Stroke: morbidity, risk factors, and care in taiwan

Research output: Contribution to journalArticle

Abstract

Stroke is the third leading cause of death and the most common cause of complex disability in Taiwan. The annual age-standardized mortality rate of stroke is steadily decreasing between 2001 and 2012. The average years of potential life lost before age 70 for stroke is 13.8 years, ranked the fifth in the cause of death. Its national impact is predicted to be greater accompany aging population. The most common type of stroke was ischemic stroke in Taiwan. Small vessel occlusion was the majority of ischemic strokes subtype. Age, gender, hypertension, diabetes hyperlipidemia, obesity, atrial fibrillation, and smoking were important contributory factors to stroke morbidity. The standard treatment for acute ischemic stroke in Taiwan is providing the intravenous thrombolysis with recombinant tissue plasminogen activator (IV tPA) therapy for ischemic stroke patients within 3 hours of symptom onset. However, the rate of IV tPA therapy for patients with acute ischemic stroke is still low in Taiwan. Therefore, improving the public awareness of stroke warning signs and act on stroke and improving in-hospital critical pathway for thrombolysis would be the most important and urgent issues in Taiwan. To improve acute stroke care quality, a program of Breakthrough Series-Stroke activity was conducted from 2010 to 2011 and stroke centers were established in the medical centers. For the prevention of stroke, it was successful to increased annual smoke cessation rate through the 2009 Tobacco Hazards Prevention Act and decreased obesity rate through a nationwide weight-loss program conducted by Health Promotion Administration from 2011 to 2013 in Taiwan.

Original languageEnglish
Pages (from-to)59-64
Number of pages6
JournalJournal of Stroke
Volume16
Issue number2
DOIs
Publication statusPublished - May 2014

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Taiwan
Stroke
Morbidity
Cause of Death
Obesity
Weight Reduction Programs
Critical Pathways
Quality of Health Care
Tissue Plasminogen Activator
Life Expectancy
Hyperlipidemias
Health Promotion
Smoke
Atrial Fibrillation
Tobacco

Keywords

  • Morbidity
  • Risk factors
  • Stroke care
  • Stroke
  • Taiwan

Cite this

Stroke : morbidity, risk factors, and care in taiwan. / Hsieh, Fang-I; Chiou, Hung-Yi.

In: Journal of Stroke, Vol. 16, No. 2, 05.2014, p. 59-64.

Research output: Contribution to journalArticle

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