Global Burden of Stroke
Open accessAbstract
Stroke is the second leading cause of death and a major cause of disability worldwide. Its incidence is increasing because the population ages. In addition, more young people are affected by stroke in low- and middle-income countries. Ischemic stroke is more frequent but hemorrhagic stroke is responsible for more deaths and disability-adjusted life-years lost. Incidence and mortality of stroke differ between countries, geographical regions, and ethnic groups. In high-income countries mainly, improvements in prevention, acute treatment, and neurorehabilitation have led to a substantial decrease in the burden of stroke over the past 30 years. This article reviews the epidemiological and clinical data concerning stroke incidence and burden around the globe.
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Electrocorticography and micro-electrocorticography have enabled high-resolution temporal and spatial recordings useful in vivo, including for brain-computer interfaces.
“In practice, however, electrocorticography (ECoG) and microelectrocorticography (µECoG) have facilitated high temporal-and spatial-resolution recordings for effective use in in vivo applications 56,64,65 , including brain-computer interfaces.”
From The Layer 7 Cortical Interface: A Scalable and Minimally Invasive Brain–Computer Interface Platform (2022) · cites this paper as [65]
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Atrial Fibrillation and Ischemic Stroke: A Clinical Review
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“Cerebral ischemic stroke is one of the leading causes of death and long-term disability in the world [40].”
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Screening for aspiration risk associated with dysphagia in acute stroke
Boaden, E., Burnell, J., Hives, L., Dey, P., Clegg, A. J., Lyons, M., Lightbody, C. E., Hurley, M. A., Roddam, H., McInnes, E., et al. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012679.pub2 · Cited by 108 · see citing works
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Systematic review of the evidence for stroke family caregiver and dyad interventions
Bakas, T., McCarthy, M. J., & Miller, E. L. (2022) · Stroke · doi:10.1161/strokeaha.121.034090 · Cited by 109 · see citing works
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“Stroke is the second leading cause of death disability worldwide (32).”
BackgroundWang, Y., & Xu, Q. (2021) · Scientific Reports · doi:10.1038/s41598-020-80411-0 · Cited by 98 · see citing works
SNHG12 Promotes Angiogenesis Following Ischemic Stroke via Regulating miR-150/VEGF Pathway
Zhao, M., Wang, J., Xi, X., Tan, N., & Zhang, L. (2018) · Neuroscience · doi:10.1016/j.neuroscience.2018.08.029 · Cited by 97 · see citing works
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Glial Cells as Therapeutic Approaches in Brain Ischemia-Reperfusion Injury
Hernández, I. H., Villa-González, M., Martín-López, G., Soto, M. S., & Pérez-Álvarez, M. J. (2021) · Cells · doi:10.3390/cells10071639 · Cited by 94 · see citing works
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Neutrophil extracellular traps: A novel target for the treatment of stroke
Zhao, Z., Pan, Z., Zhang, S., Ma, G., Zhang, W., Song, J., Wang, Y., Kong, L., & Du, G. (2022) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2022.108328 · Cited by 95 · see citing works
Intra- and inter-rater reliability of Fugl-Meyer Assessment of Lower Extremity early after stroke
Hernández-Álvarez, E. D., Forero, S. M., Galeano, C. P., Barbosa, N. E., Sunnerhagen, K. S., & Murphy, M. A. (2020) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2020.12.002 · Cited by 92 · see citing works
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“It has high morbidity and mortality and is a global health burden.(178) tFNAs have been applied in both diseases to explore whether they can positively influence neurological inflammation.”
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“Stroke is a predominant cause of permanent disability and death worldwide (Katan and Luft 2018).”
BackgroundThe AIM2 inflammasome: A novel biomarker and target in cardiovascular disease
Du, L., Wang, X., Chen, S., & Guo, X. (2022) · Pharmacological Research · doi:10.1016/j.phrs.2022.106533 · Cited by 86 · see citing works
Low‐Field MRI of Stroke: Challenges and Opportunities
Bhat, S. S., Fernandes, T., Poojar, P., Ferreira, M. D. S., Padma, C. R., Hanumantharaju, M. C., Ogbole, G. I., Nunes, R. G., & Geethanath, S. (2020) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.27324 · Cited by 85 · see citing works
“Pathophysiology of Stroke Stroke is a cerebrovascular disease and a leading cause of death worldwide after ischemic heart disease.(2) Stroke is broadly classified into two types: ischemic or hemorrhagic.”
