Evidence map›Paper›PMID 39987025›Full record

ArticleBMC neurology2025

The burden of ischemic stroke in Eastern Europe from 1990 to 2021.

Jingyao Xu, Shuai Hou, Zimeng Chen, Yong Liu, Xia Deng, Chunping Wang, Shijie Liu, Yanqiang Wang

Abstract read
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jingyao Xu *Emergency Department, The Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, China.
Shuai Hou *Emergency Department, The Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, China.
Zimeng ChenDepartment II of Neurology, The Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, China.
Yong LiuEmergency Department, The Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, China.
Xia DengSchool of Public Health, Shandong Second Medical University, Weifang, Shandong, China.
Chunping WangSchool of Public Health, Shandong Second Medical University, Weifang, Shandong, China.
Shijie LiuEmergency Department, Yantai Laiyang Central Hospital, Laiyang, Shandong, China. skeleton44@126.com.
Yanqiang WangDepartment II of Neurology, The Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, China. wangyq6@mail2.sysu.edu.cn.

Funding

Clinical Research Center of Affiliated Hospital of Shandong Second Medical University No. wyfy-2022-ky-148Health China·BuChang ZhiYuan Public welfare projects for heart and brain health No. HIGHER2023072Joint scientific research plan project of China NO. LH2022GG03Shandong Second Medical University NO. 2023FYM001
6 · The paper itself

Abstract

background and purposeIschemic stroke is a significant public health concern, particularly in Eastern Europe, where the burden remains high. This study aims to evaluate the trends and burden of ischemic stroke in Eastern Europe from 1990 to 2021, providing insights into epidemiological changes and informing public health strategies.

methodsWe used data from the Global Burden of Disease 2021 database to comprehensively assess regional and national ischemic stroke indicators in Eastern Europe. These indicators included the number of cases, incidence, number of deaths, mortality, disability-adjusted life years (DALYs), DALY rates, and estimated annual percentage change (EAPC). Joinpoint analysis was employed to examine sex-specific time trends in the burden of ischemic stroke across Eastern European countries. These estimates incorporated the Socio-Demographic Index (SDI).

resultsIn 2021, Eastern Europe reported 490,197 cases of ischemic stroke, with an age-standardized incidence rate (ASIR) of 142.57 (95% UI: 122.12 to 164.67), exceeding the global level. The region recorded 329,291 deaths, with an age-standardized mortality rate (ASMR) of 90.99 (95% UI: 82.79 to 98.48), significantly higher than the global rate. Disability-adjusted life years (DALYs) totaled 5,713,718, with an age-standardized DALYs rate (ASDR) of 1601.20 (95% UI: 1483.51 to 1723.12). Our joinpoint regression analysis indicates that the disease burden remains notably high in Eastern Europe, despite an overall declining trend from 1990 to 2021 in ASIR and ASMR across most countries, with estimated annual percentage changes (EAPC) of -1.13 (95% CI: -1.24 to -1.02) and - 2.78 (95% CI: -3.24 to -2.32), respectively. Lithuania reported the highest incidence rate, while the Russian Federation had the highest mortality and DALY rate. Conversely, Estonia showed significant improvements in stroke indicators. Key risk factors included low temperature and smoking, contributing notably to environmental and behavioral risks.

conclusionIschemic stroke continues to be a significant global health issue. Our temporal trends study results indicate that the disease burden remains notably high in Eastern Europe, particularly in Lithuania and the Russian Federation.

Indexed as

Cost of IllnessIschemic StrokeAdultAgedAged, 80 and overDisability-Adjusted Life YearsEurope, EasternFemaleGlobal Burden of DiseaseHumansIncidenceMaleMiddle AgedDisability-adjusted life yearDisease burden of ischemic strokeEastern EuropeIncidenceMortality

Identifiers

PMID39987025
PMCPMC11846382

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.