Epidemiology of intracerebral hemorrhage: A systematic review and meta-analysis

被引:21
|
作者
Wang, Sai [1 ]
Zou, Xue-Lun [1 ]
Wu, Lian-Xu [1 ]
Zhou, Hui-Fang [1 ]
Xiao, Linxiao [2 ]
Yao, Tianxing [1 ]
Zhang, Yupeng [1 ]
Ma, Junyi [1 ]
Zeng, Yi [3 ]
Zhang, Le [1 ,4 ,5 ]
机构
[1] Cent South Univ, Xiangya Hosp, Dept Neurol, Changsha, Peoples R China
[2] Cent South Univ, Xiangya Hosp, Dept Spine Surg, Changsha, Peoples R China
[3] Cent South Univ, Xiangya Hosp 2, Dept Geriatr, Changsha, Peoples R China
[4] Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Changsha, Peoples R China
[5] Cent South Univ, Xiangya Hosp, Multimodal Monitoring Technol Severe Cerebrovasc D, Changsha, Peoples R China
来源
FRONTIERS IN NEUROLOGY | 2022年 / 13卷
关键词
intracerebral hemorrhage; incidence; risk factors; sex difference; hypertension; CASE-FATALITY RATES; 30-DAY CASE-FATALITY; MELBOURNE STROKE INCIDENCE; RISK-FACTORS; SUBARACHNOID HEMORRHAGE; LAQUILA REGISTRY; COMMUNITY STROKE; 1ST-EVER STROKE; PART I; POPULATION;
D O I
10.3389/fneur.2022.915813
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Intracerebral hemorrhage (ICH) is associated with high mortality and disability rates. This study aimed to investigate the relationship between sex, age, study year, risk factors, bleeding site, median year of study, and the incidence of ICH. Method Literature on the incidence of ICH published on 1 January 1980 and 1 January 2020, was systematically retrieved from PubMed and Embase databases. The random-effects model and subgroup analysis were used to explore the relationship between the incidence of ICH and different ages, sex, bleeding sites, and risk factors. Results We summarized the epidemiological changes in ICH in the past 40 years according to 52 studies and found that the total incidence of ICH is 29.9 per 100,000 person-years (95% CI: 26.5-33.3), which has not decreased worldwide. The incidence of ICH in the Asian population is much higher than in other continents. In addition, the incidence of ICH increases with age and differs at the 85-year-old boundary. Men are more likely to develop ICH than women, and the basal ganglia region is the most common area for ICH. Of the 10 risk factors examined in this study, those with hypertension had the highest incidence of ICH, followed by those with excessive alcohol consumption and heart disease. Conclusion The prevention and treatment of ICH still need to be improved continuously according to age, sex, risk factors, and other factors, and targeted and normative strategies should be gradually developed in the future.
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页数:12
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