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@article{Johnson:2019:10.1016/S1474-4422(19)30034-1,
author = {Johnson, CO and Minh, N and Roth, GA and Nichols, E and Alam, T and Abate, D and Abd-Allah, F and Abdelalim, A and Abraha, HN and Abu-Rmeileh, NM and Adebayo, OM and Adeoye, AM and Agarwal, G and Agrawal, S and Aichour, AN and Aichour, I and Aichour, MTE and Alahdab, F and Ali, R and Alvis-Guzman, N and Anber, NH and Anjomshoa, M and Arabloo, J and Arauz, A and Arnlov, J and Arora, A and Awasthi, A and Banach, M and Barboza, MA and Barker-Collo, SL and Barnighausen, TW and Basu, S and Belachew, AB and Belayneh, YM and Bennett, DA and Bensenor, IM and Bhattacharyya, K and Biadgo, B and Bijani, A and Bikbov, B and Bin, Sayeed MS and Butt, ZA and Cahuana-Hurtado, L and Carrero, JJ and Carvalho, F and Castaneda-Orjuela, CA and Castro, F and Catala-Lopez, F and Chaiah, Y and Chiang, PP-C and Choi, J-YJ and Christensen, H and Chu, D-T and Cortinovis, M and Moura, Damasceno AA and Dandona, L and Dandona, R and Daryani, A and Davletov, K and De, Courten B and De, la Cruz-Gongora V and Degefa, },
doi = {10.1016/S1474-4422(19)30034-1},
journal = {Lancet Neurology},
pages = {439--458},
title = {Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016},
url = {http://dx.doi.org/10.1016/S1474-4422(19)30034-1},
volume = {18},
year = {2019}
}

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TY  - JOUR
AB  - BackgroundStroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are substantial. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic, comparable method of quantifying health loss by disease, age, sex, year, and location to provide information to health systems and policy makers on more than 300 causes of disease and injury, including stroke. The results presented here are the estimates of burden due to overall stroke and ischaemic and haemorrhagic stroke from GBD 2016.MethodsWe report estimates and corresponding uncertainty intervals (UIs), from 1990 to 2016, for incidence, prevalence, deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs). DALYs were generated by summing YLLs and YLDs. Cause-specific mortality was estimated using an ensemble modelling process with vital registration and verbal autopsy data as inputs. Non-fatal estimates were generated using Bayesian meta-regression incorporating data from registries, scientific literature, administrative records, and surveys. The Socio-demographic Index (SDI), a summary indicator generated using educational attainment, lagged distributed income, and total fertility rate, was used to group countries into quintiles.FindingsIn 2016, there were 5·5 million (95% UI 5·3 to 5·7) deaths and 116·4 million (111·4 to 121·4) DALYs due to stroke. The global age-standardised mortality rate decreased by 36·2% (−39·3 to −33·6) from 1990 to 2016, with decreases in all SDI quintiles. Over the same period, the global age-standardised DALY rate declined by 34·2% (−37·2 to −31·5), also with decreases in all SDI quintiles. There were 13·7 million (12·7 to 14·7) new stroke cases in 2016. Global age-standardised incidence declined by 8·1% (&m
AU  - Johnson,CO
AU  - Minh,N
AU  - Roth,GA
AU  - Nichols,E
