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Article Dans Une Revue La Presse Médicale Année : 2016

Epidemiology of stroke in Europe and trends for the 21st century


Despite major improvements in primary prevention and acute treatment over the last decades, stroke is still a devastating disease. At the beginning of the 21st century, the age-standardized incidence of stroke in Europe ranged from 95 to 290/100,000 per year, with one-month case-fatality rates ranging from 13 to 35%. Approximately 1.1 million inhabitants of Europe suffered a stroke each year, and ischemic stroke accounted for approximately 80% of cases. Although global stroke incidence is declining, rates observed in young adults are on the rise, thus suggesting a need for strategies to improve prevention. In addition, because of the ageing population, the absolute number of stroke is expected to dramatically increase in coming years: by 2025, 1.5 million European people will suffer a stroke each year. Beyond vital prognosis, stroke patients are also at increased risk of poor outcome within the first year of the event including re-hospitalisation (33%), recurrent event (7 to 13%), dementia (7 to 23%) mild cognitive disorder (35 to 47%), depression (30 to 50%), and fatigue (35% to 92%), all of them contributing to affect health related quality of life. Given these observations, an urgent development of acute care provision, as well as resources for post-stroke therapeutic strategies, is needed.
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hal-01436737 , version 1 (16-01-2017)



Yannick Yannick.Bejot@u-Bourgogne.Fr Béjot, Henri Bailly, Jérôme Durier, Maurice Giroud. Epidemiology of stroke in Europe and trends for the 21st century. La Presse Médicale, 2016, 45 (12), pp.e391 - e398. ⟨10.1016/j.lpm.2016.10.003⟩. ⟨hal-01436737⟩
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