title: [Analysis of cerebrovascular disease mortality in Costa Rica between the years 1920-2009].
abstract: OBJECTIVE
  To analyze the trend in mortality from cerebrovascular diseases in Costa Rica and its impact on overall mortality from 1920 to 2009.
  
  
  METHODS
  Crude rates by triennium and quinquennium were obtained. We also obtanied age standardized rates in the age group 35-74 years during the period 1970-2009. Finally we got the death percentage from stroke in relation to overall mortality.
  
  
  RESULTS
  The trend for the period 1920-1969 was to the upside (r=0.82, r2=0.67, betha 0.30; P≤0.00) whereas for the period 1970 occurred otherwise (r=0.42, r2=0.18, betha -0064; P=0.01). Adjusted for the group 35-74 years between 1970-2009 rates decreased by 58.03% was statistically significant trend for both sexes; men r2=0.94, betha: -0.73; women: r2=0.97, betha: 0.95. The maximum percentage of mortality from stroke in relation to the overall mortality was 7.22 in the period 1985-1989 reached down to 5.92% in 2005-2009.
  
  
  CONCLUSIONS
  In the Latin American context, stroke mortality rates in Costa Rica are low but still represent a serious public health problem by the high mortality, morbidity and disability that they cause, despite a downward trend.
authors.affiliation: Unidad de Investigación e Innovación en Ciencias de la Salud, Universidad Hispanoamericana de San José, San José, Costa Rica. Electronic address: roevansme@gmail.com.
authors.forename: Ronald
authors.initials: R
authors.lastname: Evans-Meza
authors.affiliation: Unidad de Investigación e Innovación en Ciencias de la Salud, Universidad Hispanoamericana de San José, San José, Costa Rica.
authors.forename: José
authors.initials: J
authors.lastname: Pérez-Fallas
authors.affiliation: Departamento de Estadística de la Unidad de Investigación e Innovación en Ciencias de la Salud, Universidad Hispanoamericana de San José, San José, Costa Rica.
authors.forename: Roger
authors.initials: R
authors.lastname: Bonilla-Carrión
mesh_terms: D000328:Adult; D000368:Aged; D002561:Cerebrovascular Disorders / Q000401:mortality*; D003364:Costa Rica / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends; D020521:Stroke / Q000401:mortality; D013997:Time Factors
keywords: Cerebrovascular disease (stroke); Costa Rica; Descriptive epidemiology; Descriptive studies; Enfermedades cerebrovasculares; Epidemiología descriptiva; Estudios descriptivos; Mortalidad; Mortality