30-Year Trends in Stroke Rates and Outcome in Auckland, New Zealand (1981-2012): A Multi-Ethnic Population-Based Series of Studies
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{"title"=>"30-Year trends in stroke rates and outcome in Auckland, New Zealand (1981-2012): A multi-ethnic population-based series of studies", "type"=>"journal", "authors"=>[{"first_name"=>"Valery L.", "last_name"=>"Feigin", "scopus_author_id"=>"7005173210"}, {"first_name"=>"Rita V.", "last_name"=>"Krishnamurthi", "scopus_author_id"=>"6602173083"}, {"first_name"=>"Suzanne", "last_name"=>"Barker-Collo", "scopus_author_id"=>"57193065514"}, {"first_name"=>"Kathryn M.", "last_name"=>"McPherson", "scopus_author_id"=>"7103390787"}, {"first_name"=>"P. Alan", "last_name"=>"Barber", "scopus_author_id"=>"13605805200"}, {"first_name"=>"Varsha", "last_name"=>"Parag", "scopus_author_id"=>"8924488300"}, {"first_name"=>"Bruce", "last_name"=>"Arroll", "scopus_author_id"=>"7005327802"}, {"first_name"=>"Derrick A.", "last_name"=>"Bennett", "scopus_author_id"=>"35420095800"}, {"first_name"=>"Martin", "last_name"=>"Tobias", "scopus_author_id"=>"35548052200"}, {"first_name"=>"Amy", "last_name"=>"Jones", "scopus_author_id"=>"55487017400"}, {"first_name"=>"Emma", "last_name"=>"Witt", "scopus_author_id"=>"55522216400"}, {"first_name"=>"Paul", "last_name"=>"Brown", "scopus_author_id"=>"35610486600"}, {"first_name"=>"Max", "last_name"=>"Abbott", "scopus_author_id"=>"7103086656"}, {"first_name"=>"Rohit", "last_name"=>"Bhattacharjee", "scopus_author_id"=>"56463704200"}, {"first_name"=>"Elaine", "last_name"=>"Rush", "scopus_author_id"=>"7003908763"}, {"first_name"=>"Flora Minsun", "last_name"=>"Suh", "scopus_author_id"=>"55971792800"}, {"first_name"=>"Alice", "last_name"=>"Theadom", "scopus_author_id"=>"14124024500"}, {"first_name"=>"Yogini", "last_name"=>"Rathnasabapathy", "scopus_author_id"=>"55972549700"}, {"first_name"=>"Braden Te", "last_name"=>"Ao", "scopus_author_id"=>"56541890700"}, {"first_name"=>"Priya G.", "last_name"=>"Parmar", "scopus_author_id"=>"56042101100"}, {"first_name"=>"Craig", "last_name"=>"Anderson", "scopus_author_id"=>"14824521200"}, {"first_name"=>"Ruth", "last_name"=>"Bonita", "scopus_author_id"=>"7004498247"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"606195305", "pmid"=>"26291829", "doi"=>"10.1371/journal.pone.0134609", "issn"=>"19326203", "scopus"=>"2-s2.0-84942904806", "arxiv"=>"z0022", "sgr"=>"84942904806", "isbn"=>"1932-6203"}, "id"=>"e948b3a0-8167-3465-8907-a008a150023e", "abstract"=>"BACKGROUND: Insufficient data exist on population-based trends in morbidity and mortality to determine the success of prevention strategies and improvements in health care delivery in stroke. The aim of this study was to determine trends in incidence and outcome (1-year mortality, 28-day case-fatality) in relation to management and risk factors for stroke in the multi-ethnic population of Auckland, New Zealand (NZ) over 30-years.\\n\\nMETHODS: Four stroke incidence population-based register studies were undertaken in adult residents (aged ≥15 years) of Auckland NZ in 1981-1982, 1991-1992, 2002-2003 and 2011-2012. All used standard World Health Organization (WHO) diagnostic criteria and multiple overlapping sources of case-ascertainment for hospitalised and non-hospitalised, fatal and non-fatal, new stroke events. Ethnicity was consistently self-identified into four major groups. Crude and age-adjusted (WHO world population standard) annual incidence and mortality with corresponding 95% confidence intervals (CI) were calculated per 100,000 people, assuming a Poisson distribution.\\n\\nRESULTS: 5400 new stroke patients were registered in four 12 month recruitment phases over the 30-year study period; 79% were NZ/European, 6% Māori, 8% Pacific people, and 7% were of Asian or other origin. Overall stroke incidence and 1-year mortality decreased by 23% (95% CI 5%-31%) and 62% (95% CI 36%-86%), respectively, from 1981 to 2012. Whilst stroke incidence and mortality declined across all groups in NZ from 1991, Māori and Pacific groups had the slowest rate of decline and continue to experience stroke at a significantly younger age (mean ages 60 and 62 years, respectively) compared with NZ/Europeans (mean age 75 years). There was also a decline in 28-day stroke case fatality (overall by 14%, 95% CI 11%-17%) across all ethnic groups from 1981 to 2012. However, there were significant increases in the frequencies of pre-morbid hypertension, myocardial infarction, and diabetes mellitus, but a reduction in frequency of current smoking among stroke patients.