An analysis of stroke subtypes and influencing factors in different regions of China
10.3760/cma.j.issn.0578-1426.2012.03.007
- VernacularTitle:中国卒中亚型的地域差异及影响因素分析
- Author:
Haiqiang JIN
;
Sainan ZHU
;
Hongjun HAO
;
Yongan SUN
;
Yining HUANG
- Publication Type:Journal Article
- Keywords:
Stroke;
Cerebral hemorrhage;
Brain ischemic;
Risk factors
- From:
Chinese Journal of Internal Medicine
2012;51(3):201-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the stroke subtypes and influencing factors in four largest economic regions of China.Methods We analyzed the investigation data of QUEST(Quality Evaluation of Stroke Care and Treatment)study conducted in 2006 which included 62 hospitals in a national scale.According to the concept of four economic regions designed by the Development Research Center of the State Council,we performed the univariate and multivariate analysis for the stroke subtypes and its related risk factors in the different economic regions.Results There were 3362(73.5%)ischemic stroke patients and 1214(26.5%)hemorrhagic stroke patients among the total 4576 first-ever stroke patients.Comparison of stroke subtypes in the four different economic regions was statistically significant(P < 0.001),with a percentage of 80.8% ischemic stroke patients in the northeastern region,78.9% in the eastern region,68.3% in the central region and 67.0% in the western region.The comparisons of risk factors such as history of hypertension,diabetes,hyperlipidaemia,coronary artery event,atrial fibrillation,and overweight in the four different economic regions were also statistically significant(P <0.05).Conclusions The subtypes of first-ever stroke vary in the four largest economic regions with a highest proportion of ischemic stroke in the northeastern region and relatively high proportion of hemorrhagic stroke in the central and western economic regions.There are also discrepancies of stroke risk factors in the different economic regions.