Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society
- 주제(키워드) Stroke , Statistics , Epidemiology
- 주제(기타) Clinical Neurology; Peripheral Vascular Disease
- 설명문(일반) [Kim, Jun Yup; Kang, Jihoon; Kim, Beom Joon; Lee, Keon-Joo; Kim, Seong-Eun; Bae, Hee-Joon] Seoul Natl Univ, Coll Med, Bundang Hosp, Dept Neurol, Seongnam, South Korea; [Kang, Kyusik; Park, Jong-Moo] Eulji Univ, Nowon Eulji Med Ctr, Dept Neurol, Seoul, South Korea; [Koo, Jaseong; Lee, Kijeong] Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Dept Neurol, Seoul, South Korea; [Kim, Dae-Hyun; Nah, Hyun-Wook] Dong A Univ, Dong A Univ Hosp, Dept Neurol, Coll Med, Busan, South Korea; [Kim, Wook-Joo] Univ Ulsan, Ulsan Univ Hosp, Dept Neurol, Coll Med, Ulsan, South Korea; [Kim, Eung-Gyu; Seo, Jung Hwa] Inje Univ, Coll Med, Busan Paik Hosp, Dept Neurol, Busan, South Korea; [Kim, Jae Guk; Lee, Soo Joo] Eulji Univ, Eulji Univ Hosp, Dept Neurol, Daejeon, South Korea; [Kim, Jeong-Min; Park, Kwang-Yeol] Chung Ang Univ, Chung Ang Univ Hosp, Dept Neurol, Coll Med, Seoul, South Korea; [Kim, Joon-Tae; Choi, Kang-Ho] Chung Ang Univ, Chonnam Natl Univ Hosp, Dept Neurol, Sch Med, Gwangju, South Korea; [Kim, Chulho; Lee, Sang-Hwa] Hallym Univ, Chuncheon Sacred Heart Hosp, Dept Neurol, Coll Med, Chunchon, South Korea; [Park, Moo-Seok; Park, Tai Hwan] Seoul Med Ctr, Dept Neurol, Seoul, South Korea; [Park, Jong-Ho] Hanyang Univ, Myongji Hosp, Dept Neurol, Coll Med, Goyang, South Korea; [Park, Hong-Kyun; Cho, Yong-Jin; Hong, Keun-Sik] Inje Univ, Coll Med, Dept Neurol, Ilsan Paik Hosp, Goyang, South Korea; [Seo, Woo-Keun; Chung, Jong-Won] Sungkyunkwan Univ, Samsung Med Ctr, Dept Neurol, Sch Med, Seoul, South Korea; [Song, Tae-Jin] Ewha Womans Univ, Dept Neurol, Sch Med, Seoul, South Korea; [Ahn, Seong Hwan] Chosun Univ, Coll Med, Chosun Univ Hosp, Dept Neurol, Gwangju, South Korea; [Oh, Mi-Sun] Hallym Univ, Coll Med, Dept Neurol, Sacred Heart Hosp, Anyang, South Korea; [Oh, Hyung Geun] Soonchunhyang Univ, Cheonan Hosp, Dept Neurol, Coll Med, Cheonan, South Korea; [Yu, Sungwook] Korea Univ, Coll Med, Dept Neurol, Anam Hosp, Seoul, South Korea; [Lee, Kyung Bok] Soonchunhyang Univ, Coll Med, Dept Neurol, Seoul Hosp, Seoul, South Korea; [Jang, Min Uk] Hallym Univ, Coll Med, Dongtan Sacred Heart Hosp, Dept Neurol, Hwaseong, South Korea; [Choi, Jay Chol] Jeju Natl Univ, Jeju Natl Univ Hosp, Dept Neurol, Coll Med, Jeju, South Korea; [Hwang, Yang-Ha] Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Neurol, Daegu, South Korea; [Lee, Ji Sung] Asan Med Ctr, Asan Inst Life Sci, Clin Res Ctr, Seoul, South Korea; [Choi, Jimi; Kim, Min Sun; Kim, Ye Jin; Seok, Jinmi; Jang, Sujung; Han, Seokwan; Han, Hee Won; Hong, Jin Hyuk; Yun, Hyori; Lee, Juneyoung] Korea Univ, Dept Biostat, Coll Med, Seoul, South Korea
- 등재 SCIE, SCOPUS
- OA유형 Green Published, Green Submitted, gold
- 발행기관 KOREAN STROKE SOC
- 발행년도 2019
- URI http://www.dcollection.net/handler/ewha/000000160475
- 본문언어 영어
- Published As http://dx.doi.org/10.5853/jos.2018.03125
- PubMed https://pubmed.ncbi.nlm.nih.gov/30558400
초록/요약
Despite the great socioeconomic burden of stroke, there have been few reports of stroke statistics in Korea. In this scenario, the Epidemiologic Research Council of the Korean Stroke Society launched the "Stroke Statistics in Korea" project, aimed at writing a contemporary, comprehensive, and representative report on stroke epidemiology in Korea. This report contains general statistics of stroke, prevalence of behavioral and vascular risk factors, stroke characteristics, pre-hospital system of care, hospital management, quality of stroke care, and outcomes. In this report, we analyzed the most up-to-date and nationally representative databases, rather than performing a systematic review of existing evidence. In summary, one in 40 adults are patients with stroke and 232 subjects per 100,000 experience a stroke event every year. Among the 100 patients with stroke in 2014, 76 had ischemic stroke, 15 had intracerebral hemorrhage, and nine had subarachnoid hemorrhage. Stroke mortality is gradually declining, but it remains as high as 30 deaths per 100,000 individuals, with regional disparities. As for stroke risk factors, the prevalence of smoking is decreasing in men but not in women, and the prevalence of alcohol drinking is increasing in women but not in men. Population-attributable risk factors vary with age. Smoking plays a role in young-aged individuals, hypertension and diabetes in middle-aged individuals, and atrial fibrillation in the elderly. About four out of 10 hospitalized patients with stroke are visiting an emergency room within 3 hours of symptom onset, and only half use an ambulance. Regarding acute management, the proportion of patients with ischemic stroke receiving intravenous thrombolysis and endovascular treatment was 10.7% and 3.6%, respectively. Decompressive surgery was performed in 1.4% of patients with ischemic stroke and in 28.1% of those with intracerebral hemorrhage. The cumulative incidence of bleeding and fracture at 1 year after stroke was 8.9% and 4.7%, respectively. The direct costs of stroke were about (sic)1.68 trillion (KRW), of which (sic)1.11 trillion were for ischemic stroke and. 540 billion for hemorrhagic stroke. The great burden of stroke in Korea can be reduced through more concentrated efforts to control major attributable risk factors for age and sex, reorganize emergency medical service systems to give patients with stroke more opportunities for reperfusion therapy, disseminate stroke unit care, and reduce regional disparities. We hope that this report can contribute to achieving these tasks.
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