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Journal Article
Stroke epidemiology in China: which are the next steps?
2019
Overview
Among them are the north–south disparity, with differences in the epidemiology of risk factors, and higher prevalence and incidence of stroke in the north; and rural–urban differences, to the disadvantage of rural regions.1 Nevertheless, a lot of variation is to be expected because of the vastness of the country, harbouring so many people with differing genetic backgrounds, risk behaviours, and access to health services. Following this road map for community health care, a lot can be done for patients with stroke, including basic stroke care that provides diagnosis, rapid assessment and symptomatic management of blood pressure, avoidance of aspiration pneumonia, detection and prevention of fever, and monitoring clinical course to decide whether a referral to a higher grade care-centre is needed. On the global scale, due to the ageing of the population, further population growth, and a trend towards increasing prevalence of risk factors, the global burden of stroke will likely increase, unless cost-effective primary stroke preventive strategies can be found and implemented.