BackgroundAkyea, R. K., Vinogradova, Y., Qureshi, N., Patel, R. S., Kontopantelis, E., Ntaios, G., Asselbergs, F. W., Kai, J., & Weng, S. F. (2021) · Stroke · doi:10.1161/strokeaha.120.031659 · Cited by 85 · see citing works
Wiley, E., Khattab, S., & Tang, A. (2020) · Disability and Rehabilitation Assistive Technology · doi:10.1080/17483107.2020.1755376 · Cited by 84 · see citing works
“Introduction With over 80 million individuals globally living with stroke, stroke is the second leading cause of disability and death worldwide [1,2].”
BackgroundGill, D., Brewer, C. F., Monori, G., Trégouët, D., Franceschini, N., Giambartolomei, C., Tzoulaki, I., & Dehghan, A. (2019) · Journal of the American Heart Association · doi:10.1161/jaha.119.012994 · Cited by 81 · see citing works
Metformin: A Potential Candidate for Targeting Aging Mechanisms
Hu, D., Xie, F., Xiao, Y., Chen, L., Zhong, J., Huang, D., Chen, J., Wei, J., Jiang, Y., & Zhong, T. (2021) · Aging and Disease · doi:10.14336/ad.2020.0702 · Cited by 79 · see citing works
Calderone, A., Latella, D., Bonanno, M., Quartarone, A., Mojdehdehbaher, S., Celesti, A., & Calabrò, R. S. (2024) · Biomedicines · doi:10.3390/biomedicines12102415 · Cited by 78 · see citing works
Prediction of Long-Term Stroke Recurrence Using Machine Learning Models
Abedi, V., Avula, V., Chaudhary, D. P., Shahjouei, S., Khan, A., Griessenauer, C. J., Li, J., & Zand, R. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10061286 · Cited by 77 · see citing works
Kent, R. D., Kim, Y., & Chen, L.-M. (2021) · Journal of Speech Language and Hearing Research · doi:10.1044/2021_jslhr-21-00396 · Cited by 77 · see citing works
Deep learning-based behavioral profiling of rodent stroke recovery
Weber, R., Mulders, G., Kaiser, J., Tackenberg, C., & Rust, R. (2022) · BMC Biology · doi:10.1186/s12915-022-01434-9 · Cited by 77 · see citing works
“42 The following scoring was applied; (0) no observable deficit; (1) forelimb flexion; (2) forelimb flexion and decreased resistance to lateral push; (3) circling; (4) circling and spinning around the cranial-caudal axis; (5) no spontaneous movement/ death.”
MethodIschemic Stroke Genetics: What Is New and How to Apply It in Clinical Practice?
Ekkert, A., Šliachtenko, A., Grigaitė, J., Burnytė, B., Utkus, A., & Jatužis, D. (2021) · Genes · doi:10.3390/genes13010048 · Cited by 76 · see citing works
“Stroke is a frequent medical emergency, the burden of which is rising annually [1].”
BackgroundMolecular Pathways of Vulnerable Carotid Plaques at Risk of Ischemic Stroke: A Narrative Review
Miceli, G., Basso, M. G., Pintus, C., Pennacchio, A. R., Cocciola, E., Cuffaro, M., Profita, M., Rizzo, G., & Tuttolomondo, A. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25084351 · Cited by 79 · see citing works
“Stroke represents one of the leading causes of death and disability worldwide, with carotid artery atherosclerosis being a primary risk factor for its development [1].”
BackgroundHassan, A., Ahmad, S. G., Munir, E. U., Khan, I., & Ramzan, N. (2024) · Scientific Reports · doi:10.1038/s41598-024-61665-4 · Cited by 86 · see citing works
RetractedCerebrovascular plasticity: Processes that lead to changes in the architecture of brain microvessels
Bogorad, M. I., DeStefano, J. G., Linville, R. M., Wong, A. D., & Searson, P. C. (2019) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1177/0271678x19855875 · Cited by 72 · see citing works
Machine learning to predict mortality after rehabilitation among patients with severe stroke
Scrutinio, D., Ricciardi, C., Donisi, L., Losavio, E., Battista, P., Guida, P., Cesarelli, M., Pagano, G., & D’Addio, G. (2020) · Scientific Reports · doi:10.1038/s41598-020-77243-3 · Cited by 75 · see citing works
Bargeri, S., Scalea, S., Agosta, F., Banfi, G., Corbetta, D., Filippi, M., Sarasso, E., Turolla, A., Castellini, G., & Gianola, S. (2023) · EClinicalMedicine · doi:10.1016/j.eclinm.2023.102220 · Cited by 82 · see citing works
Protein tyrosine phosphatase 1B (PTP1B) as a potential therapeutic target for neurological disorders
Olloquequi, J., Cano, A. C., Sánchez‐López, E., Carrasco, M., Verdaguer, E., Fortuna, A. C., Folch, J., Bulló, M., Auladell, C., Camins, A., et al. (2022) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2022.113709 · Cited by 72 · see citing works
“Currently, strokes are the second leading cause of death worldwide [165].”