AU  - Alam,T
AU  - Abate,D
AU  - Abd-Allah,F
AU  - Abdelalim,A
AU  - Abraha,HN
AU  - Abu-Rmeileh,NM
AU  - Adebayo,OM
AU  - Adeoye,AM
AU  - Agarwal,G
AU  - Agrawal,S
AU  - Aichour,AN
AU  - Aichour,I
AU  - Aichour,MTE
AU  - Alahdab,F
AU  - Ali,R
AU  - Alvis-Guzman,N
AU  - Anber,NH
AU  - Anjomshoa,M
AU  - Arabloo,J
AU  - Arauz,A
AU  - Arnlov,J
AU  - Arora,A
AU  - Awasthi,A
AU  - Banach,M
AU  - Barboza,MA
AU  - Barker-Collo,SL
AU  - Barnighausen,TW
AU  - Basu,S
AU  - Belachew,AB
AU  - Belayneh,YM
AU  - Bennett,DA
AU  - Bensenor,IM
AU  - Bhattacharyya,K
AU  - Biadgo,B
AU  - Bijani,A
AU  - Bikbov,B
AU  - Bin,Sayeed MS
AU  - Butt,ZA
AU  - Cahuana-Hurtado,L
AU  - Carrero,JJ
AU  - Carvalho,F
AU  - Castaneda-Orjuela,CA
AU  - Castro,F
AU  - Catala-Lopez,F
AU  - Chaiah,Y
AU  - Chiang,PP-C
AU  - Choi,J-YJ
AU  - Christensen,H
AU  - Chu,D-T
AU  - Cortinovis,M
AU  - Moura,Damasceno AA
AU  - Dandona,L
AU  - Dandona,R
AU  - Daryani,A
AU  - Davletov,K
AU  - De,Courten B
AU  - De,la Cruz-Gongora V
AU  - Degefa,MG
AU  - Dharmaratne,SD
AU  - Diaz,D
AU  - Dubey,M
AU  - Duken,EE
AU  - Edessa,D
AU  - Endres,M
AU  - Faraon,EJA
AU  - Farzadfar,F
AU  - Fernandes,E
AU  - Fischer,F
AU  - Flor,LS
AU  - Ganji,M
AU  - Gebre,AK
AU  - Gebremichael,TG
AU  - Geta,B
AU  - Gezae,KE
AU  - Gill,PS
AU  - Gnedovskaya,EV
AU  - Gomez-Dantes,H
AU  - Goulart,AC
AU  - Grosso,G
AU  - Guo,Y
AU  - Gupta,R
AU  - Haj-Mirzaian,A
AU  - Haj-Mirzaian,A
AU  - Hamidi,S
AU  - Hankey,GJ
AU  - Hassen,HY
AU  - Hay,SI
AU  - Hegazy,MI
AU  - Heidari,B
AU  - Herial,NA
AU  - Hosseini,MA
AU  - Hostiuc,S
AU  - Irvani,SSN
AU  - Islam,SMS
AU  - Jahanmehr,N
AU  - Javanbakht,M
AU  - Jha,RP
AU  - Jonas,JB
AU  - Jozwiak,JJ
AU  - Jurisson,M
AU  - Kahsay,A
AU  - Kalani,R
AU  - Kalkonde,Y
AU  - Kamil,TA
AU  - Kanchan,T
AU  - Karch,A
AU  - Karimi,N
AU  - Karimi-Sari,H
AU  - Kasaeian,A
AU  - Kassa,TD
AU  - Kazemeini,H
AU  - Kefale,AT
AU  - Khader,YS
AU  - Khalil,IA
AU  - Khan,EA
AU  - Khang,Y-H
AU  - Khubchandani,J
AU  - Kim,D
AU  - Kim,YJ
AU  - Kisa,A
AU  - Kivimaki,M
AU  - Koyanagi,A
AU  - Krishnamurthi,RK
AU  - Kumar,GA
AU  - Lafranconi,A
AU  - Lewington,S
AU  - Li,S
AU  - Lo,WD
AU  - Lopez,AD
AU  - Lorkowski,S
AU  - Lotufo,PA
AU  - Mackay,MT
AU  - Majdan,M
AU  - Majdzadeh,R
AU  - Majeed,A
AU  - Malekzadeh,R
AU  - Manafi,N
AU  - Mansournia,MA
AU  - Mehndiratta,MM
AU  - Mehta,V
AU  - Mengistu,G
AU  - Meretoja,A
AU  - Meretoja,TJ
AU  - Miazgowski,B
AU  - Miazgowski,T
AU  - Miller,TR
AU  - Mirrakhimov,EM
AU  - Mohajer,B
AU  - Mohammad,Y
AU  - Mohammadoo-Khorasani,M
AU  - Mohammed,S
AU  - Mohebi,F
AU  - Mokdad,AH
AU  - Mokhayeri,Y
AU  - Moradi,G
AU  - Morawska,L
AU  - Velasquez,IM
AU  - Mousavi,SM
AU  - Muhammed,OSS
AU  - Muruet,W
AU  - Naderi,M
AU  - Naghavi,M
AU  - Naik,G
AU  - Nascimento,BR
AU  - Negoi,RI
AU  - Cuong,T
DO  - 10.1016/S1474-4422(19)30034-1
EP  - 458
PY  - 2019///
SN  - 1474-4422
SP  - 439
TI  - Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
T2  - Lancet Neurology
UR  - http://dx.doi.org/10.1016/S1474-4422(19)30034-1
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000464140400013&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/69210
VL  - 18
ER  -

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