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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">UPDATE ON THE GLOBAL BURDEN OF ISCHAEMIC AND HAEMORRHAGIC STROKE IN 1990–2013: THE GBD 2013 STUDY</title>
<author><name sortKey="Feigin, Valery L" sort="Feigin, Valery L" uniqKey="Feigin V" first="Valery L." last="Feigin">Valery L. Feigin</name>
</author>
<author><name sortKey="Krishnamurthi, Rita" sort="Krishnamurthi, Rita" uniqKey="Krishnamurthi R" first="Rita" last="Krishnamurthi">Rita Krishnamurthi</name>
</author>
<author><name sortKey="Parmar, Priya" sort="Parmar, Priya" uniqKey="Parmar P" first="Priya" last="Parmar">Priya Parmar</name>
</author>
<author><name sortKey="Norrving, Bo" sort="Norrving, Bo" uniqKey="Norrving B" first="Bo" last="Norrving">Bo Norrving</name>
</author>
<author><name sortKey="Mensah, George A" sort="Mensah, George A" uniqKey="Mensah G" first="George A." last="Mensah">George A. Mensah</name>
</author>
<author><name sortKey="Bennett, Derrick A" sort="Bennett, Derrick A" uniqKey="Bennett D" first="Derrick A." last="Bennett">Derrick A. Bennett</name>
</author>
<author><name sortKey="Barker Collo, Suzanne" sort="Barker Collo, Suzanne" uniqKey="Barker Collo S" first="Suzanne" last="Barker-Collo">Suzanne Barker-Collo</name>
</author>
<author><name sortKey="Moran, Andrew" sort="Moran, Andrew" uniqKey="Moran A" first="Andrew" last="Moran">Andrew Moran</name>
</author>
<author><name sortKey="Sacco, Ralph L" sort="Sacco, Ralph L" uniqKey="Sacco R" first="Ralph L." last="Sacco">Ralph L. Sacco</name>
</author>
<author><name sortKey="Truelsen, Thomas" sort="Truelsen, Thomas" uniqKey="Truelsen T" first="Thomas" last="Truelsen">Thomas Truelsen</name>
</author>
<author><name sortKey="Davis, Stephen" sort="Davis, Stephen" uniqKey="Davis S" first="Stephen" last="Davis">Stephen Davis</name>
</author>
<author><name sortKey="Pandian, Jeyaraj Durai" sort="Pandian, Jeyaraj Durai" uniqKey="Pandian J" first="Jeyaraj Durai" last="Pandian">Jeyaraj Durai Pandian</name>
</author>
<author><name sortKey="Naghavi, Mohsen" sort="Naghavi, Mohsen" uniqKey="Naghavi M" first="Mohsen" last="Naghavi">Mohsen Naghavi</name>
</author>
<author><name sortKey="Forouzanfar, Mohammad H" sort="Forouzanfar, Mohammad H" uniqKey="Forouzanfar M" first="Mohammad H." last="Forouzanfar">Mohammad H. Forouzanfar</name>
</author>
<author><name sortKey="Nguyen, Grant" sort="Nguyen, Grant" uniqKey="Nguyen G" first="Grant" last="Nguyen">Grant Nguyen</name>
</author>
<author><name sortKey="Johnson, Catherine O" sort="Johnson, Catherine O" uniqKey="Johnson C" first="Catherine O." last="Johnson">Catherine O. Johnson</name>
</author>
<author><name sortKey="Vos, Theo" sort="Vos, Theo" uniqKey="Vos T" first="Theo" last="Vos">Theo Vos</name>
</author>
<author><name sortKey="Meretoja, Atte" sort="Meretoja, Atte" uniqKey="Meretoja A" first="Atte" last="Meretoja">Atte Meretoja</name>
</author>
<author><name sortKey="Murray, Christopher" sort="Murray, Christopher" uniqKey="Murray C" first="Christopher" last="Murray">Christopher Murray</name>
</author>
<author><name sortKey="Roth, Gregory A" sort="Roth, Gregory A" uniqKey="Roth G" first="Gregory A." last="Roth">Gregory A. Roth</name>
</author>
<author><name sortKey="Thrift, Amanda" sort="Thrift, Amanda" uniqKey="Thrift A" first="Amanda" last="Thrift">Amanda Thrift</name>
</author>
<author><name sortKey="Banerjee, Amitava" sort="Banerjee, Amitava" uniqKey="Banerjee A" first="Amitava" last="Banerjee">Amitava Banerjee</name>
</author>
<author><name sortKey="Kengne, Andre Pascal" sort="Kengne, Andre Pascal" uniqKey="Kengne A" first="Andre Pascal" last="Kengne">Andre Pascal Kengne</name>
</author>
<author><name sortKey="Misganaw, Awoke" sort="Misganaw, Awoke" uniqKey="Misganaw A" first="Awoke" last="Misganaw">Awoke Misganaw</name>
</author>
<author><name sortKey="Kissela, Brett M" sort="Kissela, Brett M" uniqKey="Kissela B" first="Brett M." last="Kissela">Brett M. Kissela</name>
</author>
<author><name sortKey="Wolfe, Charles" sort="Wolfe, Charles" uniqKey="Wolfe C" first="Charles" last="Wolfe">Charles Wolfe</name>
</author>
<author><name sortKey="Yu, Chuanhua" sort="Yu, Chuanhua" uniqKey="Yu C" first="Chuanhua" last="Yu">Chuanhua Yu</name>
</author>
<author><name sortKey="Anderson, Craig" sort="Anderson, Craig" uniqKey="Anderson C" first="Craig" last="Anderson">Craig Anderson</name>
</author>
<author><name sortKey="Kim, Daniel" sort="Kim, Daniel" uniqKey="Kim D" first="Daniel" last="Kim">Daniel Kim</name>
</author>
<author><name sortKey="Rojas Rueda, David" sort="Rojas Rueda, David" uniqKey="Rojas Rueda D" first="David" last="Rojas-Rueda">David Rojas-Rueda</name>
</author>
<author><name sortKey="Tanne, David" sort="Tanne, David" uniqKey="Tanne D" first="David" last="Tanne">David Tanne</name>
</author>
<author><name sortKey="Tirschwell, David Lawrence" sort="Tirschwell, David Lawrence" uniqKey="Tirschwell D" first="David Lawrence" last="Tirschwell">David Lawrence Tirschwell</name>
</author>
<author><name sortKey="Nand, Devina" sort="Nand, Devina" uniqKey="Nand D" first="Devina" last="Nand">Devina Nand</name>
</author>
<author><name sortKey="Kazi, Dhruv S" sort="Kazi, Dhruv S" uniqKey="Kazi D" first="Dhruv S." last="Kazi">Dhruv S. Kazi</name>
</author>
<author><name sortKey="Pourmalek, Farshad" sort="Pourmalek, Farshad" uniqKey="Pourmalek F" first="Farshad" last="Pourmalek">Farshad Pourmalek</name>
</author>
<author><name sortKey="Catala L Pez, Ferran" sort="Catala L Pez, Ferran" uniqKey="Catala L Pez F" first="Ferrán" last="Catalá-L Pez">Ferrán Catalá-L Pez</name>
</author>
<author><name sortKey="Abd Allah, Foad" sort="Abd Allah, Foad" uniqKey="Abd Allah F" first="Foad" last="Abd-Allah">Foad Abd-Allah</name>
</author>
<author><name sortKey="Gankpe, Fortune" sort="Gankpe, Fortune" uniqKey="Gankpe F" first="Fortuné" last="Gankpé">Fortuné Gankpé</name>
</author>
<author><name sortKey="Deveber, Gabrielle" sort="Deveber, Gabrielle" uniqKey="Deveber G" first="Gabrielle" last="Deveber">Gabrielle Deveber</name>
</author>
<author><name sortKey="Donnan, Geoffrey" sort="Donnan, Geoffrey" uniqKey="Donnan G" first="Geoffrey" last="Donnan">Geoffrey Donnan</name>
</author>
<author><name sortKey="Hankey, Graeme J" sort="Hankey, Graeme J" uniqKey="Hankey G" first="Graeme J." last="Hankey">Graeme J. Hankey</name>
</author>
<author><name sortKey="Christensen, Hanne K" sort="Christensen, Hanne K" uniqKey="Christensen H" first="Hanne K." last="Christensen">Hanne K. Christensen</name>
</author>
<author><name sortKey="Campos Nonato, Ismael" sort="Campos Nonato, Ismael" uniqKey="Campos Nonato I" first="Ismael" last="Campos-Nonato">Ismael Campos-Nonato</name>
</author>
<author><name sortKey="Shiue, Ivy" sort="Shiue, Ivy" uniqKey="Shiue I" first="Ivy" last="Shiue">Ivy Shiue</name>
</author>
<author><name sortKey="Fernandes, Jefferson G" sort="Fernandes, Jefferson G" uniqKey="Fernandes J" first="Jefferson G." last="Fernandes">Jefferson G. Fernandes</name>
</author>
<author><name sortKey="Jonas, Jost B" sort="Jonas, Jost B" uniqKey="Jonas J" first="Jost B." last="Jonas">Jost B. Jonas</name>
</author>
<author><name sortKey="Sheth, Kevin" sort="Sheth, Kevin" uniqKey="Sheth K" first="Kevin" last="Sheth">Kevin Sheth</name>
</author>