BackgroundReview of imaging biomarkers for the vulnerable carotid plaque
Saba, L., Agarwal, N., Cau, R., Gerosa, C., Sanfilippo, R., Porcu, M., Montisci, R., Cerrone, G., Yang, Q., Balestrieri, A., et al. (2021) · JVS Vascular Science · doi:10.1016/j.jvssci.2021.03.001 · Cited by 70 · see citing works
“The current incidence of stroke in Europe and the USA is approximately 200 per 100,000 population per year of which 80% of strokes are ischemic.(1,2) Severe carotid artery stenosis is a wellestablished risk factor and accounts for approximately 20% of all ischemic strokes.”
BackgroundThe Role of NF-κB Triggered Inflammation in Cerebral Ischemia
Jover‐Mengual, T., Hwang, J.-Y., Byun, H.-R., Court-Vazquez, B. L., Centeno, J. M., Burguete, M. C., & Zukin, R. S. (2021) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2021.633610 · Cited by 69 · see citing works
Cardamonin attenuates cerebral ischemia/reperfusion injury by activating the HIF ‐1α/ VEGFA pathway
Ni, H., Li, J., Zheng, J., & Zhou, B. (2022) · Phytotherapy Research · doi:10.1002/ptr.7409 · Cited by 68 · see citing works
Liquid Biopsy in Neurological Diseases
Malhotra, S., Miras, M. C. M., Pappolla, A., Montalbán, X., & Comabella, M. (2023) · Cells · doi:10.3390/cells12141911 · Cited by 69 · see citing works
“Stroke is the second leading cause of death and a significant cause of disability worldwide [79].”
BackgroundCeradini, M., Losanno, E., Micera, S., Bandini, A., & Orlandi, S. (2024) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-024-01367-0 · Cited by 76 · see citing works
“Given the global prevalence of stroke [28], stroke survivors have naturally emerged as primary candidates for immersive VR-based rehabilitation programs (Fig.”
BackgroundRole of vitamin B12 deficiency in ischemic stroke risk and outcome
Yahn, G. B., Abato, J. E., & Jadavji, N. M. (2020) · Neural Regeneration Research · doi:10.4103/1673-5374.291381 · Cited by 68 · see citing works
Wan, X.-J., Chau, J., Mou, H.-Y., & Liu, X. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.104001 · Cited by 65 · see citing works
Zheng, T., Jiang, T., Ma, H., Zhu, Y., & Wang, M. Y. (2024) · Molecular Neurobiology · doi:10.1007/s12035-024-04039-1 · Cited by 68 · see citing works
“Ischemic stroke is a prevalent acute cerebrovascular ailment, capable of causing profound neurological dysfunction and, in severe cases, fatalities [1].”
Current status of ischemic stroke treatment: From thrombolysis to potential regenerative medicine
Hurd, M. D., Goel, I., Sakai, Y., & Teramura, Y. (2021) · Regenerative Therapy · doi:10.1016/j.reth.2021.09.009 · Cited by 66 · see citing works
“Stroke is the secondmost common cause of death and amajor cause of disability globally [5].”
BackgroundLi, L., Tyson, S. F., & Weightman, A. (2021) · Frontiers in Medical Technology · doi:10.3389/fmedt.2021.780090 · Cited by 66 · see citing works
“We categorized groups based on following characteristics: (1) participants’ occupation (OT, occupational therapists; PT, physiotherapists); (2) career stage (<1 year, 1–5 years, 6–10 years, and >10 years); and (3) rehabilitation robot type (end-effector and exoskeleton).”
