Evidence map›Paper›PMID 40474065›Full record

ArticleBMC neurology2025

Temporal trend and attributable risk factors of ischemic stroke burden in China, 1990-2021.

Zhengqi Lian, Yikun Gao, Jiali Xiong, Yang Shen, Xiaoxing Xiong, Lijuan Gu

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 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
  2. [Prognostic analysis of anticoagulation therapy in elderly patients with cardioembolic stroke].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
  3. [Developmental trajectories of medication adherence and predictors of latent classes in patients with ischemic stroke].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
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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

6 authors.

Zhengqi Lian *Central Laboratory, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuchang District, Wuhan, Hubei, 430060, China.
Yikun Gao *Central Laboratory, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuchang District, Wuhan, Hubei, 430060, China.
Jiali XiongCentral Laboratory, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuchang District, Wuhan, Hubei, 430060, China.
Yang ShenCentral Laboratory, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuchang District, Wuhan, Hubei, 430060, China.
Xiaoxing XiongDepartment of Neurosurgery, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuchang District, Wuhan, Hubei, 430060, China. xiaoxingxiong@whu.edu.cn.
Lijuan GuCentral Laboratory, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuchang District, Wuhan, Hubei, 430060, China. gulijuan@whu.edu.cn.

Funding

National Natural Science Foundation of China 82371336National Natural Science Foundation of China 82471370
6 · The paper itself

Abstract

backgroundIschemic stroke (IS) is the third leading cause of death and disability in China. The Global Burden of Disease (GBD) 2021 study provides the data on IS from 1990 to 2021. This study firstly analyzed the disease burden and risk factors for IS in China from 1990 to 2021, with a special focus on the epidemiological changes following the COVID-19 outbreak.

methodsBased on GBD 2021 data, this study conducted a secondary analysis of the incidence, prevalence, mortality, disability-adjusted life years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) and attributable risk factors of IS in China from 1990 to 2021. Trends in IS were assessed by estimated annual percentage change (EAPC). All analyses were stratified by sex and age.

resultsIS incidence rose from 0.76 million in 1990 to 2.77 million in 2021 (EAPC: 4.21, 95% CI: 3.98-4.44). The prevalence increased from 6.58 million in 1990 to 20.80 million in 2021 (EAPC: 3.85, 95% CI: 3.62-4.08). The rates and age-standardized rates (ASRs) for these metrics increased from 1990 to 2021, with a sharp increase in 2020-2021. Although the number of deaths and DALYs rose to 0.28 million and to 5.01 million in 2021 respectively, the ASRs decreased from 1990 to 2021. The disease burden of IS is generally higher in males than in females at all ages. The IS burden were expected to continue growing from 2021 to 2030. In 2021, the top 3 risk factors for IS DALYs were High systolic blood pressure, Ambient particulate matter pollution, and High LDL cholesterol.

conclusionsThe disease burden of IS in China has notably increased over the past three decades, with significant differences in sex and age groups. The COVID-19 pandemic has changed the epidemiology of IS. China needs to take appropriate prevention and treatment measures for key populations, and pay attention to changes in IS management in the post-epidemic era.

Indexed as

Cost of IllnessCOVID-19Ischemic StrokeAdolescentAdultAgedAged, 80 and overChinaDisability-Adjusted Life YearsFemaleGlobal Burden of DiseaseHumansIncidenceMaleMiddle AgedPrevalenceCOVID-19Global burden of diseaseIschemic strokeRisk factors

Identifiers

PMID40474065
PMCPMC12139144

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LicenceCC BY-NC-ND
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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.