title: Stroke in the young in Israel. Incidence and outcomes.
abstract: OBJECTIVE
  Data on stroke in the young in Israel are fragmentary. To obtain an overall perspective and to assess the nature and magnitude of the problem, a study was conducted on stroke occurrence in the young population during 1 year. Incidence and outcomes are reported in this communication.
  
  
  METHODS
  We conducted a prospective ascertainment of first stroke in all permanent residents of Israel aged 17 to 49 years who were referred to all acute-care hospitals in the country or died before reaching them.
  
  
  RESULTS
  We identified 253 first stroke victims in the studied population; 62.8% were male. The age- and sex-adjusted incidence rate for all types of stroke was 10.36/100 000 per year (males, 13.00; females, 7.71). The majority of strokes (80.6%) were cerebral infarctions, with 9.9% intracerebral hemorrhages, 7.9% subarachnoid hemorrhages, and 1.6% strokes of unspecified type. The case-fatality rate for all types of stroke was 9.9% (mortality within the first 4 weeks after the event, on average 6 days). The survival rate was 95% for cerebral infarctions, 64% for intracerebral hemorrhages, and 80% for subarachnoid hemorrhages; 86.7% of all survivors remained with an impairment resulting in a disability.
  
  
  CONCLUSIONS
  Incidence rates were similar to those reported from developed Western countries. The case-fatality rate of 9.9% and the considerable percentage of survivors with a disability in a population at the beginning of their family, professional, and social lives indicate the magnitude of the problem.
authors.affiliation: Fleischman Unit for the Study of Disability, Loewenstein Hospital, Rehabilitation Center, Raanana, Israel.
authors.forename: N
authors.initials: N
authors.lastname: Rozenthul-Sorokin
authors.forename: R
authors.initials: R
authors.lastname: Ronen
authors.forename: A
authors.initials: A
authors.lastname: Tamir
authors.forename: H
authors.initials: H
authors.lastname: Geva
authors.forename: R
authors.initials: R
authors.lastname: Eldar
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002543:Cerebral Hemorrhage / Q000453:epidemiology; D002544:Cerebral Infarction / Q000453:epidemiology; D002561:Cerebrovascular Disorders / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D012727:Sex Characteristics; D012737:Sex Factors; D012959:Socioeconomic Factors; D013345:Subarachnoid Hemorrhage / Q000453:epidemiology; D015996:Survival Rate; D016896:Treatment Outcome