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Centre for Policy on Ageing | |
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| Does the incidence, severity, or case fatality of stroke vary in southern England? | | Author(s) | C D A Wolfe, N A Taub, J Woodrow |
| Journal title | Journal of Epidemiology and Community Health, vol 47, 1993 |
| Pages | pp 139-143 |
| Keywords | Stroke ; Diagnosis ; Death rate [statistics] ; Variance analysis ; Lambeth ; Lewisham ; Southwark ; Tunbridge Wells. |
| Annotation | The standard mortality rate (SMR) for stroke and hypertension in district health authorities (DHAs) in south east England ranges from 70 to 134 in those aged under 65. This study aims to ascertain whether differences in these SMRs in the under 65s in whom death is considered avoidable, are the results of differences in incidence or case fatality, or both. Participants were those under 75 having a first ever stroke in a lifetime in the year beginning 15 August 1989 in West Lambeth, Lewisham and North Southwark, and Tunbridge Wells DHAs. Altogether, 386 strokes were registered. There was a significant difference in the incidence rate between DHAs in those aged under 65. The overall case fatality was 26% at 3 weeks, with no significant difference between the districts. Poor survival was associated jointly with increased age and with coma, incontinence, and swallowing impairment in the 24 hours after a stroke. The SMRs for stroke in those aged under 65 in the three DHAs reflect the incidence of stroke. The study provides a framework for assessing the needs for stroke prevention and treatment in both rural and urban areas. (RH). |
| Accession Number | CPA-000105002 A |
| Classmark | CQA: LK7: S5: 3YA: 82LN: 82LO: 82LT: 8KL * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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