BackgroundMethodQuality of life of stroke survivors in Africa: a systematic review and meta-analysis
Bello, U. M., Chutiyami, M., Salihu, D., Abdu, S. I., Tafida, B. A., Jabbo, A. A., Gamawa, A., Umar, L., Lawan, A., Miller, T., et al. (2021) · Quality of Life Research · doi:10.1007/s11136-020-02591-6 · Cited by 64 · see citing works
“Globally, stroke survivors report low QoL for reasons related to the cost of optimal medical services, lifestyle factors, low medical literacy, environmental and socioeconomic factors and inadequate adherence to interventions [41, 42].”
BackgroundGut Microbiota in Ischemic Stroke: Role of Gut Bacteria-Derived Metabolites
Zhang, W., Dong, X. Y., & Huang, R. (2022) · Translational Stroke Research · doi:10.1007/s12975-022-01096-3 · Cited by 66 · see citing works
“Among new cases, 26% recovered with the ability to conduct basic daily activities only, and 50% suffered declined mobility due to hemiparesis [2].”
BackgroundVirtual and Augmented Reality in Post-stroke Rehabilitation: A Narrative Review
Khokale, R. V., Mathew, G. S., Ahmed, S., Maheen, S., Fawad, M., Bandaru, P., Zerin, A., Nazir, Z., Khawaja, I., Sharif, I., et al. (2023) · Cureus · doi:10.7759/cureus.37559 · Cited by 63 · see citing works
“Hemorrhagic strokes are less common than ischemic strokes, but they cause more severe outcomes, leading to death and disability-adjusted life-years (DALYs) lost [4,11].”
BackgroundYang, X., Shi, X., Xue, X., & Deng, Z. (2023) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2023.02.004 · Cited by 62 · see citing works
Characterization of the Blood Brain Barrier Disruption in the Photothrombotic Stroke Model
Weber, R., Grönnert, L., Mulders, G., Maurer, M., Tackenberg, C., Schwab, M. E., & Rust, R. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.586226 · Cited by 61 · see citing works
Siepmann, M., Weidner, K., Petrowski, K., & Siepmann, T. (2022) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-022-09572-0 · Cited by 61 · see citing works
“…cause of death and a major cause of lasting disability in adults worldwide and more than three quarters of stroke survivors display symptoms due to compromised regulation of the cardiovascular system and other organs by the autonomic nervous system (Katan & Luft, 2018; Xiong et al., 2012, 2014).”
BackgroundThomas, S., Plumber, N., Venkatapathappa, P., & Gorantla, V. R. (2021) · International Journal of Vascular Medicine · doi:10.1155/2021/4244267 · Cited by 59 · see citing works
Gangemi, A., Luca, R. D., Fabio, R. A., Lauria, P., Rifici, C., Pollicino, P., Marra, A., Olivo, A., Quartarone, A., & Calabrò, R. S. (2023) · Biomedicines · doi:10.3390/biomedicines11123225 · Cited by 58 · see citing works
“Survivors of stroke face immediate challenges in coping with long-term sensory-motor and cognitive impairments [1,2].”
BackgroundOlawade, D. B., Aderinto, N., David-Olawade, A. C., Egbon, E., Adereni, T., Popoola, M. R., & Tiwari, R. (2024) · Clinical Neurology and Neurosurgery · doi:10.1016/j.clineuro.2024.108689 · Cited by 58 · see citing works
Morone, G., Neurorehabilitation, O. B. O. ". I. C. C. O. R. I., Palomba, A., Cinnera, A. M., Agostini, M., Aprile, I. G., Arienti, C., Paci, M., Casanova, E., MARINO, D., et al. (2021) · European Journal of Physical and Rehabilitation Medicine · doi:10.23736/s1973-9087.21.06625-9 · Cited by 57 · see citing works
Wang, H., Sun, J., Sun, M., Liu, N., & Wang, M. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.11.001 · Cited by 57 · see citing works
Cortés‐Pérez, I., Nieto-Escámez, F. A., & Obrero‐Gaitán, E. (2020) · Brain Sciences · doi:10.3390/brainsci10050296 · Cited by 57 · see citing works
“Motor and cognitive impairments observed in post-stroke patients reduce their functional capacity, their personal autonomy [4], and social abilities, which results in intensive care and rehabilitation needs with the subsequent economic burden to society and families [5].”
