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.
University Hospital and Medical School of Dijon, University of Burgundy, Dijon Stroke Registry, Department of Neurology, EA4184, Dijon, France. Electronic address: ybejot@yahoo.fr.
Yannick
Y
Béjot
University Hospital and Medical School of Dijon, University of Burgundy, Dijon Stroke Registry, Department of Neurology, EA4184, Dijon, France.
Henri
H
Bailly
University Hospital and Medical School of Dijon, University of Burgundy, Dijon Stroke Registry, Department of Neurology, EA4184, Dijon, France.
Jérôme
J
Durier
University Hospital and Medical School of Dijon, University of Burgundy, Dijon Stroke Registry, Department of Neurology, EA4184, Dijon, France.
Maurice
M
Giroud
D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D011379:Prognosis; D020521:Stroke / Q000145:classification / Q000453:epidemiology*