Increasing Stroke Incidence in Sweden Between 1989 and 2000 Among Persons Aged 30 to 65 Years: Evidence From the Swedish Hospital Discharge Register
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Background and Purpose— Stroke mortality is decreasing in Sweden, as is the case in other Western European countries. However, both decreases and increases have been reported in Sweden for persons younger than age 65 years. The aim of this study was to compare the incidence of stroke in Sweden between the periods 1989 and 1991 and 1998 and 2000 in persons aged 30 to 65 years. Methods— All first-ever stroke patients aged 30 to 65 years in the Swedish Hospital Discharge Register between 1989 and 2000 were included. Results— The age-standardized, 3-year average incidence increased by 19%, from 98.9 to 118.0 per 100 000 among men, and by 33%, from 48.4 to 64.4 among women, between 1989 and 1991 and 1998 and 2000. The largest increase was seen among those younger than 60 years. On a county level, the change in age-standardized stroke incidence varied from small decreases (−3%) to large increases (82%). Conclusion— Stroke incidence increased in Sweden for both men and women between 1989 and 2000. The increase was larger among women. This calls for action when it comes to studying risk factors and planning for prevention and health promotion and indicates the need for gender-specific studies.
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A worrisome trend towards increasing stroke incidence in young adults has been reported for some countries.
“A worrisome trend towards increasing stroke incidence in young adults has been reported for some countries.36,37”
From Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010 (2014) · cites this paper as [37]
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- Authors
- Medin, J., Nordlund, A., & Ekberg, K.
- Affiliations
- Linköping University (SE)
- Venue
- Stroke
- Published
- 2004-05
- Volume
- 35
- Issue
- 5
- Pages
- 1047-1051
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W1991528246
- Cited by
- 135
- References
- 35
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 8 · 2017: 11 · 2016: 5 · 2015: 3 · 2014: 8 · 2013: 6 · 2012: 9
- FWCI
- 6.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Stroke (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- stroke incidence, stroke mortality trends, middle-aged adults, sex differences, hospital discharge data, Sweden, county-level variation, stroke prevention, health promotion
- MeSH terms
- Adult, Age Factors, Aged, Female, Hospitalization, Humans, Male, Middle Aged, Patient Discharge, Registries, Risk Factors, Sex Factors, Sweden, Incidence, Age Distribution, Sex Distribution, Stroke
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