Evidence map›Paper›PMID 40470651›Full record

ArticleJournal of the American Heart Association2025

Stroke Mortality Risk Factors: Global Trends and Regional Variations (1990-2021).

Dengpan Song, Dingkang Xu, Kaiyuan Zhang, Yuanhao Lou, Yan Du, Yuan An, Ahmed Badr, Daniele Rigamonti, David Cistola, Dongming Yan and 2 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Observational
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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

12 authors.

Dengpan SongDepartment of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Dingkang XuDepartment of Neurosurgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences) Southern Medical University Guangzhou China.
Kaiyuan ZhangDepartment of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Yuanhao LouDepartment of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Yan DuDepartment of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Yuan AnDepartment of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Ahmed BadrDepartment of Anesthesiology Ochsner LSU Health Shreveport LA USA.
Daniele RigamontiDepartment of Neurosurgery Johns Hopkins University Baltimore MD USA.ORCID 0000-0001-7569-5001
David CistolaDepartment of Molecular and Translational Medicine (MTM) Texas Tech University Health Science Center El Paso (TTUHSCEP) El Paso TX USA.
Dongming YanDepartment of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Jun ZhangDepartment of Molecular and Translational Medicine (MTM) Texas Tech University Health Science Center El Paso (TTUHSCEP) El Paso TX USA.ORCID 0000-0002-4379-3616
Fuyou GuoDepartment of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.ORCID 0000-0001-9332-8272

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a major global health challenge, affected by many risk factors. This study aimed to analyze the risk factors for death induced by 3 primary stroke subtypes from 1990 to 2021 by using data from the Global Burden of Disease 2021 database.

methodsWe examine the risk factors for death induced by 3 stroke subtypes: ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. The sociodemographic index (SDI) measures the impact of socioeconomic development on disease burden. Age-standardized death rates and estimated annual percentage changes were calculated to analyze trends.

resultsIn 2021, the global mortality rates of ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage were substantial, with age-standardized death rates of 44.18, 39.09, and 4.18 per 100 000 people, respectively. The risk factors for stroke-induced death varied on the basis of region, age, and sex, with stronger impacts observed in low-SDI regions, among older individuals, and among men. Although most of the observed risk factors are decreasing globally, this trend is more pronounced in high-SDI regions. Notably, household air pollution from solid fuels remains a significant issue in low-SDI regions. High systolic blood pressure is the strongest risk factor for all stroke types, with the burden increasing rapidly among older adults. High body mass index and ambient particulate matter pollution are exhibiting increasing age-standardized death rates, particularly in middle- and low-SDI regions.

conclusionsIn the future, preventive measures against stroke-induced mortality should focus on low-SDI regions, older individuals, and men. Controlling high blood pressure and improving the environment will greatly reduce the burden of stroke.

Indexed as

Cerebral HemorrhageIschemic StrokeStrokeSubarachnoid HemorrhageAdultAgedAged, 80 and overDatabases, FactualFemaleGlobal Burden of DiseaseGlobal HealthHumansMaleMiddle AgedRisk AssessmentRisk Factorsdeathglobal burden of diseaseintracerebral hemorrhagerisk factorstrokesubarachnoid hemorrhage

Identifiers

PMID40470651
PMCPMC12229117

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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.