassandra E. I.AO, Braden James TeTEMSAH, Mohamad-HaniTEMSAH, OmarTHRIFT, Amanda G.TONELLI, MarcelloTOPOR-MADRY, RomanBach Xuan TranKhanh Bao TranTRUELSEN, Thomas ClementTSADIK, Afewerki GebremeskelULLAH, IrfanUTHMAN, Olalekan A.VADUGANATHAN, MuthiahVALDEZ, Pascual R.VASANKARI, Tommi JuhaniVASANTHAN, RajagopalanVENKETASUBRAMANIAN, NarayanaswamyVOSOUGHI, KiaGiang Thu VuWAHEED, YasirWEIDERPASS, ElisabeteWELDEGWERGS, Kidu GideyWESTERMAN, RonnyWOLFE, Charles D. A.WONDAFRASH, Dawit ZewduXU, GelinYADOLLAHPOUR, AliYAMADA, TomohideYATSUYA, HiroshiYIMER, Ebrahim M.YONEMOTO, NaohiroYOUSEFIFARD, MahmoudYU, ChuanhuaZAIDI, ZoubidaZAMANI, MohammadZARGHI, AfshinZHANG, YunquanZODPEY, SanjayFEIGIN, Valery L.VOS, TheoMURRAY, Christopher J. L.
Citation: LANCET NEUROLOGY, v.18, n.5, p.439-458, 2019
Abstract: Background Stroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are substantial. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic, comparable method of quantifying health loss by disease, age, sex, year, and location to provide information to health systems and policy makers on more than 300 causes of disease and injury, including stroke. The results presented here are the estimates of burden due to overall stroke and ischaemic and haemorrhagic stroke from GBD 2016. Methods We report estimates and corresponding uncertainty intervals (UIs), from 1990 to 2016, for incidence, prevalence, deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs). DALYs were generated by summing YLLs and YLDs. Cause-specific mortality was estimated using an ensemble modelling process with vital registration and verbal autopsy data as inputs. Non-fatal estimates were generated using Bayesian meta-regression incorporating data from registries, scientific literature, administrative records, and surveys. The Socio-demographic Index (SDI), a summary indicator generated using educational attainment, lagged distributed income, and total fertility rate, was used to group countries into quintiles. Findings In 2016, there were 5.5 million (95% UI 5.3 to 5.7) deaths and 116.4 million (111.4 to 121.4) DALYs due to stroke. The global age-standardised mortality rate decreased by 36.2% (-39.3 to -33.6) from 1990 to 2016, with decreases in all SDI quintiles. Over the same period, the global age-standardised DALY rate declined by 34.2% (-37.2 to -31.5), also with decreases in all SDI quintiles. There were 13.7 million (12.7 to 14.7) new stroke cases in 2016. Global age-standardised incidence declined by 8.1% (-10.7 to -5.5) from 1990 to 2016 and decreased in all SDI quintiles except the middle SDI group. There were 80.1 million (74.1 to 86.3) prevalent cases of stroke globally in 2016; 41.1 million (38.0 to 44.3) in women and 39.0 million (36.1 to 42.1) in men. Interpretation Although age-standardised mortality rates have decreased sharply from 1990 to 2016, the decrease in age-standardised incidence has been less steep, indicating that the burden of stroke is likely to remain high. Planned updates to future GBD iterations include generating separate estimates for subarachnoid haemorrhage and intracerebral haemorrhage, generating estimates of transient ischaemic attack, and including atrial fibrillation as a risk factor.
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Artigos e Materiais de Revistas Científicas - FM/MCM
Departamento de Clínica Médica - FM/MCM

Artigos e Materiais de Revistas Científicas - HU
Hospital Universitário - HU

Artigos e Materiais de Revistas Científicas - LIM/20
LIM/20 - Laboratório de Terapêutica Experimental

Artigos e Materiais de Revistas Científicas - LIM/51
LIM/51 - Laboratório de Emergências Clínicas

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar


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