The changing incidence of cerebrovascular disease in Zagreb over a ten-year period

Arijana Lovrenčić-Huzjan, Iris Zavoreo, Tanja Rundek, Vida Demarin

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

During the last decade Croatia was faced with war and population migration that entailed socioeconomic changes, modification of lifestyle, risk factors and health care, thus influencing the incidence and outcome of stroke. Data on patients admitted to University Department of Neurology in the years 1990 and 1999 were compared to estimate the incidence and prevalence of stroke and stroke subtypes, risk factors and outcome. In 1999, the number of stroke patients was almost twofold that recorded in 1990 and stroke patients were by 5 years younger. In 1999, there were more first-ever strokes (the incidence of crude first stroke increased by 57%), whereas the number of recurrent strokes increased in men and decreased in women. The proportion of ischemic stroke and subarachnoid hemorrhage did not significantly change, whereas parenchymatous hemorrhage increased in women. Hypertension was more common (83% versus 62%), whereas the prevalence of other risk factors did not change significantly. Patients were more often discharged for home care instead of rehabilitation center care. Mortality decreased in men and increased in women, whereas case fatality and crude mortality decreased leading to an increased stroke burden.

Original languageEnglish (US)
Pages (from-to)9-14
Number of pages6
JournalActa Clinica Croatica
Volume45
Issue number1
StatePublished - Mar 1 2006
Externally publishedYes

Keywords

  • Blood pressure - prevention and control
  • Cause of death
  • Cerebrovascular accident - epidemiology
  • Cerebrovascular accident - mortality
  • Croatia
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

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