BackgroundScreening for aspiration risk associated with dysphagia in acute stroke
Boaden, E., Doran, D., Burnell, J., Clegg, A. J., Dey, P., Hurley, M. A., Alexandrov, A. W., McInnes, E., & Watkins, C. L. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012679 · Cited by 56 · see citing works
Mascolo, A., Scavone, C., Scisciola, L., Chiodini, P., Capuano, A., & Paolisso, G. (2021) · Pharmacological Research · doi:10.1016/j.phrs.2021.105836 · Cited by 55 · see citing works
Liang, K., Han, K., Li, X., Cheng, X., Li, Y., Wang, Y., & Yu, Y. (2021) · Lecture notes in computer science · doi:10.1007/978-3-030-87234-2_41 · Cited by 54 · see citing works
“Acute ischemic stroke is one of the leading causes of death and disability worldwide and imposes an enormous burden for the health care system [8].”
BackgroundCurrent approaches and advances in the imaging of stroke
Kakkar, P., Kakkar, T., Patankar, T. F., & Saha, S. (2021) · Disease Models & Mechanisms · doi:10.1242/dmm.048785 · Cited by 54 · see citing works
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Gamal, H. E., Parray, A., Mir, F. A., Shuaib, A. M., & Agouni, A. (2019) · Journal of Cellular Physiology · doi:10.1002/jcp.28499 · Cited by 54 · see citing works
“Stroke is one of the most devastating neurological disorders and is considered one of the leading causes of long‐term acquired disability in adults (Katan & Luft, 2018).”
BackgroundSaba, L., Loewe, C., Weikert, T., Williams, M. C., Galea, N., Budde, R. P. J., Vliegenthart, R., Velthuis, B. K., Francone, M., Bremerich, J., et al. (2022) · European Radiology · doi:10.1007/s00330-022-09024-7 · Cited by 53 · see citing works
Analyzing stroke burden and risk factors in India using data from the Global Burden of Disease Study
Behera, D. K., Rahut, D. B., & Mishra, S. (2024) · Scientific Reports · doi:10.1038/s41598-024-72551-4 · Cited by 59 · see citing works
“The observed increase in stroke incidence rates, particularly in states such as Goa, Kerala, and West Bengal, can be attributed to demographic changes, including an aging population, and improvements in stroke detection and reporting 6,13 .”
BackgroundDisease-Induced Modulation of Drug Transporters at the Blood–Brain Barrier Level
Rihani, S. B. A., Darakjian, L. I., Deodhar, M., Dow, P., Turgeon, J., & Michaud, V. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22073742 · Cited by 51 · see citing works
Loro, A., Borg, M. B., Battaglia, M., Amico, A. P., Antenucci, R., Benanti, P., Bertoni, M., Bissolotti, L., Boldrini, P., Bonaiuti, D., et al. (2023) · Brain Sciences · doi:10.3390/brainsci13010092 · Cited by 52 · see citing works
“Aphasia and depression are often the causes of disability in post-stroke patients, but the most common disability tract is a reduced mobility due to hemiparesis [1,5].”
BackgroundHydrogen Sulphide-Based Therapeutics for Neurological Conditions: Perspectives and Challenges
Sharif, A. H., Iqbal, M., Manhoosh, B., Gholampoor, N., Ma, D., Marwah, M. K., & Sanchez-Aranguren, L. C. (2023) · Neurochemical Research · doi:10.1007/s11064-023-03887-y · Cited by 51 · see citing works
- Authors
- Katan, M., & Luft, A.
- Affiliations
- Department of Neurology, Stroke Center, University Hospital of Zurich, Zurich, Switzerland
- University Hospital Zurich (CH)
- Corresponding author
- Luft, Andreas
- ORCID
- Luft, Andreas
- Venue
- Seminars in Neurology
- Publisher
- Georg Thieme Verlag KG
- Published
- 2018-04
- Volume
- 38
- Issue
- 02
- Pages
- 208-211
- ISSN
- 0271-8235 (ISSN-L)
- 1098-9021
- OpenAlex
- W2803306216
- Cited by
- 2,137
- References
- 57
- Citations by year
- 2026: 164 · 2025: 350 · 2024: 361 · 2023: 387 · 2022: 376 · 2021: 276 · 2020: 159 · 2019: 55 · 2018: 7 · 2017: 1 · 2013: 1
- FWCI
- 17.75
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Seminars in Neurology (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Health Professions › Health Information Management › Global Health and Epidemiology
- Keywords
- stroke, global burden of disease, stroke incidence, stroke mortality, ischemic stroke, hemorrhagic stroke, disability-adjusted life years, population aging, young adults, low- and middle-income countries, ethnic disparities, stroke prevention, neurorehabilitation
- MeSH terms
- Humans, Sex Factors, Global Health, Disease Management, Stroke
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