<author><name sortKey="Kim, Yunjin" sort="Kim, Yunjin" uniqKey="Kim Y" first="Yunjin" last="Kim">Yunjin Kim</name>
</author>
<author><name sortKey="Dokova, Klara" sort="Dokova, Klara" uniqKey="Dokova K" first="Klara" last="Dokova">Klara Dokova</name>
</author>
<author><name sortKey="Stroumpoulis, Konstantinos" sort="Stroumpoulis, Konstantinos" uniqKey="Stroumpoulis K" first="Konstantinos" last="Stroumpoulis">Konstantinos Stroumpoulis</name>
</author>
<author><name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A." last="Sposato">Luciano A. Sposato</name>
</author>
<author><name sortKey="Bahit, Maria Cecilia" sort="Bahit, Maria Cecilia" uniqKey="Bahit M" first="Maria Cecilia" last="Bahit">Maria Cecilia Bahit</name>
</author>
<author><name sortKey="Geleijnse, Johanna M" sort="Geleijnse, Johanna M" uniqKey="Geleijnse J" first="Johanna M." last="Geleijnse">Johanna M. Geleijnse</name>
</author>
<author><name sortKey="Mackay, Mark T" sort="Mackay, Mark T" uniqKey="Mackay M" first="Mark T." last="Mackay">Mark T. Mackay</name>
</author>
<author><name sortKey="Mehndiratta, Man Mohan" sort="Mehndiratta, Man Mohan" uniqKey="Mehndiratta M" first="Man Mohan" last="Mehndiratta">Man Mohan Mehndiratta</name>
</author>
<author><name sortKey="Endres, Matthias" sort="Endres, Matthias" uniqKey="Endres M" first="Matthias" last="Endres">Matthias Endres</name>
</author>
<author><name sortKey="Giroud, Maurice" sort="Giroud, Maurice" uniqKey="Giroud M" first="Maurice" last="Giroud">Maurice Giroud</name>
</author>
<author><name sortKey="Brainin, Michael" sort="Brainin, Michael" uniqKey="Brainin M" first="Michael" last="Brainin">Michael Brainin</name>
</author>
<author><name sortKey="Kravchenko, Michael" sort="Kravchenko, Michael" uniqKey="Kravchenko M" first="Michael" last="Kravchenko">Michael Kravchenko</name>
</author>
<author><name sortKey="Piradov, Michael" sort="Piradov, Michael" uniqKey="Piradov M" first="Michael" last="Piradov">Michael Piradov</name>
</author>
<author><name sortKey="Soljak, Michael" sort="Soljak, Michael" uniqKey="Soljak M" first="Michael" last="Soljak">Michael Soljak</name>
</author>
<author><name sortKey="Liu, Ming" sort="Liu, Ming" uniqKey="Liu M" first="Ming" last="Liu">Ming Liu</name>
</author>
<author><name sortKey="Connor, Myles" sort="Connor, Myles" uniqKey="Connor M" first="Myles" last="Connor">Myles Connor</name>
</author>
<author><name sortKey="Venketasubramanian, Narayanaswamy" sort="Venketasubramanian, Narayanaswamy" uniqKey="Venketasubramanian N" first="Narayanaswamy" last="Venketasubramanian">Narayanaswamy Venketasubramanian</name>
</author>
<author><name sortKey="Bornstein, Natan" sort="Bornstein, Natan" uniqKey="Bornstein N" first="Natan" last="Bornstein">Natan Bornstein</name>
</author>
<author><name sortKey="Shamalov, Nikolay" sort="Shamalov, Nikolay" uniqKey="Shamalov N" first="Nikolay" last="Shamalov">Nikolay Shamalov</name>
</author>
<author><name sortKey="Roy, Nobhojit" sort="Roy, Nobhojit" uniqKey="Roy N" first="Nobhojit" last="Roy">Nobhojit Roy</name>
</author>
<author><name sortKey="Cabral, Norberto" sort="Cabral, Norberto" uniqKey="Cabral N" first="Norberto" last="Cabral">Norberto Cabral</name>
</author>
<author><name sortKey="Beauchamp, Norman J" sort="Beauchamp, Norman J" uniqKey="Beauchamp N" first="Norman J." last="Beauchamp">Norman J. Beauchamp</name>
</author>
<author><name sortKey="Lavados, Pablo M" sort="Lavados, Pablo M" uniqKey="Lavados P" first="Pablo M." last="Lavados">Pablo M. Lavados</name>
</author>
<author><name sortKey="Jeemon, Panniyammakal" sort="Jeemon, Panniyammakal" uniqKey="Jeemon P" first="Panniyammakal" last="Jeemon">Panniyammakal Jeemon</name>
</author>
<author><name sortKey="Lotufo, Paulo A" sort="Lotufo, Paulo A" uniqKey="Lotufo P" first="Paulo A." last="Lotufo">Paulo A. Lotufo</name>
</author>
<author><name sortKey="Chowdhury, Rajiv" sort="Chowdhury, Rajiv" uniqKey="Chowdhury R" first="Rajiv" last="Chowdhury">Rajiv Chowdhury</name>
</author>
<author><name sortKey="Sahathevan, Ramesh" sort="Sahathevan, Ramesh" uniqKey="Sahathevan R" first="Ramesh" last="Sahathevan">Ramesh Sahathevan</name>
</author>
<author><name sortKey="Hamadeh, Randah R" sort="Hamadeh, Randah R" uniqKey="Hamadeh R" first="Randah R." last="Hamadeh">Randah R. Hamadeh</name>
</author>
<author><name sortKey="Malekzadeh, Reza" sort="Malekzadeh, Reza" uniqKey="Malekzadeh R" first="Reza" last="Malekzadeh">Reza Malekzadeh</name>
</author>
<author><name sortKey="Gillium, Richard" sort="Gillium, Richard" uniqKey="Gillium R" first="Richard" last="Gillium">Richard Gillium</name>
</author>
<author><name sortKey="Westerman, Ronny" sort="Westerman, Ronny" uniqKey="Westerman R" first="Ronny" last="Westerman">Ronny Westerman</name>
</author>
<author><name sortKey="Akinyemi, Rufus Olusola" sort="Akinyemi, Rufus Olusola" uniqKey="Akinyemi R" first="Rufus Olusola" last="Akinyemi">Rufus Olusola Akinyemi</name>
</author>
<author><name sortKey="Salman, Rustam Al Shahi" sort="Salman, Rustam Al Shahi" uniqKey="Salman R" first="Rustam Al-Shahi" last="Salman">Rustam Al-Shahi Salman</name>
</author>
<author><name sortKey="Dharmaratne, Samath D" sort="Dharmaratne, Samath D" uniqKey="Dharmaratne S" first="Samath D." last="Dharmaratne">Samath D. Dharmaratne</name>
</author>
<author><name sortKey="Basu, Sanjay" sort="Basu, Sanjay" uniqKey="Basu S" first="Sanjay" last="Basu">Sanjay Basu</name>
</author>
<author><name sortKey="Abera, Semaw Ferede" sort="Abera, Semaw Ferede" uniqKey="Abera S" first="Semaw Ferede" last="Abera">Semaw Ferede Abera</name>
</author>
<author><name sortKey="Kosen, Soewarta" sort="Kosen, Soewarta" uniqKey="Kosen S" first="Soewarta" last="Kosen">Soewarta Kosen</name>
</author>
<author><name sortKey="Sampson, Uchechukwu K A" sort="Sampson, Uchechukwu K A" uniqKey="Sampson U" first="Uchechukwu K. A." last="Sampson">Uchechukwu K. A. Sampson</name>
</author>
<author><name sortKey="Caso, Valeria" sort="Caso, Valeria" uniqKey="Caso V" first="Valeria" last="Caso">Valeria Caso</name>
</author>
<author><name sortKey="Vlassov, Vasiliy" sort="Vlassov, Vasiliy" uniqKey="Vlassov V" first="Vasiliy" last="Vlassov">Vasiliy Vlassov</name>
</author>
<author><name sortKey="Melaku, Yohannes Adama" sort="Melaku, Yohannes Adama" uniqKey="Melaku Y" first="Yohannes Adama" last="Melaku">Yohannes Adama Melaku</name>
</author>
<author><name sortKey="Kokubo, Yoshiohiro" sort="Kokubo, Yoshiohiro" uniqKey="Kokubo Y" first="Yoshiohiro" last="Kokubo">Yoshiohiro Kokubo</name>
</author>
<author><name sortKey="Shinohara, Yukito" sort="Shinohara, Yukito" uniqKey="Shinohara Y" first="Yukito" last="Shinohara">Yukito Shinohara</name>
</author>
<author><name sortKey="Varakin, Yuri" sort="Varakin, Yuri" uniqKey="Varakin Y" first="Yuri" last="Varakin">Yuri Varakin</name>
</author>
<author><name sortKey="Wang, Wenzhi" sort="Wang, Wenzhi" uniqKey="Wang W" first="Wenzhi" last="Wang">Wenzhi Wang</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26505981</idno>
<idno type="pmc">4633282</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4633282</idno>
<idno type="RBID">PMC:4633282</idno>
<idno type="doi">10.1159/000441085</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">002016</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002016</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">UPDATE ON THE GLOBAL BURDEN OF ISCHAEMIC AND HAEMORRHAGIC STROKE IN 1990–2013: THE GBD 2013 STUDY</title>
