China stroke surveillance report 2021

作者：Wen‐Jun Tu, Longde Wang, on behalf of the Special Writing Group of China Stroke Surveillance Report, Feng Yan, Bin Peng, Yang Hua, Ming Liu, Xunming Ji, Lin Ma, Chunlei Shan, Yilong Wang, Jing-Sheng Zeng, Dawei Chen, Dongsheng Fan, Yuxiang Gu, Guo-Jun Tan, Bo Hu, Dezhi Kang, Jianmin Liu, Yuanli Liu, Min Lou, Benyan Luo, Su-Yue Pan, Lihua Wang, Jian Wu · 发表于：Military Medical Research · 年份：2023 · DOI：10.1186/s40779-023-00463-x · 被引用次数：551 · 研究领域：Acute Ischemic Stroke Management、Neurological Disease Mechanisms and Treatments、Healthcare Systems and Practices

Since 2015, stroke has become the leading cause of death and disability in China, posing a significant threat to the health of its citizens as a major chronic non-communicable disease. According to the China Stroke High-risk Population Screening and Intervention Program, an estimated 17.8 million [95% confidence interval (CI) 17.6-18.0 million] adults in China had experienced a stroke in 2020, with 3.4 million (95% CI 3.3-3.5 million) experiencing their first-ever stroke and another 2.3 million (95% CI 2.2-2.4 million) dying as a result. Additionally, approximately 12.5% (95% CI 12.4-12.5%) of stroke survivors were left disabled, as defined by a modified Rankin Scale score greater than 1, equating to 2.2 million (95% CI 2.1-2.2 million) stroke-related disabilities in 2020. As the population ages and the prevalence of risk factors like diabetes, hypertension, and hyperlipidemia continues to rise and remains poorly controlled, the burden of stroke in China is also increasing. A large national epidemiological survey initiated by the China Hypertension League in 2017 showed that the prevalence of hypertension was 24.7%; the awareness, treatment, and control rates in hypertensive patients were: 60.1%, 42.5%, and 25.4%, respectively. A nationally representative sample of the Chinese mainland population showed that the weighted prevalence of total diabetes diagnosed by the American Diabetes Association criteria was 12.8%, suggesting there are 120 million adults with diabetes in Chin...