Consistent declining trends in stroke mortality in Brazil: mission accomplished?
ABSTRACT Stroke mortality rates are declining in Brazil, but diferences among regions need to be better investigated. The age-adjusted stroke mortality trends among adults (30-69 years-old) from Brazilian regions were studied between 1996 and 2011. Method Data were analyzed after: 1) reallocation...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2016-05-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500376&lng=en&tlng=en |
| _version_ | 1811256294468747264 |
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| author | Valéria M. A. Passos Lenice H. Ishitani Glaura C. Franco Gustavo C. Lana Daisy M. X. Abreu Maria de Fatima Marinho Elisabeth B. França |
| author_facet | Valéria M. A. Passos Lenice H. Ishitani Glaura C. Franco Gustavo C. Lana Daisy M. X. Abreu Maria de Fatima Marinho Elisabeth B. França |
| author_sort | Valéria M. A. Passos |
| collection | DOAJ |
| description | ABSTRACT Stroke mortality rates are declining in Brazil, but diferences among regions need to be better investigated. The age-adjusted stroke mortality trends among adults (30-69 years-old) from Brazilian regions were studied between 1996 and 2011. Method Data were analyzed after: 1) reallocation of deaths with non-registered sex or age; 2) redistribution of garbage codes and 3) underreporting correction. A linear regression model with autoregressive errors and a state space model were fitted to the data, aiming the estimation of annual trends at every point in time. Results Although there were high values, a steady decrease of rates was observed. The decreasing trends among all regions were statistically significant, with higher values of decline among the Northeast and Northern regions, where rates were the highest. Conclusion Standardized methodology use is mandatory for correct interpretation of mortality estimates. Although declining, rates are still extremely high and efforts must be made towards prevention of stroke incidence, reduction of case-fatality rates and prevention of sequelae. |
| first_indexed | 2024-04-12T17:37:58Z |
| format | Article |
| id | doaj.art-cf842a0d6f53485c9c797fa26d30245b |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-12T17:37:58Z |
| publishDate | 2016-05-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-cf842a0d6f53485c9c797fa26d30245b2022-12-22T03:22:53ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272016-05-0174537638110.1590/0004-282X20160055S0004-282X2016000500376Consistent declining trends in stroke mortality in Brazil: mission accomplished?Valéria M. A. PassosLenice H. IshitaniGlaura C. FrancoGustavo C. LanaDaisy M. X. AbreuMaria de Fatima MarinhoElisabeth B. FrançaABSTRACT Stroke mortality rates are declining in Brazil, but diferences among regions need to be better investigated. The age-adjusted stroke mortality trends among adults (30-69 years-old) from Brazilian regions were studied between 1996 and 2011. Method Data were analyzed after: 1) reallocation of deaths with non-registered sex or age; 2) redistribution of garbage codes and 3) underreporting correction. A linear regression model with autoregressive errors and a state space model were fitted to the data, aiming the estimation of annual trends at every point in time. Results Although there were high values, a steady decrease of rates was observed. The decreasing trends among all regions were statistically significant, with higher values of decline among the Northeast and Northern regions, where rates were the highest. Conclusion Standardized methodology use is mandatory for correct interpretation of mortality estimates. Although declining, rates are still extremely high and efforts must be made towards prevention of stroke incidence, reduction of case-fatality rates and prevention of sequelae.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500376&lng=en&tlng=enacidente vascular cerebralmortalidadedesigualdades em saúde |
| spellingShingle | Valéria M. A. Passos Lenice H. Ishitani Glaura C. Franco Gustavo C. Lana Daisy M. X. Abreu Maria de Fatima Marinho Elisabeth B. França Consistent declining trends in stroke mortality in Brazil: mission accomplished? Arquivos de Neuro-Psiquiatria acidente vascular cerebral mortalidade desigualdades em saúde |
| title | Consistent declining trends in stroke mortality in Brazil: mission accomplished? |
| title_full | Consistent declining trends in stroke mortality in Brazil: mission accomplished? |
| title_fullStr | Consistent declining trends in stroke mortality in Brazil: mission accomplished? |
| title_full_unstemmed | Consistent declining trends in stroke mortality in Brazil: mission accomplished? |
| title_short | Consistent declining trends in stroke mortality in Brazil: mission accomplished? |
| title_sort | consistent declining trends in stroke mortality in brazil mission accomplished |
| topic | acidente vascular cerebral mortalidade desigualdades em saúde |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500376&lng=en&tlng=en |
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