<author><name sortKey="Feigin, Valery L" sort="Feigin, Valery L" uniqKey="Feigin V" first="Valery L." last="Feigin">Valery L. Feigin</name>
</author>
<author><name sortKey="Krishnamurthi, Rita" sort="Krishnamurthi, Rita" uniqKey="Krishnamurthi R" first="Rita" last="Krishnamurthi">Rita Krishnamurthi</name>
</author>
<author><name sortKey="Parmar, Priya" sort="Parmar, Priya" uniqKey="Parmar P" first="Priya" last="Parmar">Priya Parmar</name>
</author>
<author><name sortKey="Norrving, Bo" sort="Norrving, Bo" uniqKey="Norrving B" first="Bo" last="Norrving">Bo Norrving</name>
</author>
<author><name sortKey="Mensah, George A" sort="Mensah, George A" uniqKey="Mensah G" first="George A." last="Mensah">George A. Mensah</name>
</author>
<author><name sortKey="Bennett, Derrick A" sort="Bennett, Derrick A" uniqKey="Bennett D" first="Derrick A." last="Bennett">Derrick A. Bennett</name>
</author>
<author><name sortKey="Barker Collo, Suzanne" sort="Barker Collo, Suzanne" uniqKey="Barker Collo S" first="Suzanne" last="Barker-Collo">Suzanne Barker-Collo</name>
</author>
<author><name sortKey="Moran, Andrew" sort="Moran, Andrew" uniqKey="Moran A" first="Andrew" last="Moran">Andrew Moran</name>
</author>
<author><name sortKey="Sacco, Ralph L" sort="Sacco, Ralph L" uniqKey="Sacco R" first="Ralph L." last="Sacco">Ralph L. Sacco</name>
</author>
<author><name sortKey="Truelsen, Thomas" sort="Truelsen, Thomas" uniqKey="Truelsen T" first="Thomas" last="Truelsen">Thomas Truelsen</name>
</author>
<author><name sortKey="Davis, Stephen" sort="Davis, Stephen" uniqKey="Davis S" first="Stephen" last="Davis">Stephen Davis</name>
</author>
<author><name sortKey="Pandian, Jeyaraj Durai" sort="Pandian, Jeyaraj Durai" uniqKey="Pandian J" first="Jeyaraj Durai" last="Pandian">Jeyaraj Durai Pandian</name>
</author>
<author><name sortKey="Naghavi, Mohsen" sort="Naghavi, Mohsen" uniqKey="Naghavi M" first="Mohsen" last="Naghavi">Mohsen Naghavi</name>
</author>
<author><name sortKey="Forouzanfar, Mohammad H" sort="Forouzanfar, Mohammad H" uniqKey="Forouzanfar M" first="Mohammad H." last="Forouzanfar">Mohammad H. Forouzanfar</name>
</author>
<author><name sortKey="Nguyen, Grant" sort="Nguyen, Grant" uniqKey="Nguyen G" first="Grant" last="Nguyen">Grant Nguyen</name>
</author>
<author><name sortKey="Johnson, Catherine O" sort="Johnson, Catherine O" uniqKey="Johnson C" first="Catherine O." last="Johnson">Catherine O. Johnson</name>
</author>
<author><name sortKey="Vos, Theo" sort="Vos, Theo" uniqKey="Vos T" first="Theo" last="Vos">Theo Vos</name>
</author>
<author><name sortKey="Meretoja, Atte" sort="Meretoja, Atte" uniqKey="Meretoja A" first="Atte" last="Meretoja">Atte Meretoja</name>
</author>
<author><name sortKey="Murray, Christopher" sort="Murray, Christopher" uniqKey="Murray C" first="Christopher" last="Murray">Christopher Murray</name>
</author>
<author><name sortKey="Roth, Gregory A" sort="Roth, Gregory A" uniqKey="Roth G" first="Gregory A." last="Roth">Gregory A. Roth</name>
</author>
<author><name sortKey="Thrift, Amanda" sort="Thrift, Amanda" uniqKey="Thrift A" first="Amanda" last="Thrift">Amanda Thrift</name>
</author>
<author><name sortKey="Banerjee, Amitava" sort="Banerjee, Amitava" uniqKey="Banerjee A" first="Amitava" last="Banerjee">Amitava Banerjee</name>
</author>
<author><name sortKey="Kengne, Andre Pascal" sort="Kengne, Andre Pascal" uniqKey="Kengne A" first="Andre Pascal" last="Kengne">Andre Pascal Kengne</name>
</author>
<author><name sortKey="Misganaw, Awoke" sort="Misganaw, Awoke" uniqKey="Misganaw A" first="Awoke" last="Misganaw">Awoke Misganaw</name>
</author>
<author><name sortKey="Kissela, Brett M" sort="Kissela, Brett M" uniqKey="Kissela B" first="Brett M." last="Kissela">Brett M. Kissela</name>
</author>
<author><name sortKey="Wolfe, Charles" sort="Wolfe, Charles" uniqKey="Wolfe C" first="Charles" last="Wolfe">Charles Wolfe</name>
</author>
<author><name sortKey="Yu, Chuanhua" sort="Yu, Chuanhua" uniqKey="Yu C" first="Chuanhua" last="Yu">Chuanhua Yu</name>
</author>
<author><name sortKey="Anderson, Craig" sort="Anderson, Craig" uniqKey="Anderson C" first="Craig" last="Anderson">Craig Anderson</name>
</author>
<author><name sortKey="Kim, Daniel" sort="Kim, Daniel" uniqKey="Kim D" first="Daniel" last="Kim">Daniel Kim</name>
</author>
<author><name sortKey="Rojas Rueda, David" sort="Rojas Rueda, David" uniqKey="Rojas Rueda D" first="David" last="Rojas-Rueda">David Rojas-Rueda</name>
</author>
<author><name sortKey="Tanne, David" sort="Tanne, David" uniqKey="Tanne D" first="David" last="Tanne">David Tanne</name>
</author>
<author><name sortKey="Tirschwell, David Lawrence" sort="Tirschwell, David Lawrence" uniqKey="Tirschwell D" first="David Lawrence" last="Tirschwell">David Lawrence Tirschwell</name>
</author>
<author><name sortKey="Nand, Devina" sort="Nand, Devina" uniqKey="Nand D" first="Devina" last="Nand">Devina Nand</name>
</author>
<author><name sortKey="Kazi, Dhruv S" sort="Kazi, Dhruv S" uniqKey="Kazi D" first="Dhruv S." last="Kazi">Dhruv S. Kazi</name>
</author>
<author><name sortKey="Pourmalek, Farshad" sort="Pourmalek, Farshad" uniqKey="Pourmalek F" first="Farshad" last="Pourmalek">Farshad Pourmalek</name>
</author>
<author><name sortKey="Catala L Pez, Ferran" sort="Catala L Pez, Ferran" uniqKey="Catala L Pez F" first="Ferrán" last="Catalá-L Pez">Ferrán Catalá-L Pez</name>
</author>
<author><name sortKey="Abd Allah, Foad" sort="Abd Allah, Foad" uniqKey="Abd Allah F" first="Foad" last="Abd-Allah">Foad Abd-Allah</name>
</author>
<author><name sortKey="Gankpe, Fortune" sort="Gankpe, Fortune" uniqKey="Gankpe F" first="Fortuné" last="Gankpé">Fortuné Gankpé</name>
</author>
<author><name sortKey="Deveber, Gabrielle" sort="Deveber, Gabrielle" uniqKey="Deveber G" first="Gabrielle" last="Deveber">Gabrielle Deveber</name>
</author>
<author><name sortKey="Donnan, Geoffrey" sort="Donnan, Geoffrey" uniqKey="Donnan G" first="Geoffrey" last="Donnan">Geoffrey Donnan</name>
</author>
<author><name sortKey="Hankey, Graeme J" sort="Hankey, Graeme J" uniqKey="Hankey G" first="Graeme J." last="Hankey">Graeme J. Hankey</name>
</author>
<author><name sortKey="Christensen, Hanne K" sort="Christensen, Hanne K" uniqKey="Christensen H" first="Hanne K." last="Christensen">Hanne K. Christensen</name>
</author>
<author><name sortKey="Campos Nonato, Ismael" sort="Campos Nonato, Ismael" uniqKey="Campos Nonato I" first="Ismael" last="Campos-Nonato">Ismael Campos-Nonato</name>
</author>
<author><name sortKey="Shiue, Ivy" sort="Shiue, Ivy" uniqKey="Shiue I" first="Ivy" last="Shiue">Ivy Shiue</name>
</author>
<author><name sortKey="Fernandes, Jefferson G" sort="Fernandes, Jefferson G" uniqKey="Fernandes J" first="Jefferson G." last="Fernandes">Jefferson G. Fernandes</name>
</author>
<author><name sortKey="Jonas, Jost B" sort="Jonas, Jost B" uniqKey="Jonas J" first="Jost B." last="Jonas">Jost B. Jonas</name>
</author>
<author><name sortKey="Sheth, Kevin" sort="Sheth, Kevin" uniqKey="Sheth K" first="Kevin" last="Sheth">Kevin Sheth</name>
</author>
<author><name sortKey="Kim, Yunjin" sort="Kim, Yunjin" uniqKey="Kim Y" first="Yunjin" last="Kim">Yunjin Kim</name>
</author>
