Nationwide incidence of first stroke and TIA in the Netherlands
Article first published online: 25 SEP 2008
© 2008 The Author(s). Journal compilation © 2008 EFNS
European Journal of Neurology
Volume 15, Issue 12, pages 1315–1323, December 2008
How to Cite
Vaartjes, I., Reitsma, J. B., De Bruin, A., Berger-van Sijl, M., Bos, M. J., Breteler, M. M. B., Grobbee, D. E. and Bots, M. L. (2008), Nationwide incidence of first stroke and TIA in the Netherlands. European Journal of Neurology, 15: 1315–1323. doi: 10.1111/j.1468-1331.2008.02309.x
- Issue published online: 12 NOV 2008
- Article first published online: 25 SEP 2008
- Received 10 April 2008 Accepted 6 August 2008
- intracerebral hemorrhage;
- ischaemic stroke;
- national registries;
- subarchnoidal hemorrhage;
Background: Information on incidence of stroke is important for developing and maintaining public health strategies in primary and secondary prevention. Nationwide data on the incidence of stroke are scarce and absent for the Netherlands.
Methods: New cases of first stroke and stroke subtypes in the Dutch population in 2000 were identified through linkage of national registers and included hospitalized patients for first stroke and out-of-hospital deaths from first stroke. The number of non-fatal, non-hospitalized stroke patients was estimated based on data from the Rotterdam study, a population based cohort.
Results: We identified 26 556 patients with a first stroke (20 798 hospitalized patients, 5758 out-of-hospital deaths). The number of non-fatal, non-hospitalized first stroke patients was estimated to be 12 255. Extrapolation of the data to the total Dutch population led to an overall estimate of approximately 41 000 patients with a first stroke. Stroke incidence increased with age and was higher in men than in women, except in the lowest (< 45 years) and highest age group (> 85 years).
Conclusions: The present study provides for the first time incidence estimates of first stroke (hospitalized patients, out-of hospital deaths and non-fatal, non-hospitalized patients) based upon virtually the entire Dutch population.