高血壓 高尿酸 慢性腎病 胰島素 https://2019medicinenote.blogspot.com/2019/12/blog-post_57.html . 糖尿病相關筆記~目錄 https://2019medicinenote.blogspot.com/2020/01/blog-post_4.html

2020年7月31日 星期五

2014年北醫發表的研究 Stroke: Morbidity, Risk Factors, and Care in Taiwan

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060269/

1986年盛行率, 36歲以上成人, 千分之 16.42
其他研究數據為 千分之 14.27 及 千分之 19.3
男性中風盛行率為 千分之 25.5
女性中風盛行率為 千分之 12.6

Prevalence

Hu et al. reported the stroke prevalence for 8,705 people aged 36 or older was 16.42/1,000 population (95% CI=13.89-19.42/1,000) in 1986. The other studies estimated stroke prevalence of 14.27 per 1,000 in the people aged 35 or older using data from the 1994 National Health Interview Survey (NHIS) and 19.3 per 1,000 people from 2001 NHIS. In males, the stroke prevalence is 25.5 per 1,000 people, almost two-fold higher than the stroke prevalence in females (12.6 per 1,000 people). The level of urbanization, gender, heart disease, hypertension, and diabetes were important contributory factors to the stroke prevalence in Taiwan. The studies of stroke prevalence are summarized in Table 1.

Stroke incidence rising in Taiwan contrary to falls in Western countries

https://www.eurekalert.org/pub_releases/2018-09/esoc-sir092618.php

使用台灣健保資料庫研究, 分析 13 年之間, 台灣人的首次中風發生率

This study examined the incidence of stroke over a 13-year period in Taiwan. For this nationwide cohort study, researchers reviewed the records of all hospitalised patients with a primary diagnosis of stroke between 2001 and 2013 from the Taiwan National Health Insurance Research Database.

共發現 2萬3023 人初次中風, 其中 66.9% 為缺血性中風, 21.1% 是出血性中風, 2.9% 蛛網膜下腔出血, 另有 9.1% 無法歸類

A total of 23,023 first-ever strokes were identified. Of those, 66.9% were ischaemic stroke, 21.1% were intracerebral haemorrhage, 2.9% were subarachnoid haemorrhage, and 9.1% were of undetermined type.


經過年齡調整之後, 缺血性中風機率 110-122/每十萬人每年, 出血性中風機率  30-38 每十萬人每年, 蛛網膜下腔出血機率不變. 

After adjusting for the rising age of the population, the researchers found that the incidence of ischaemic stroke increased from 110 to 122 per 100,000 person-years, intracerebral haemorrhage increased from 30 to 38 per 100,000 person-years, and the rate of subarachnoid haemorrhage was stable.

1992年台北榮總研究 Incidence of Stroke in Taiwan

35歲以上成人, 每年中風發生率, 男性十萬分之 378, 女性十萬分之 280, 平均十萬分之 330
The crude average annual incidence rate of first-ever stroke in inhabitants in Taiwan above age 35 years was 330 per 100,000 (378 per 100,000 for men and 280 per 100,000 for women). The age-adjusted incidence rate was 329 per 100,000 (348 per 100,000 for men and 301 per 100,000 for women) (Table 1).

高血壓與高鹽飲食會增加中風機率
高血壓增加 1.9 倍中風機率
高鹽飲食增加 1.3 倍中風機率
In the present study, age-adjusted risk ratio for hypertension was 3.75. Other significant risk factors of stroke in the current study were consumption of alcohol and salty food (Table 4). After multivariate adjustment for age, sex, and all factors in Table 4, age, hypertension, and salty food remained significant and independent risk factors for stroke, with a risk ratio of 1.9 for hypertension and 1.3 for salty food (/?<0.05).

秒懂家醫科-血糖血脂(膽固醇)

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