The study published in the European Heart Journal (EHJ) evaluates trends for three types of cerebrovascular diseases in Europe between 1980 and 2016.
Essentially a stroke when blood does not arrive anymore to irrigate the brain because an artery is blocked (ischemic stroke, the most common) or because there is a bleeding (hemorrhagic stroke). A much less common form, subarachnoid hemorrhage (SAH), commonly known as subarachnoid hemorrhage, is also considered, with bleeding between the brain and the surrounding membrane.
Researchers, led by Dr. Nick Townsend, associate professor of Epidemiology in Public Health at the University of Bath (UK), found in the most recent period throughout the European region of WHO, showed significant decreases in the mortality rates of the three types of cerebrovascular disease in 33 countries (65%) in men and women.
However, there were increases in three countries for men (Azerbaijan, Georgia and Tajikistan) and two for women (Azerbaijan and Uzbekistan).
Researchers also found more recent trends in death rates less pronounced in seven countries for men (Austria, Denmark, France, Germany, Greece, Czech Republic and Hungary) and in six countries for women (Austria, Belgium, France, Germany, Ireland and Switzerland). ).
For both sexes, more than a third of the countries studied show either a decrease in mortality, no decrease or an increase in mortality.
Mortality rates, taking into account the size of the population and the age distribution, stroke are much lower in Western Europe than in the rest of the continent.
Among men, mortality rates in Western Europe vary from 49 per 100,000 inhabitants in France to 131 per 100,000 in San Marino.
In Central Europe, male mortality rates varied from 110 per 100,000 in the Czech Republic to 391 per 100,000 in Bulgaria.
In Eastern Europe, the percentage of male fatalities ranged from 82 in Estonia to 331 in Russia per 100,000 inhabitants. In Central Asia they reach 345 / 100,000 inhabitants in Azerbaijan.
In the United Kingdom the mortality rate was 68 and 65 / 100,000 respectively for men and women.
favorable mortality rates due to meningeal bleeding, which decrease less or even increase in women in 25 countries.
Data from the World Health Organization (WHO) were not available for all countries.