What question did this study set out to answer?

To provide updated nationwide statistics on stroke epidemiology, metabolic and vascular risk factors, inpatient management characteristics, and guideline adherence across Chinese hospitals in 2019.

April 20, 2022Stroke and Vascular NeurologyOpen Access

China Stroke Statistics: an update on the 2019 report from the National Center for Healthcare Quality Management in Neurological Diseases, China National Clinical Research Center for Neurological Diseases, the Chinese Stroke Association, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention and Institute for Global Neuroscience and Stroke Collaborations

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To provide updated nationwide statistics on stroke epidemiology, metabolic and vascular risk factors, inpatient management characteristics, and guideline adherence across Chinese hospitals in 2019.
Analyzed national surveillance datasets and Global Burden of Disease 2019 estimates for population-level stroke incidence, prevalence, mortality, and pre-existing risk conditions.
Evaluated 3,411,168 stroke admissions across 1,672 tertiary public hospitals and admissions across 2,847 secondary or private hospitals from the Hospital Quality Monitoring System (HQMS).
Assessed quality-of-care adherence based on composite scores of guideline-recommended key performance indicators across 323,601 stroke patients from 1,337 hospitals in the Chinese Stroke Center Alliance.
In 2019, stroke accounted for 3.94 million incident cases, 28.76 million prevalent cases, 2.19 million deaths, and 45.9 million disability-adjusted life-years nationwide.
Tertiary hospital admissions comprised 82.6% ischaemic strokes, 14.2% intracerebral haemorrhages, and 3.1% subarachnoid haemorrhages, with hypertension as the leading risk factor (44.1%–69.9%) and an overall in-hospital death or discharge against medical advice rate of 8.5%.
Guideline adherence composite scores were 0.78±0.20 for ischaemic stroke, 0.69±0.27 for intracerebral haemorrhage, and 0.60±0.31 for subarachnoid haemorrhage.

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Implication

Epidemiological surveillance reports substantial disease burden and variable hospital quality adherence across stroke subtypes in China, highlighting the urgency of targeted prevention and care.

Cite This Study

Wang et al. (2022) studied this question.

synapsesocial.com/papers/6a7ccfd1d730235179b00303 https://doi.org/10.1136/svn-2021-001374

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Implication

Epidemiological surveillance reports substantial disease burden and variable hospital quality adherence across stroke subtypes in China, highlighting the urgency of targeted prevention and care.

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Discussion

Implication

Cite This Study

Key Points

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Implication

Cite This Study

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