<author><name sortKey="Dokova, Klara" sort="Dokova, Klara" uniqKey="Dokova K" first="Klara" last="Dokova">Klara Dokova</name>
</author>
<author><name sortKey="Stroumpoulis, Konstantinos" sort="Stroumpoulis, Konstantinos" uniqKey="Stroumpoulis K" first="Konstantinos" last="Stroumpoulis">Konstantinos Stroumpoulis</name>
</author>
<author><name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A." last="Sposato">Luciano A. Sposato</name>
</author>
<author><name sortKey="Bahit, Maria Cecilia" sort="Bahit, Maria Cecilia" uniqKey="Bahit M" first="Maria Cecilia" last="Bahit">Maria Cecilia Bahit</name>
</author>
<author><name sortKey="Geleijnse, Johanna M" sort="Geleijnse, Johanna M" uniqKey="Geleijnse J" first="Johanna M." last="Geleijnse">Johanna M. Geleijnse</name>
</author>
<author><name sortKey="Mackay, Mark T" sort="Mackay, Mark T" uniqKey="Mackay M" first="Mark T." last="Mackay">Mark T. Mackay</name>
</author>
<author><name sortKey="Mehndiratta, Man Mohan" sort="Mehndiratta, Man Mohan" uniqKey="Mehndiratta M" first="Man Mohan" last="Mehndiratta">Man Mohan Mehndiratta</name>
</author>
<author><name sortKey="Endres, Matthias" sort="Endres, Matthias" uniqKey="Endres M" first="Matthias" last="Endres">Matthias Endres</name>
</author>
<author><name sortKey="Giroud, Maurice" sort="Giroud, Maurice" uniqKey="Giroud M" first="Maurice" last="Giroud">Maurice Giroud</name>
</author>
<author><name sortKey="Brainin, Michael" sort="Brainin, Michael" uniqKey="Brainin M" first="Michael" last="Brainin">Michael Brainin</name>
</author>
<author><name sortKey="Kravchenko, Michael" sort="Kravchenko, Michael" uniqKey="Kravchenko M" first="Michael" last="Kravchenko">Michael Kravchenko</name>
</author>
<author><name sortKey="Piradov, Michael" sort="Piradov, Michael" uniqKey="Piradov M" first="Michael" last="Piradov">Michael Piradov</name>
</author>
<author><name sortKey="Soljak, Michael" sort="Soljak, Michael" uniqKey="Soljak M" first="Michael" last="Soljak">Michael Soljak</name>
</author>
<author><name sortKey="Liu, Ming" sort="Liu, Ming" uniqKey="Liu M" first="Ming" last="Liu">Ming Liu</name>
</author>
<author><name sortKey="Connor, Myles" sort="Connor, Myles" uniqKey="Connor M" first="Myles" last="Connor">Myles Connor</name>
</author>
<author><name sortKey="Venketasubramanian, Narayanaswamy" sort="Venketasubramanian, Narayanaswamy" uniqKey="Venketasubramanian N" first="Narayanaswamy" last="Venketasubramanian">Narayanaswamy Venketasubramanian</name>
</author>
<author><name sortKey="Bornstein, Natan" sort="Bornstein, Natan" uniqKey="Bornstein N" first="Natan" last="Bornstein">Natan Bornstein</name>
</author>
<author><name sortKey="Shamalov, Nikolay" sort="Shamalov, Nikolay" uniqKey="Shamalov N" first="Nikolay" last="Shamalov">Nikolay Shamalov</name>
</author>
<author><name sortKey="Roy, Nobhojit" sort="Roy, Nobhojit" uniqKey="Roy N" first="Nobhojit" last="Roy">Nobhojit Roy</name>
</author>
<author><name sortKey="Cabral, Norberto" sort="Cabral, Norberto" uniqKey="Cabral N" first="Norberto" last="Cabral">Norberto Cabral</name>
</author>
<author><name sortKey="Beauchamp, Norman J" sort="Beauchamp, Norman J" uniqKey="Beauchamp N" first="Norman J." last="Beauchamp">Norman J. Beauchamp</name>
</author>
<author><name sortKey="Lavados, Pablo M" sort="Lavados, Pablo M" uniqKey="Lavados P" first="Pablo M." last="Lavados">Pablo M. Lavados</name>
</author>
<author><name sortKey="Jeemon, Panniyammakal" sort="Jeemon, Panniyammakal" uniqKey="Jeemon P" first="Panniyammakal" last="Jeemon">Panniyammakal Jeemon</name>
</author>
<author><name sortKey="Lotufo, Paulo A" sort="Lotufo, Paulo A" uniqKey="Lotufo P" first="Paulo A." last="Lotufo">Paulo A. Lotufo</name>
</author>
<author><name sortKey="Chowdhury, Rajiv" sort="Chowdhury, Rajiv" uniqKey="Chowdhury R" first="Rajiv" last="Chowdhury">Rajiv Chowdhury</name>
</author>
<author><name sortKey="Sahathevan, Ramesh" sort="Sahathevan, Ramesh" uniqKey="Sahathevan R" first="Ramesh" last="Sahathevan">Ramesh Sahathevan</name>
</author>
<author><name sortKey="Hamadeh, Randah R" sort="Hamadeh, Randah R" uniqKey="Hamadeh R" first="Randah R." last="Hamadeh">Randah R. Hamadeh</name>
</author>
<author><name sortKey="Malekzadeh, Reza" sort="Malekzadeh, Reza" uniqKey="Malekzadeh R" first="Reza" last="Malekzadeh">Reza Malekzadeh</name>
</author>
<author><name sortKey="Gillium, Richard" sort="Gillium, Richard" uniqKey="Gillium R" first="Richard" last="Gillium">Richard Gillium</name>
</author>
<author><name sortKey="Westerman, Ronny" sort="Westerman, Ronny" uniqKey="Westerman R" first="Ronny" last="Westerman">Ronny Westerman</name>
</author>
<author><name sortKey="Akinyemi, Rufus Olusola" sort="Akinyemi, Rufus Olusola" uniqKey="Akinyemi R" first="Rufus Olusola" last="Akinyemi">Rufus Olusola Akinyemi</name>
</author>
<author><name sortKey="Salman, Rustam Al Shahi" sort="Salman, Rustam Al Shahi" uniqKey="Salman R" first="Rustam Al-Shahi" last="Salman">Rustam Al-Shahi Salman</name>
</author>
<author><name sortKey="Dharmaratne, Samath D" sort="Dharmaratne, Samath D" uniqKey="Dharmaratne S" first="Samath D." last="Dharmaratne">Samath D. Dharmaratne</name>
</author>
<author><name sortKey="Basu, Sanjay" sort="Basu, Sanjay" uniqKey="Basu S" first="Sanjay" last="Basu">Sanjay Basu</name>
</author>
<author><name sortKey="Abera, Semaw Ferede" sort="Abera, Semaw Ferede" uniqKey="Abera S" first="Semaw Ferede" last="Abera">Semaw Ferede Abera</name>
</author>
<author><name sortKey="Kosen, Soewarta" sort="Kosen, Soewarta" uniqKey="Kosen S" first="Soewarta" last="Kosen">Soewarta Kosen</name>
</author>
<author><name sortKey="Sampson, Uchechukwu K A" sort="Sampson, Uchechukwu K A" uniqKey="Sampson U" first="Uchechukwu K. A." last="Sampson">Uchechukwu K. A. Sampson</name>
</author>
<author><name sortKey="Caso, Valeria" sort="Caso, Valeria" uniqKey="Caso V" first="Valeria" last="Caso">Valeria Caso</name>
</author>
<author><name sortKey="Vlassov, Vasiliy" sort="Vlassov, Vasiliy" uniqKey="Vlassov V" first="Vasiliy" last="Vlassov">Vasiliy Vlassov</name>
</author>
<author><name sortKey="Melaku, Yohannes Adama" sort="Melaku, Yohannes Adama" uniqKey="Melaku Y" first="Yohannes Adama" last="Melaku">Yohannes Adama Melaku</name>
</author>
<author><name sortKey="Kokubo, Yoshiohiro" sort="Kokubo, Yoshiohiro" uniqKey="Kokubo Y" first="Yoshiohiro" last="Kokubo">Yoshiohiro Kokubo</name>
</author>
<author><name sortKey="Shinohara, Yukito" sort="Shinohara, Yukito" uniqKey="Shinohara Y" first="Yukito" last="Shinohara">Yukito Shinohara</name>
</author>
<author><name sortKey="Varakin, Yuri" sort="Varakin, Yuri" uniqKey="Varakin Y" first="Yuri" last="Varakin">Yuri Varakin</name>
</author>
<author><name sortKey="Wang, Wenzhi" sort="Wang, Wenzhi" uniqKey="Wang W" first="Wenzhi" last="Wang">Wenzhi Wang</name>
</author>
</analytic>
<series><title level="j">Neuroepidemiology</title>
<idno type="ISSN">0251-5350</idno>
<idno type="eISSN">1423-0208</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Global stroke epidemiology is changing rapidly. Although age-standardised rates of stroke mortality have decreased worldwide in the past two decades, the absolute numbers of people who have a stroke every year, live with the consequences of stroke, and die from their stroke are increasing. Regular updates on the current level of stroke burden are important for advancing our knowledge on stroke epidemiology and facilitate organization and planning of evidence-based stroke care.</p>
