Trends in Mortality Due to Stroke in South America between 1990 and 2019

Author:

Araujo Alexandre Castelo Branco1ORCID,de Souza Orivaldo Florencio2ORCID,de Alencar Filomena Euridice Carvalho1,Kersanach Betina Bolina1ORCID,Feitosa Victor Lopes1,Mozzer Julia Silva Cesar1,Brandão Vinicius Andreata1,Roni Gabriel Marim1,de Mello Monteiro Carlos Bandeira3ORCID,de Abreu Luiz Carlos14ORCID

Affiliation:

1. Study Design and Scientific Writing Laboratory, Health Sciences Center, Federal University of Espírito Santo, Vitória CEP29043-900, Brazil

2. Postgraduate Program in Nutrition and Health, Federal University of Espírito Santo, Vitória CEP29043-900, Brazil

3. School of Arts, Sciences and Humanities, University of São Paulo, São Paulo CEP03828-000, Brazil

4. Postgraduate Program in Medical Sciences, University of São Paulo, São Paulo CEP01246-903, Brazil

Abstract

Stroke is the second leading cause of death and disability in Latin America; however, few epidemiological studies have been conducted in South America. An observational study was conducted to analyze trends in stroke mortality in South American (SA) countries. Age-standardized mortality rates and proportional mortality due to stroke in the populations of SA countries between 1990 and 2019 were assessed by extracting data from the Global Burden of Disease 2019 study. Joinpoint regression models were employed to identify trends in the annual percentage change in mortality rates for each segment. Considering the data collected over the 30 years that were studied, the age-standardized stroke mortality trend decreased in Argentina (−1.6%), Uruguay (−0.6%), Brazil (−0.5%), Guyana (−0.5%), and Bolivia (−0.4%), while Venezuela (+1.6%) and Suriname (+1.0%) showed an increasing trend. The proportional stroke mortality trend decreased in Argentina (−1.7%), Paraguay (−0.9%), Uruguay (−0.7%), Guyana (−0.7%), Brazil (−0.5%), and Chile (−0.5%), whereas Bolivia (+1.0%), Suriname (+0.6%), and Peru (+0.4%) exhibited an increasing trend. The trends in stroke mortality between 1990 and 2019 demonstrated considerable variability. While most SA countries experienced significant decreases in stroke mortality trends, Venezuela and Suriname showed increases in age-standardized mortality rates, and Bolivia, Suriname, and Peru exhibited increases in proportional mortality rates. No decreasing stroke mortality trend was observed in the segment after the last joinpoint, highlighting the need for improvement in prevention and treatment.

Funder

Espírito Santo Research and Innovation Foundation—FAPES

Publisher

MDPI AG

Reference30 articles.

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3. World Health Organization (2023, October 13). The Top 10 Causes of Death. 9 December 2020, Available online: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.

4. GBD 2019 Stroke Collaborators (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol., 20, 795–820.

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