Stroke prevalence among the Spanish elderly: an analysis based on screening surveys

<p>Abstract</p> <p>Background</p> <p>This study sought to describe stroke prevalence in Spanish elderly populations and compare it against that of other European countries.</p> <p>Methods</p> <p>We identified screening surveys -both published and...

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Main Authors: Díaz-Guzmán Jaime, de Arce Ana, Gascón Jordi, Lobo Antonio, Manubens José, Reñé Ramón, Saz Pedro, del Barrio José, Boix Raquel, Bergareche Alberto, Bermejo-Pareja Félix, de Pedro-Cuesta Jesús
Format: Article
Language:English
Published: BMC 2006-10-01
Series:BMC Neurology
Online Access:http://www.biomedcentral.com/1471-2377/6/36
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author Díaz-Guzmán Jaime
de Arce Ana
Gascón Jordi
Lobo Antonio
Manubens José
Reñé Ramón
Saz Pedro
del Barrio José
Boix Raquel
Bergareche Alberto
Bermejo-Pareja Félix
de Pedro-Cuesta Jesús
author_facet Díaz-Guzmán Jaime
de Arce Ana
Gascón Jordi
Lobo Antonio
Manubens José
Reñé Ramón
Saz Pedro
del Barrio José
Boix Raquel
Bergareche Alberto
Bermejo-Pareja Félix
de Pedro-Cuesta Jesús
author_sort Díaz-Guzmán Jaime
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>This study sought to describe stroke prevalence in Spanish elderly populations and compare it against that of other European countries.</p> <p>Methods</p> <p>We identified screening surveys -both published and unpublished- in Spanish populations, which fulfilled specific quality requirements and targeted prevalence of stroke in populations aged 70 years and over. Surveys covering seven geographically different populations with prevalence years in the period 1991–2002 were selected, and the respective authors were then asked to provide descriptions of the methodology and raw age-specific data by completing a questionnaire. In addition, five reported screening surveys in European populations furnished useful data for comparison purposes. Prevalence data were combined, using direct adjustment and logistic regression.</p> <p>Results</p> <p>The overall study population, resident in central and north-eastern Spain, totalled 10,647 persons and yielded 715 cases. Age-adjusted prevalences, using the European standard population, were 7.3% for men, 5.6% for women, and 6.4% for both sexes. Prevalence was significantly lower in women, OR 0.79 95% CI 0.68–0.93, increased with age, particularly among women, and displayed a threefold spatial variation with statistically significant differences. Prevalences were highest, 8.7%, in suburban, and lowest, 3.8%, in rural populations. Compared to pooled Spanish populations, statistically significant differences were seen in eight Italian populations, OR 1.39 95%CI (1.18–1.64), and in Kungsholmen, Sweden, OR 0.40 95%CI (0.27–0.58).</p> <p>Conclusion</p> <p>Prevalence in central and north-eastern Spain is higher in males and in suburban areas, and displays a threefold geographic variation, with women constituting the majority of elderly stroke sufferers. Compared to reported European data, stroke prevalence in Spain can be said to be medium and presents similar age- and sex-specific traits.</p>
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spelling doaj.art-13c908239b9a47f8bd200c8dbf70accd2022-12-22T03:00:51ZengBMCBMC Neurology1471-23772006-10-01613610.1186/1471-2377-6-36Stroke prevalence among the Spanish elderly: an analysis based on screening surveysDíaz-Guzmán Jaimede Arce AnaGascón JordiLobo AntonioManubens JoséReñé RamónSaz Pedrodel Barrio JoséBoix RaquelBergareche AlbertoBermejo-Pareja Félixde Pedro-Cuesta Jesús<p>Abstract</p> <p>Background</p> <p>This study sought to describe stroke prevalence in Spanish elderly populations and compare it against that of other European countries.</p> <p>Methods</p> <p>We identified screening surveys -both published and unpublished- in Spanish populations, which fulfilled specific quality requirements and targeted prevalence of stroke in populations aged 70 years and over. Surveys covering seven geographically different populations with prevalence years in the period 1991–2002 were selected, and the respective authors were then asked to provide descriptions of the methodology and raw age-specific data by completing a questionnaire. In addition, five reported screening surveys in European populations furnished useful data for comparison purposes. Prevalence data were combined, using direct adjustment and logistic regression.</p> <p>Results</p> <p>The overall study population, resident in central and north-eastern Spain, totalled 10,647 persons and yielded 715 cases. Age-adjusted prevalences, using the European standard population, were 7.3% for men, 5.6% for women, and 6.4% for both sexes. Prevalence was significantly lower in women, OR 0.79 95% CI 0.68–0.93, increased with age, particularly among women, and displayed a threefold spatial variation with statistically significant differences. Prevalences were highest, 8.7%, in suburban, and lowest, 3.8%, in rural populations. Compared to pooled Spanish populations, statistically significant differences were seen in eight Italian populations, OR 1.39 95%CI (1.18–1.64), and in Kungsholmen, Sweden, OR 0.40 95%CI (0.27–0.58).</p> <p>Conclusion</p> <p>Prevalence in central and north-eastern Spain is higher in males and in suburban areas, and displays a threefold geographic variation, with women constituting the majority of elderly stroke sufferers. Compared to reported European data, stroke prevalence in Spain can be said to be medium and presents similar age- and sex-specific traits.</p>http://www.biomedcentral.com/1471-2377/6/36
spellingShingle Díaz-Guzmán Jaime
de Arce Ana
Gascón Jordi
Lobo Antonio
Manubens José
Reñé Ramón
Saz Pedro
del Barrio José
Boix Raquel
Bergareche Alberto
Bermejo-Pareja Félix
de Pedro-Cuesta Jesús
Stroke prevalence among the Spanish elderly: an analysis based on screening surveys
BMC Neurology
title Stroke prevalence among the Spanish elderly: an analysis based on screening surveys
title_full Stroke prevalence among the Spanish elderly: an analysis based on screening surveys
title_fullStr Stroke prevalence among the Spanish elderly: an analysis based on screening surveys
title_full_unstemmed Stroke prevalence among the Spanish elderly: an analysis based on screening surveys
title_short Stroke prevalence among the Spanish elderly: an analysis based on screening surveys
title_sort stroke prevalence among the spanish elderly an analysis based on screening surveys
url http://www.biomedcentral.com/1471-2377/6/36
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