</sec>
<sec id="S2"><title>Objectives</title>
<p id="P2">To estimate incidence, prevalence, mortality, disability-adjusted life-years (DALYs) and years lived with disability (YLDs), and their trends for ischaemic stroke (IS) and haemorrhagic stroke (HS) for 188 countries from 1990–2013.</p>
</sec>
<sec id="S3"><title>Methodology</title>
<p id="P3">Stroke incidence, prevalence, mortality, DALYs and YLDs were estimated using all available data on mortality and stroke incidence, prevalence and excess mortality. Statistical models and country-level covariate data were employed and all rates were age-standardised to a global population. All estimated were produced with 95% uncertainty intervals (UI).</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">In 2013, there were globally almost 25.7 million stroke survivors (71% with IS), 6.5 million deaths from stroke (51% died from IS), 113 million DALYs due to stroke (58% due to IS), and 10.3 million new strokes (67% IS). Over the 1990–2013 period, there was a significant increase in the absolute number of DALYs due to IS, and of deaths from IS and HS, survivors and incident events for both IS and HS. The preponderance of the burden of stroke continued to reside in developing countries, comprising 75.2% of deaths from stroke and 81.0% of stroke-related DALYs. Globally, the proportional contribution of stroke-related DALYs and deaths due to stroke compared to all diseases increased from 1990 (3.54% [95% UI 3.11–4.00%] and 9.66% [95% UI 8.47–10.70%]) to 2013 (4.62% [95% UI 4.01–5.30%] and 11.75% [95% UI 10.45–13.31%], respectively), but there was a diverging trend in developed and developing countries with a significant increase in DALYs and deaths in developing countries, and no measurable change in the proportional contribution of DALYs and deaths from stroke in developed countries.</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">Global stroke burden continues to increase globally. More efficient stroke prevention and management strategies are urgently needed to halt and eventually reverse the stroke pandemic, while universal access to organized stroke services should be a priority.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8218700</journal-id>
<journal-id journal-id-type="pubmed-jr-id">6054</journal-id>
<journal-id journal-id-type="nlm-ta">Neuroepidemiology</journal-id>
<journal-id journal-id-type="iso-abbrev">Neuroepidemiology</journal-id>
<journal-title-group><journal-title>Neuroepidemiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0251-5350</issn>
<issn pub-type="epub">1423-0208</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26505981</article-id>
<article-id pub-id-type="pmc">4633282</article-id>
<article-id pub-id-type="doi">10.1159/000441085</article-id>
<article-id pub-id-type="manuscript">NIHMS726280</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>UPDATE ON THE GLOBAL BURDEN OF ISCHAEMIC AND HAEMORRHAGIC STROKE IN 1990–2013: THE GBD 2013 STUDY</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Feigin</surname>
<given-names>Valery L.</given-names>
</name>
<degrees>MD, MSc, PhD, FAAN</degrees>
<aff id="A1">National Institute for Stroke & Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Krishnamurthi</surname>
<given-names>Rita</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A2">National Institute for Stroke & Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Parmar</surname>
<given-names>Priya</given-names>
</name>
<aff id="A3">National Institute for Stroke & Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Norrving</surname>
<given-names>Bo</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A4">Department of Clinical Sciences, Neurology, Lund University, Sweden</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Mensah</surname>
<given-names>George A.</given-names>
</name>
<degrees>MD</degrees>
<aff id="A5">Center for Translation Research and Implementation Science (CTRIS), National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Bennett</surname>
<given-names>Derrick A.</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A6">Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Barker-Collo</surname>
<given-names>Suzanne</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A7">Clinical Training Programme, School of Psychology, The University of Auckland, Auckland, New Zealand</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Moran</surname>
<given-names>Andrew</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A8">Division of General Medicine, Columbia University, New York, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sacco</surname>
<given-names>Ralph L.</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A9">Department of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Truelsen</surname>
<given-names>Thomas</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A10">Department of Neurology, Rigshospitalet, University of Copenhagen, Denmark</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Davis</surname>
<given-names>Stephen</given-names>
</name>
<degrees>MBBS, MD</degrees>
<aff id="A11">Professor of Translational Neuroscience, University of Melbourne, Parkville, Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Pandian</surname>
<given-names>Jeyaraj Durai</given-names>
</name>
<degrees>MD, DM, FRACP</degrees>
<aff id="A12">Department of Neurology, Christian Medical College, Ludhiana, Punjab, India</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Naghavi</surname>
<given-names>Mohsen</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A13">Department of Global Health, School of Medicine and Public Health, University of Washington, Seattle, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Forouzanfar</surname>
<given-names>Mohammad H.</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A14">Department of Global Health, School of Medicine and Public Health, University of Washington, Seattle, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Nguyen</surname>
<given-names>Grant</given-names>
</name>
<degrees>BA</degrees>
<aff id="A15">Institute for Health Metrics and Evaluation. University of Washington, Seattle, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Johnson</surname>
<given-names>Catherine O.</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A16">Institute for Health Metrics and Evaluation. University of Washington, Seattle, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Vos</surname>
<given-names>Theo</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A17">Department of Global Health, School of Medicine and Public Health, University of Washington, Seattle, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Meretoja</surname>
<given-names>Atte</given-names>
</name>
<degrees>MD, PhD, MSc(StrokeMed)</degrees>
<aff id="A18">University of Melbourne, The Royal Melbourne Hospital L4C, Parkville, Vic., Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Murray</surname>
