Trends of stroke subtypes mortality in Sao Paulo, Brazil (1996-2003)

Author:

Lotufo Paulo A.1,Benseñor Isabela M.2

Affiliation:

1. University of Sao Paulo, Brazil; USP

2. University of Sao Paulo, Brazil

Abstract

The decline of stroke mortality rates has been described in Brazil; however, there is no data about stroke subtypes. We described the changes of stroke mortality rates in the city of Sao Paulo (1996-2003) emphasizing intracerebral hemorrhage and cerebral infarction. We categorized mortality data by gender and 10-year age-strata from 30 to 79 years-old. For men, an annual reduction of all types of stroke (-3.9%), and of stroke subtypes as intracerebral hemorrhage (-3.0%) and cerebral infarction was observed (-2.7%) as well as, a decline of ill-defined stroke (-7.4%). For women, a decline was observed for all types of stroke (-3.3%) and for ill-defined stroke (-12%). However, the switch of ill-defined cases to stroke subtype categories due to a better clinical diagnosis blurred a real decline of both cerebral infarction and intracerebral hemorrhagic stroke among women.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference15 articles.

1. Decline in cardiovascular disease mortality in the city of S. Paulo, Brazil, 1970 to 1983;Lolio CA;Rev Saúde Pública,1986

2. Trends in mortality due to cerebrovascular diseases in adults over 20 in the municipality of Sao Paulo (Brazil), 1950 to 1981;Lolio CA;Rev Saúde Pública,1986

3. Trends of mortality from cerebrovascular disease in the State of São Paulo: 1970 to 1989;Lotufo PA;Arq Neuropsiquiatr.,1993

4. Stroke and ischemic heart disease mortality trends in Brazil from 1979 to 1996;Mansur AP;Neuroepidemiology,2003

5. Saúde Brasil 2004: uma análise da situação de saúde,2004

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