\\n\\nCONCLUSIONS: In this unique temporal series of studies spanning 30 years, stroke incidence, early case-fatality and 1-year mortality have declined, but ethnic disparities in risk and outcome for stroke persisted suggesting that primary stroke prevention remains crucial to reducing the burden of this disease.", "link"=>"http://www.mendeley.com/research/30year-trends-stroke-rates-outcome-auckland-new-zealand-19812012-multiethnic-populationbased-series", "reader_count"=>36, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Librarian"=>3, "Researcher"=>3, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>7, "Student > Master"=>5, "Other"=>1, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Librarian"=>3, "Researcher"=>3, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>7, "Student > Master"=>5, "Other"=>1, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>15, "Neuroscience"=>4, "Arts and Humanities"=>1, "Sports and Recreations"=>3, "Psychology"=>2, "Social Sciences"=>2, "Computer Science"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>15}, "Neuroscience"=>{"Neuroscience"=>4}, "Social Sciences"=>{"Social Sciences"=>2}, "Sports and Recreations"=>{"Sports and Recreations"=>3}, "Psychology"=>{"Psychology"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>5}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Netherlands"=>1, "United States"=>1, "Portugal"=>1}, "group_count"=>1}

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  • {"files"=>["https://ndownloader.figshare.com/files/2219210"], "description"=>"<p>* 16–64 in 2011–2012,</p><p><sup><b>§</b></sup> Age-standardised to WHO world population</p><p>Crude, age-specific and age-standardised annual stroke mortality rates per 100,000 people in Auckland, New Zealand across four study periods (1981–1982, 1991–1992, 2002–2003 and 2011–2012) by sex and ethnicity.</p>", "links"=>[], "tags"=>["12 month recruitment phases", "World Health Organization", "age 75 years", "mortality", "health care delivery", "2012. Whilst stroke incidence", "Poisson distribution.Results 5400", "nz", "ci", "Studies BackgroundInsufficient data", "stroke incidence"], "article_id"=>1515712, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Valery L. Feigin", "Rita V. Krishnamurthi", "Suzanne Barker-Collo", "Kathryn M. McPherson", "P. Alan Barber", "Varsha Parag", "Bruce Arroll", "Derrick A. Bennett", "Martin Tobias", "Amy Jones", "Emma Witt", "Paul Brown", "Max Abbott", "Rohit Bhattacharjee", "Elaine Rush", "Flora Minsun Suh", "Alice Theadom", "Yogini Rathnasabapathy", "Braden Te Ao", "Priya G. Parmar", "Craig Anderson", "Ruth Bonita"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134609.t003", "stats"=>{"downloads"=>8, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Crude_age_specific_and_age_standardised_annual_stroke_mortality_rates_per_100_000_people_in_Auckland_New_Zealand_across_four_study_periods_1981_8211_1982_1991_8211_1992_2002_8211_2003_and_2011_8211_2012_by_sex_and_ethnicity_/1515712", "title"=>"Crude, age-specific and age-standardised annual stroke mortality rates per 100,000 people in Auckland, New Zealand across four study periods (1981–1982, 1991–1992, 2002–2003 and 2011–2012) by sex and ethnicity.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-20 03:42:48"}
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  • {"files"=>["https://ndownloader.figshare.com/files/2219206"], "description"=>"<p>Stroke incidence rates over 3 decades by 4 age groups.</p>", "links"=>[], "tags"=>["12 month recruitment phases", "World Health Organization", "age 75 years", "mortality", "health care delivery", "2012. Whilst stroke incidence", "Poisson distribution.Results 5400", "nz", "ci", "Studies BackgroundInsufficient data", "stroke incidence"], "article_id"=>1515709, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Valery L. Feigin", "Rita V. Krishnamurthi", "Suzanne Barker-Collo", "Kathryn M. McPherson", "P. Alan Barber", "Varsha Parag", "Bruce Arroll", "Derrick A. Bennett", "Martin Tobias", "Amy Jones", "Emma Witt", "Paul Brown", "Max Abbott", "Rohit Bhattacharjee", "Elaine Rush", "Flora Minsun Suh", "Alice Theadom", "Yogini Rathnasabapathy", "Braden Te Ao", "Priya G. Parmar", "Craig Anderson", "Ruth Bonita"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134609.g003", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Stroke_incidence_rates_over_3_decades_by_4_age_groups_/1515709", "title"=>"Stroke incidence rates over 3 decades by 4 age groups.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-20 03:42:48"}
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PMC Usage Stats | Further Information

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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