<given-names>Christopher</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A19">Department of Global Health, School of Medicine and Public Health, University of Washington, Seattle, Washington, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Roth</surname>
<given-names>Gregory A.</given-names>
</name>
<degrees>MD</degrees>
<aff id="A20">Institute for Health Metrics and Evaluation and the Division of Cardiology, School of Medicine, University of Washington, Seattle, Washington, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Thrift</surname>
<given-names>Amanda</given-names>
</name>
<degrees>BSc(Hons), PhD, PGDipBiostat</degrees>
<aff id="A21">Stroke and Ageing Research (STARC), Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Vic., Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Banerjee</surname>
<given-names>Amitava</given-names>
</name>
<aff id="A22">Farr Institute of Health Informatics Research, University College London, London, UK</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kengne</surname>
<given-names>Andre Pascal</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A23">South African Medical Research Council, Parrow Valley, Cape Town, South Africa</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Misganaw</surname>
<given-names>Awoke</given-names>
</name>
<aff id="A24">Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kissela</surname>
<given-names>Brett M.</given-names>
</name>
<degrees>MD, MS</degrees>
<aff id="A25">Department of Neurology and Rehabilitation Medicine, University of Cincinnati, Ohio, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Wolfe</surname>
<given-names>Charles</given-names>
</name>
<degrees>MB BS, MRCOG, MD, MFPH, FFPH, FRCOG</degrees>
<aff id="A26">Division of Health and Social Care Research, King’s College London, London, United Kingdom; and National Institute for Health Research Comprehensive Biomedical Research Centre, Guy’s & St. Thomas’ NHS Foundation Trust and King’s College London, London, UK</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Yu</surname>
<given-names>Chuanhua</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A27">Prof. of Biostatistics, Wuhan University, Wuhan, P.R. China</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Anderson</surname>
<given-names>Craig</given-names>
</name>
<degrees>MD, PhD, FRACP</degrees>
<aff id="A28">The George Institute for Global Health, The University of Sydney, Royal Prince Alfred Hospital, Sydney, Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Daniel</given-names>
</name>
<degrees>MD, DrPH</degrees>
<aff id="A29">Department of Health Sciences, Northeastern University, Boston, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Rojas-Rueda</surname>
<given-names>David</given-names>
</name>
<degrees>MD, MPH, PhD</degrees>
<aff id="A30">Centre for Research in Environmental Epidemiology, ISGlobal, Barcelona, Spain</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Tanne</surname>
<given-names>David</given-names>
</name>
<degrees>MD</degrees>
<aff id="A31">Chaim Sheba Medical Center and Tel Aviv University, Tel Aviv, Israel</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Tirschwell</surname>
<given-names>David Lawrence</given-names>
</name>
<degrees>MD, MSc, FAHA, FAAN</degrees>
<aff id="A32">University of Washington School of Medicine, UW Medicine Comprehensive Stroke Center, Harborview Medical Center, Seattle, WA, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Nand</surname>
<given-names>Devina</given-names>
</name>
<degrees>MBBS, PGDPH, PGCTT, MPH(Deans Honours)</degrees>
<aff id="A33">Health Information Unit, Dinem House, Toorak, Suva, Republic of Fiji</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kazi</surname>
<given-names>Dhruv S.</given-names>
</name>
<degrees>MD, MS</degrees>
<aff id="A34">UCSF School of Medicine, University of California, San Francisco, CA, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Pourmalek</surname>
<given-names>Farshad</given-names>
</name>
<degrees>MD, MPH, PhD</degrees>
<aff id="A35">School of Population and Public Health, University of British Columbia, Vancouver, Canada</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Catalá-López</surname>
<given-names>Ferrán</given-names>
</name>
<degrees>PhD, MPH</degrees>
<aff id="A36">Department of Medicine, University of Valencia, CIBERSAM/INCLIVA, Valencia, Spain</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Abd-Allah</surname>
<given-names>Foad</given-names>
</name>
<degrees>MD</degrees>
<aff id="A37">Department of Neurology, Cairo University, Cairo, Egypt</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Gankpé</surname>
<given-names>Fortuné</given-names>
</name>
<degrees>MD, MSc</degrees>
<aff id="A38">CHU Hassan II, Fez, Morocco</aff>
</contrib>
<contrib contrib-type="author"><name><surname>deVeber</surname>
<given-names>Gabrielle</given-names>
</name>
<degrees>MD</degrees>
<aff id="A39">University of Toronto, Childlren’s Stroke Program, Division of Neurology, and the Research Institute, Hospital for Sick Children, Toronto, Canada</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Donnan</surname>
<given-names>Geoffrey</given-names>
</name>
<degrees>MBBS, MD, FRACP, FRCP (Edin)</degrees>
<aff id="A40">The Florey Institute of Neuroscience and Mental Health and School of Neurology. University of Melbourne, Austin Hospital campus, Parkville, VIC, Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Hankey</surname>
<given-names>Graeme J.</given-names>
</name>
<degrees>MD, FRACP, FRCP, FAHA</degrees>
<aff id="A41">School of Medicine and Pharmacology, The University of Western Australia, Crawley, and Western Aiustralian Neuroscience Research Institute, Nedlands, WA, Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Christensen</surname>
<given-names>Hanne K.</given-names>
</name>
<degrees>MD, PhD, DMSc</degrees>
<aff id="A42">University of Copenhagen and Bispebjerg Hospital, Copenhagen, Denmark</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Campos-Nonato</surname>
<given-names>Ismael</given-names>
</name>
<aff id="A43">Harvard School of Public Health, Nutrition Department, Boston, MA, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Shiue</surname>
<given-names>Ivy</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A44">Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Jefferson G.</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A45">School of Health Education and Sciences, German Hospital Oswaldo Cruz, São Paulo, Brazil</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Jonas</surname>
<given-names>Jost B.</given-names>
</name>
<degrees>MD</degrees>
<aff id="A46">Department of Ophthalmology, Medical Faculty Mannheim of the University of Heidelberg, Germany</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sheth</surname>
<given-names>Kevin</given-names>
</name>
<aff id="A47">Division of Neurocritical Care and Emergency Department of Neurology Neurosciences Intensive Care Unit, Yale School of Medicine & Yale New Haven Hospital, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Yunjin</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A48">Faculty of Chinese Medicine Southern Malaysia, Southern University College, Johor, Malaysia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Dokova</surname>
