Evidence map›Paper›PMID 40505608›Full record

ArticleInternational journal of epidemiology2025

Current trends in stroke events, mortality, and case fatality in Switzerland: an epidemiologic update.

Martin Hänsel, Emanuel Mauch, Charlotte Micheloud, Andreas R Luft, Krassen Nedeltchev, Marcel Arnold, Susanne Wegener

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Article in International journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Martin HänselDepartment of Neurology and Clinical Neuroscience Center, University Hospital Zurich and University of Zurich, Zurich,Switzerland.ORCID 0000-0001-9300-1130
Emanuel MauchDepartment of Biostatistics at Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Charlotte MicheloudDepartment of Biostatistics at Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Andreas R LuftDepartment of Neurology and Clinical Neuroscience Center, University Hospital Zurich and University of Zurich, Zurich,Switzerland.
Krassen NedeltchevDepartment of Neurology and Stroke Center, Cantonal Hospital Aarau, Aarau, Switzerland.
Marcel ArnoldStroke Research Center Bern, Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Susanne WegenerDepartment of Neurology and Clinical Neuroscience Center, University Hospital Zurich and University of Zurich, Zurich,Switzerland.ORCID 0000-0003-4369-7023

Funding

Swiss National Science Foundation 310030_200703University of Zurich
6 · The paper itself

Abstract

backgroundStroke is a major cardiovascular disease. The last epidemiologic update of stroke events, mortality, and case fatalities (CF) in Switzerland was performed in 2004. Between 2004 and 2017, traditional- and non-traditional cardiovascular risk factors changed, life expectancy increased, stroke units were implemented, and stroke treatment standardized. Therefore, we present an update of Swiss stroke epidemiology.

methodsData were obtained from two databases, the Federal Hospital Discharge Statistics (HOST, n = 1 470 259) and the Cause of Death (CoD) database (n = 66 971), to analyze stroke diagnoses coded according to I60-I64 (ICD 10) in 2017 in Switzerland. Discharge- and event rates for stroke, in- and out-of-hospital CF, and mortality were calculated.

resultsIn 2017, there were 26 032 stroke discharges in Switzerland (45% women) compared to 13 996 discharges in 2004. The age-standardized event rate per 100 000 increased in women/men from 119.7/178.7 in 2004 to 265.1/396.7 in 2017. However, the absolute number of stroke deaths decreased between 2004 and 2017 from 3569 (60% women) to 2816 (59% women). The overall sex-stratified mortality rate approximately halved between 2004 and 2017 in women (from 77.5 to 38.5/100 000) and men (from 56.1 to 27.2/100 000). The overall CF halved between 2004 and 2017 from 22.7% to 10.5% and was higher in women (13.4%) compared to men (8.0%).

conclusionsCompared to 2004, the rates of stroke events and discharges have increased in Switzerland. However, the overall CF rate and overall sex-stratified mortality rate has approximately halved. This suggests, among other factors, increased recognition and better treatments for stroke.

Indexed as

StrokeAdultAgedAged, 80 and overAge DistributionCause of DeathDatabases, FactualFemaleHumansMaleMiddle AgedPatient DischargeRisk FactorsSex DistributionSwitzerlandcase fatalitycerebrovascular diseaseepidemiologymortalitystrokeSwitzerland

Identifiers

PMID40505608
PMCPMC12161988

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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.