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    Trends in stroke subtypes and vascular risk factors in a stroke center in China over 10 years

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    8
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    Author
    Tian, D; Yang, Q; Dong, Q; Li, N; Yan, B; Fan, D
    Date
    2018-03-22
    Source Title
    Scientific Reports
    Publisher
    NATURE PUBLISHING GROUP
    University of Melbourne Author/s
    Yan, Bernard
    Affiliation
    Medicine and Radiology
    Metadata
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    Document Type
    Journal Article
    Citations
    Tian, D., Yang, Q., Dong, Q., Li, N., Yan, B. & Fan, D. (2018). Trends in stroke subtypes and vascular risk factors in a stroke center in China over 10 years. SCIENTIFIC REPORTS, 8 (1), https://doi.org/10.1038/s41598-018-23356-9.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/256286
    DOI
    10.1038/s41598-018-23356-9
    Abstract
    Rapid economic development in China has caused marked changes in people's lifestyles and medical technology. Exploration of stroke subtype trends is necessary to provide physicians with vital insight for early diagnosis and treatment. We included stroke patients admitted from 2006 to 2015. Trends in stroke subtypes and vascular risk factors were investigated. There were 5521 patients, including 4534 (82.1%) ischemic stroke (IS), 813 (14.7%) intracerebral hemorrhage (ICH) and 174 (3.2%) subarachnoid hemorrhage (SAH) patients. The proportion of IS was increasing and proportions of ICH and SAH were decreasing (P < 0.001). Onset age and hypertension remained stable in stroke subtypes. In IS patients, large artery atherosclerosis (LAA) strokes increased from 17.0% to 30.8% in the first 7 years and ultimately decreased to 24.1%. Small vessel disease (SVD) strokes increased from 15.5% to 39.6%, undetermined etiology (UE) strokes decreased from 52.7% to 26.0%, others remained stable. The levels of low-density lipoprotein declined significantly, and an increased number of patients underwent intracranial artery examinations (P < 0.001). In conclusion, proportions of stroke subtypes changed significantly. Anti-hypertension therapy needs to be reinforced to control ICH, SAH and SVD ischemic stroke incidences. The etiologic detection of IS increased and lipid-lowing therapy was effective, cardioembolism detections should be reinforced.

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