<given-names>Klara</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A49">Department of Social Medicine and Health Care Organization, Faculty of Public Health, Medical University of Varna, Bulgaria</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Stroumpoulis</surname>
<given-names>Konstantinos</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A50">Anesthesiology Department, Alexandra General Hospital of Athens Greece</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sposato</surname>
<given-names>Luciano A.</given-names>
</name>
<degrees>MD, MBA, FAHA</degrees>
<aff id="A51">Department of Clinical Neurological Sciences. London Health Sciences Centre, Western University, London, ON. Canada</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Bahit</surname>
<given-names>Maria Cecilia</given-names>
</name>
<degrees>MD</degrees>
<aff id="A52">Cardiology Department, INECO Neurociencias Rosario, Rosario, Sante Fe, Argentina</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Geleijnse</surname>
<given-names>Johanna M.</given-names>
</name>
<degrees>PhD, FAHA, MSc (Epidemiology)</degrees>
<aff id="A53">Division of Human Nutrition / Epidemiology, Wageningen University, The Netherlands</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Mackay</surname>
<given-names>Mark T.</given-names>
</name>
<degrees>MBBS</degrees>
<aff id="A54">Department of Neurology, Royal Children’s Hospital Melbourne and Murdoch Childrens Research Institute, Parkville, Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Mehndiratta</surname>
<given-names>Man Mohan</given-names>
</name>
<degrees>M.D, DNB, D.M (Neurology) FAAN, FANA, FAMS, FRCP (London, Edinburgh, Glasgow) FICP, FIAN, FIACM</degrees>
<aff id="A55">Department of Neurology, Janakpuri Super Speciality Hospital, New Delhi, India</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Endres</surname>
<given-names>Matthias</given-names>
</name>
<degrees>MD</degrees>
<aff id="A56">Klinik und Hochschulambulanz für Neurologie, Charité Universitätsmedizin Berlin, Berlin, Germany</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Giroud</surname>
<given-names>Maurice</given-names>
</name>
<degrees>MD</degrees>
<aff id="A57">Dijon Stroke Registry, Service de Neurologie, Dijon, France</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Brainin</surname>
<given-names>Michael</given-names>
</name>
<degrees>MD, PhD, FESO, FAHA</degrees>
<aff id="A58">Department of Clinical Neurology, Danube University Krems and Karl Landsteiner University, Krems, Austria</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kravchenko</surname>
<given-names>Michael</given-names>
</name>
<degrees>MD</degrees>
<aff id="A59">Scientific Neurological Center, Moscow, Russia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Piradov</surname>
<given-names>Michael</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A60">Scientific Neurological Center, Moscow, Russia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Soljak</surname>
<given-names>Michael</given-names>
</name>
<degrees>MD</degrees>
<aff id="A61">School of Public Health, Imperial College, London, England</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Liu</surname>
<given-names>Ming</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A62">Professor of Neurology, Center of Cerebrovascular Diseases, Department of Neurology, West China Hospital, Sichuan University, Chengdu, China</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Connor</surname>
<given-names>Myles</given-names>
</name>
<degrees>MD</degrees>
<aff id="A63">Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, Scotland</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Venketasubramanian</surname>
<given-names>Narayanaswamy</given-names>
</name>
<degrees>MBBS, MMed(Int Med), DLHTM(Epidemiology), FRCP(Edin)</degrees>
<aff id="A64">Raffles Neuroscience Centre, Raffles Hospital, Singapore</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Bornstein</surname>
<given-names>Natan</given-names>
</name>
<degrees>MD, FAHA, FESO</degrees>
<aff id="A65">Tel Aviv Sourasky Medical Center, Tel Aviv, Israel</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Shamalov</surname>
<given-names>Nikolay</given-names>
</name>
<degrees>MD</degrees>
<aff id="A66">Meditsinskiy Tsentr Gbou VPO Rnimu im. N.I. Pirogova Minzdrava Rossii, Moscow, Russia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Roy</surname>
<given-names>Nobhojit</given-names>
</name>
<degrees>MS (Gen Surg) MPH</degrees>
<aff id="A67">Environmental Health Resource Hub, School of Habitat Studies, Tata Institute of Social sciences, Mumbai, India</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Cabral</surname>
<given-names>Norberto</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A68">Joinville Stroke Registry, Clinica Neurológica de Joinville, University of Joinville Region, Brazil</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Beauchamp</surname>
<given-names>Norman J.</given-names>
</name>
<degrees>MD, MHS</degrees>
<aff id="A69">Department of Radiology, University of Washington, Seattle, WA, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Lavados</surname>
<given-names>Pablo M.</given-names>
</name>
<degrees>MD, MPH</degrees>
<aff id="A70">Servicio de Neurología, Departamento de Medicina, Clínica Alemana de Santiago-Universidad del Desarrollo and Universidad de Chile, Santiago, Chile</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Jeemon</surname>
<given-names>Panniyammakal</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A71">Centre for Control of Chronic Conditions, Public Health Foundation of India and Centre for Chronic Disease Control, New Delhi, India</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Lotufo</surname>
<given-names>Paulo A.</given-names>
</name>
<degrees>MD, DrPH</degrees>
<aff id="A72">Universidade de São Paulo Medical School and Centre for Clinical and Epidemiological Research, University of Sao Paulo, Brazil</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Chowdhury</surname>
<given-names>Rajiv</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A73">Department of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge, UK</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sahathevan</surname>
<given-names>Ramesh</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A74">UKM Medical Centre, Kuala Lumpur, Malaysia; and Calvary Healthcare, Bruce, ACT, Australia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Hamadeh</surname>
<given-names>Randah R.</given-names>
</name>
<degrees>BSc, MSc, DPhil (Oxon)</degrees>
<aff id="A75">Department of Family and Community Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Malekzadeh</surname>
<given-names>Reza</given-names>
</name>
<degrees>MD</degrees>
<aff id="A76">Digestive Disease Research Institute, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Gillium</surname>
<given-names>Richard</given-names>
</name>
<degrees>MD</degrees>
<aff id="A77">Department of Internal Medicine and Department of Community and Family Medicine, Howard University College of Medicine, Washington, DC, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Westerman</surname>
