Trends in Mortality from Stroke in Latin America and the Caribbean, 1979-2015

Primer Autor
Soto, Alvaro
Co-autores
Guillen-Grima, Francisco
Morales, Gladys
Munoz, Sergio
Aguinaga-Ontoso, Ines
Vanegas, Jairo
Título
Trends in Mortality from Stroke in Latin America and the Caribbean, 1979-2015
Editorial
UBIQUITY PRESS LTD
Revista
GLOBAL HEART
Lenguaje
en
Resumen
Background: Stroke is the second largest single cause of death and disability in Latin America and the Caribbean (LAC). There have been large overall declines in stroke mortality rates in most LAC countries in recent decades. Objective: To analyze trends in mortality caused by stroke in LAC countries in the period 1979-2015. Methods: We extracted data for age-standardized stroke mortality rates per 100,000 in LAC for the period 1979-2015 from the World Health Organization Mortality Database. Joinpoint regression was used to analyze the trends and compute the annual percent change (APC) in LAC as a whole and by country. Analyses were conducted by gender, region and World Bank income classification. Results: Mortality from stroke has decreased in LAC over the study period by an average APC of -1.9%. Most countries showed significant downward trends, with the sharpest decreases in Chile, Colombia and Uruguay. We recorded statistically significant decreases of -1.4% and -2.4% in mortality rates in men and women, respectively, in the whole LAC. Southern and high-income countries showed the steepest decreases. Conclusions: Stroke mortality has decreased in LAC, in both sexes, especially in southern and high-income countries. Our results could serve as a reference for the development of primary prevention and acute management of stroke policies focused on countries with higher mortality.
Tipo de Recurso
artículo original
doi
10.5334/gh.1114
Formato Recurso
PDF
Palabras Claves
stroke
Latin America
Caribbean
joinpoint regression analysis
mortality
trends
CEREBROVASCULAR DISEASES
RISK-FACTORS
CHILE
COMMUNITY
PROGNOSIS
BURDEN
Ubicación del archivo
http://dx.doi.org/10.5334/gh.1114
Categoría OCDE
Sistemas cardíacos y cardiovasculares
Materias
accidente cerebrovascular
América Latina
Caribe
análisis de regresión joinpoint
mortalidad
tendencias
ENFERMEDADES CEREBROVASCULARES
FACTORES DE RIESGO
CHILE
COMUNIDAD
PRONÓSTICO
CARGA
Disciplinas de la OCDE
Epidemiología
Salud Pública y Ambiental
Otros Temas de Medicina Clínica
Título de la cita (Recomendado-único)
Trends in Mortality from Stroke in Latin America and the Caribbean, 1979-2015
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
version publicada
License
CC BY 4.0
Condición de la licencia (Recomendado-repetible)
CC BY 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000788940000001
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