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| Trend in incidence of stroke in Yixing City from 2016 to 2023 |
| REN Lulu, GU Jiachang, MIN Yixuan, ZHANG Sichen, QIAO Jianjian, XIAO Yue, HU Jing
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| Yixing Center for Disease Control and Prevention, Yixing, Jiangsu 214206, China |
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Abstract Objective To investigate the characteristics and trend of stroke incidence in Yixing City, Jiangsu Province from 2016 to 2023, so as to provide the reference for formulating prevention and control strategies of stroke. Methods Data of stroke case in Yixing City from 2016 to 2023 were collected from the National Health Information Platform of Yixing City, including sex, age, time of onset, and diagnostic subtypes. Crude incidence was standardized using the data from the 2010 Chinese National Population Census to analyze the characteristics of stroke incidence. The incidence trend of stroke was analyzed by average annual percent change (AAPC). Results A total of 54 157 stroke cases were reported in Yixing City from 2016 to 2023, with a crude incidence of 629.52/105 and a standardized incidence of 299.50/105, showing an upward trend (AAPC=9.744% and 5.955%, both P<0.05). The crude and standardized incidence of stroke in males were significantly higher than those in females (695.30/105 vs. 565.79/105, 328.73/105 vs. 270.71/105, both P<0.05). Stroke incidence exhibited an age-dependent increase (P<0.05), peaking in the ≥60 years age group (1 820.43/105). The crude and standardized incidence of ischemic stroke (555.46/105 and 262.26/105) were significantly higher than those of hemorrhagic stroke (52.80/105 and 28.03/105, both P<0.05). From 2016 to 2023, the standardized incidences of stroke in males, females, the 0-<40 years age group, the 40-<60 years age group, the ≥60 years age group, and ischemic stroke all showed an upward trend (AAPC=6.692%, 4.925%, 5.607%, 5.777%, 5.698%, and 8.481%, respectively, all P<0.05). No significant temporal trend was observed for hemorrhagic stroke incidence (P>0.05). Conclusions The incidence of stroke among residents in Yixing City showed an upward trend from 2016 to 2023, with males and elderly individuals being high-risk populations. Ischemic stroke emerged as the predominant subtype, while a concerning trend of increasing stroke incidence among younger adults was observed.
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Received: 25 February 2025
Revised: 01 April 2025
Published: 23 May 2025
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