<given-names>Ronny</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A78">Competence Center Mortality-Follow-Up of the German National Cohort, Federal Institute for Population Research, Wiesbaden, Germany</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Akinyemi</surname>
<given-names>Rufus Olusola</given-names>
</name>
<role>MBBS(Ib), MSc (Ib), PhD(Newcastle), MWACP, FMCP (Neurol)</role>
<aff id="A79">Institute for Advanced Medical Research and Training College of Medicine, University of Ibadan, Ibadan, Nigeria</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Salman</surname>
<given-names>Rustam Al-Shahi</given-names>
</name>
<degrees>MA, PhD, FRCP Edin</degrees>
<aff id="A80">Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, Scotland</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Dharmaratne</surname>
<given-names>Samath D.</given-names>
</name>
<degrees>MBBS, MSc, MD</degrees>
<aff id="A81">Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Basu</surname>
<given-names>Sanjay</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A82">Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Abera</surname>
<given-names>Semaw Ferede</given-names>
</name>
<degrees>BSc-Public Health, MSc-Biostatistics and Health Informatics</degrees>
<aff id="A83">Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Mekelle University, Mek’ele, Ethiopia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kosen</surname>
<given-names>Soewarta</given-names>
</name>
<degrees>MD</degrees>
<aff id="A84">Health Economics and Policy Analysis Unit, National Institute of Health Research & Development (NIHRD), Indonesia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sampson</surname>
<given-names>Uchechukwu K. A.</given-names>
</name>
<degrees>MD, MSc, MBA, MPH, MS, FACC</degrees>
<aff id="A85">Center for Translation Research and Implementation Science (CTRIS), National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Caso</surname>
<given-names>Valeria</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A86">Stroke Unit, University of Perugia, Perugia, Italy</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Vlassov</surname>
<given-names>Vasiliy</given-names>
</name>
<degrees>MD</degrees>
<aff id="A87">National Research University Higher School of Economics, Moscow, Russia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Melaku</surname>
<given-names>Yohannes Adama</given-names>
</name>
<degrees>MPH</degrees>
<aff id="A88">School of Public Health, Mekelle University, Mekele, Ethiopia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kokubo</surname>
<given-names>Yoshiohiro</given-names>
</name>
<degrees>MD, PhD, FACC, FAHA, FESC, FESO, FJSH</degrees>
<aff id="A89">Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Shinohara</surname>
<given-names>Yukito</given-names>
</name>
<degrees>MD, PhD, FAHA</degrees>
<aff id="A90">Tachikawa Hospital, Tokyo</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Varakin</surname>
<given-names>Yuri</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A91">Research Center of Neurology, Moscow, Russia</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Wang</surname>
<given-names>Wenzhi</given-names>
</name>
<degrees>MD</degrees>
<aff id="A92">Beijing Neurosurgical Institute, Beijing, China</aff>
</contrib>
<on-behalf-of>on behalf of the GBD 2013 Stroke Experts Panel</on-behalf-of>
<xref rid="FN2" ref-type="author-notes">1</xref>
</contrib-group>
<author-notes><corresp id="FN1">Corresponding author: Professor Valery L Feigin, MD, MSc, PhD, FAAN, National Institute for Stroke and Applied Neurosciences, School of Rehabilitation and Occupation Studies, School of Public Health and Psychosocial Studies, Faculty of Health and Environmental Studies, Auckland University of Technology, North Shore Campus, AA254, 90 Akoranga Dr, Northcote 0627, Private Bag 92006, Auckland 1142, New Zealand. Telephone: +64 9 921 9166; Fax: +64 9 921 9620; <email>valery.feigin@aut.ac.nz</email>
</corresp>
<fn id="FN2"><label>1</label>
<p>GBD 2013 Stroke Experts Panel members are listed at the end of the paper</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>29</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>28</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>45</volume>
<issue>3</issue>
<fpage>161</fpage>
<lpage>176</lpage>
<pmc-comment>elocation-id from pubmed: 10.1159/000441085</pmc-comment>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">Global stroke epidemiology is changing rapidly. Although age-standardised rates of stroke mortality have decreased worldwide in the past two decades, the absolute numbers of people who have a stroke every year, live with the consequences of stroke, and die from their stroke are increasing. Regular updates on the current level of stroke burden are important for advancing our knowledge on stroke epidemiology and facilitate organization and planning of evidence-based stroke care.</p>
</sec>
<sec id="S2"><title>Objectives</title>
<p id="P2">To estimate incidence, prevalence, mortality, disability-adjusted life-years (DALYs) and years lived with disability (YLDs), and their trends for ischaemic stroke (IS) and haemorrhagic stroke (HS) for 188 countries from 1990–2013.</p>
</sec>
<sec id="S3"><title>Methodology</title>
<p id="P3">Stroke incidence, prevalence, mortality, DALYs and YLDs were estimated using all available data on mortality and stroke incidence, prevalence and excess mortality. Statistical models and country-level covariate data were employed and all rates were age-standardised to a global population. All estimated were produced with 95% uncertainty intervals (UI).</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">In 2013, there were globally almost 25.7 million stroke survivors (71% with IS), 6.5 million deaths from stroke (51% died from IS), 113 million DALYs due to stroke (58% due to IS), and 10.3 million new strokes (67% IS). Over the 1990–2013 period, there was a significant increase in the absolute number of DALYs due to IS, and of deaths from IS and HS, survivors and incident events for both IS and HS. The preponderance of the burden of stroke continued to reside in developing countries, comprising 75.2% of deaths from stroke and 81.0% of stroke-related DALYs. Globally, the proportional contribution of stroke-related DALYs and deaths due to stroke compared to all diseases increased from 1990 (3.54% [95% UI 3.11–4.00%] and 9.66% [95% UI 8.47–10.70%]) to 2013 (4.62% [95% UI 4.01–5.30%] and 11.75% [95% UI 10.45–13.31%], respectively), but there was a diverging trend in developed and developing countries with a significant increase in DALYs and deaths in developing countries, and no measurable change in the proportional contribution of DALYs and deaths from stroke in developed countries.</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">Global stroke burden continues to increase globally. More efficient stroke prevention and management strategies are urgently needed to halt and eventually reverse the stroke pandemic, while universal access to organized stroke services should be a priority.</p>
</sec>
</abstract>
<kwd-group><kwd>stroke</kwd>
<kwd>ischaemic stroke</kwd>
<kwd>haemorrhagic stroke</kwd>
<kwd>global burden</kwd>
<kwd>GBD 2013</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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