المؤلفون: Higo Y; Department of Cardiovascular Medicine, Shiga University of Medical Science., Sawayama Y; Department of Cardiovascular Medicine, Shiga University of Medical Science., Takashima N; NCD Epidemiology Research Center, Shiga University of Medical Science.; Department of Public Health, Kindai University Faculty of Medicine., Harada A; NCD Epidemiology Research Center, Shiga University of Medical Science., Yano Y; NCD Epidemiology Research Center, Shiga University of Medical Science., Yamamoto T; Department of Cardiovascular Medicine, Shiga University of Medical Science.; Department of Cardiovascular Medicine, Kohka Public Hospital., Shioyama W; Department of Cardiovascular Medicine, Shiga University of Medical Science., Fujii T; NCD Epidemiology Research Center, Shiga University of Medical Science.; Department of Nursing, Meio University., Tanaka-Mizuno S; NCD Epidemiology Research Center, Shiga University of Medical Science.; Department of Digital Health and Epidemiology, Kyoto University., Kita Y; NCD Epidemiology Research Center, Shiga University of Medical Science.; Faculty of Nursing Science, Tsuruga Nursing University., Miura K; NCD Epidemiology Research Center, Shiga University of Medical Science.; Department of Public Health, Shiga University of Medical Science., Nozaki K; Department of Neurosurgery, Shiga University of Medical Science., Suzuki T; Department of Cardiovascular Surgery, Shiga University of Medical Science., Nakagawa Y; Department of Cardiovascular Medicine, Shiga University of Medical Science.

المصدر: Circulation journal : official journal of the Japanese Circulation Society [Circ J] 2023 Aug 25; Vol. 87 (9), pp. 1155-1161. Date of Electronic Publication: 2023 May 20.

نوع المنشور: Multicenter Study; Journal Article

بيانات الدورية: Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 101137683 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1347-4820 (Electronic) Linking ISSN: 13469843 NLM ISO Abbreviation: Circ J Subsets: MEDLINE

مواضيع طبية MeSH: Aortic Dissection*/epidemiology , Stroke*/epidemiology , Stroke*/diagnosis , Myocardial Infarction*, Humans ; Female ; Male ; Japan/epidemiology ; Registries ; Acute Disease ; Retrospective Studies

مستخلص: Background: Acute aortic dissection (AAD) is a life-threatening cardiovascular disease, with a reported incidence rate ranging from 2.5 to 7.2 per 100,000 person-years in several population-based registries in Western countries, but epidemiological data are lacking in Japan.Methods and Results: The Shiga Stroke and Heart Attack Registry is an ongoing multicenter population-based registry of cerebro-cardiovascular diseases. We enrolled patients who developed AAD, defined by any imaging examination method from 2014 to 2015 in Shiga Prefecture. Death certificates were used to identify cases that were not registered at acute care hospitals. The incidence rates of AAD were calculated by age categories and adjusted using standard populations for comparison. We evaluated differences in patient characteristics between Stanford type A-AAD and type B-AAD subtypes. A total of 402 incident cases with AAD were analyzed. The age-adjusted incidence rates using the 2015 Japanese population and the 2013 European Standard Population were 15.8 and 12.2 per 100,000 person-years, respectively. Compared with cases of type B-AAD, those with type A-AAD were older (75.0 vs. 69.9 years, P=0.001) and more likely to be women (62.3% vs. 28.6%, P<0.001).
Conclusions: Population-based incidence rates of AAD in Japan appear to be higher than in previous reports from Western countries. Incident cases with type A-AAD were older and female predominance.

المؤلفون: Khan K; Department of Public Health, Shiga University of Medical Science.; National Heart Foundation Hospital and Research Institute., Tanaka-Mizuno S; Department of Medical Statistics, Shiga University of Medical Science.; Department of Digital Health and Epidemiology, Kyoto University., Turin TC; Department of Family Medicine, Cumming School of Medicine, University of Calgary., Takashima N; Department of Public Health, Shiga University of Medical Science.; Department of Public Health, Kindai University, Faculty of Medicine., Kadota A; Department of Public Health, Shiga University of Medical Science.; NCD Epidemiology Research Center, Shiga University of Medical Science., Ueshima H; Department of Public Health, Shiga University of Medical Science.; NCD Epidemiology Research Center, Shiga University of Medical Science., Miura K; Department of Public Health, Shiga University of Medical Science.; NCD Epidemiology Research Center, Shiga University of Medical Science., Kita Y; Department of Public Health, Shiga University of Medical Science.; Tsuruga Nursing University.

المصدر: Circulation journal : official journal of the Japanese Circulation Society [Circ J] 2021 Nov 25; Vol. 85 (12), pp. 2215-2221. Date of Electronic Publication: 2021 Jul 28.

نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 101137683 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1347-4820 (Electronic) Linking ISSN: 13469843 NLM ISO Abbreviation: Circ J Subsets: MEDLINE

مواضيع طبية MeSH: Stroke*/epidemiology , Stroke*/etiology, Female ; Humans ; Incidence ; Japan/epidemiology ; Male ; Registries ; Risk Factors ; Temperature

مستخلص: Background: Using a population-based stroke registry system, we evaluated the relationship between ambient temperature parameters and stroke incidence in a Japanese population.Methods and Results:We analyzed data from the Takashima Stroke Registry, which records all stroke occurrences in Takashima City, Japan. The study period of 8,401 days was divided into quintiles of daily weather parameters, and the middle quintile was used as the reference category. Incidence rates (IR per 100,000 person-years) were calculated across the quintiles. Poisson regression analysis was used to calculate the effect of temperature parameters on stroke incidence. There were 2,405 first-ever strokes (1,294 men), including 1,625 ischemic, 545 cerebral hemorrhages, 213 subarachnoid hemorrhages, and 22 unclassified strokes. The stroke IR was higher in the middle quintile of average temperature, 357.3 (328.4-388.8), and for other parameters. After adjustment for age and sex, for all stroke, the incidence rate ratio (IRR) in the highest (Q5: IRR 0.81, 95% confidence interval (CI) 0.71-0.92) and the second-highest (Q4: IRR 0.80, 95% CI 0.71-0.91) quintile was lower than that in the middle quintile (Q3: Reference). Analogous results were observed for the minimum, maximum, and lag-days temperatures, also in the subtypes and across ≥65 years of age, also in females.
Conclusions: Higher temperatures, irrespective of the parameter (average, minimum, or maximum), had a protective effect against stroke occurrence in Japan.

المؤلفون: Takashima N; Department of Public Health, Shiga University of Medical Science.; Department of Public Health, Kindai University Faculty of Medicine., Arima H; Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University., Kita Y; Department of Public Health, Shiga University of Medical Science.; Tsuruga Nursing University., Fujii T; Department of Neurosurgery, Shiga University of Medical Science.; Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University., Tanaka-Mizuno S; Department of Medical Statistics, Shiga University of Medical Science., Shitara S; Department of Neurosurgery, Shiga University of Medical Science., Kitamura A; Department of Neurology, Shiga University of Medical Science., Miura K; Department of Public Health, Shiga University of Medical Science.; Center for Epidemiologic Research in Asia, Shiga University of Medical Science., Nozaki K; Department of Neurosurgery, Shiga University of Medical Science.; Center for Epidemiologic Research in Asia, Shiga University of Medical Science.

مؤلفون مشاركون: Shiga Stroke and Heart Attack Registry Group

المصدر: Circulation journal : official journal of the Japanese Circulation Society [Circ J] 2020 May 25; Vol. 84 (6), pp. 943-948. Date of Electronic Publication: 2020 Apr 29.

نوع المنشور: Comparative Study; Journal Article

بيانات الدورية: Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 101137683 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1347-4820 (Electronic) Linking ISSN: 13469843 NLM ISO Abbreviation: Circ J Subsets: MEDLINE

مواضيع طبية MeSH: Brain Ischemia/*therapy , Intracranial Hemorrhages/*therapy , Stroke/*therapy, Aged ; Aged, 80 and over ; Brain Ischemia/diagnosis ; Brain Ischemia/mortality ; Female ; Humans ; Intracranial Hemorrhages/diagnosis ; Intracranial Hemorrhages/mortality ; Japan/epidemiology ; Male ; Middle Aged ; Recurrence ; Registries ; Risk Factors ; Stroke/diagnosis ; Stroke/mortality ; Time Factors ; Treatment Outcome

مستخلص: Background: Despite many effective strategies for the prevention of recurrent stroke, individuals who survive an initial stroke have been shown to be at high risk of recurrent stroke. The aim of this study was to investigate the current status of stroke recurrence after first-ever stroke using a population-based stroke registry in Japan.Methods and Results:As part of the Shiga Stroke and Heart Attack Registry, the Shiga Stroke Registry is an ongoing population-based stroke registry study that covers approximately 1.4 million residents of Shiga Prefecture, Japan. A total of 1,883 first-ever stroke survivors at 28 days was registered in 2011 and followed-up until the end of 2013. Recurrence was defined as any type of stroke after 28 days from the onset of an index event. Two-year cumulative recurrence rates were estimated using cumulative incidence function methods. Over a mean 2.1-year follow-up period, 120 patients experienced recurrent stroke and 389 patients died without recurrence. The 2-year cumulative recurrence rate was higher in patients with index ischemic stroke (6.8%) than in those with index hemorrhagic stroke (3.8%).
Conclusions: Two-year cumulative recurrence rate after first-ever stroke remained high, particularly among patients with ischemic stroke, in the present population-based registry study in a real-world setting in Japan. Further intensive secondary prevention strategies are required for these high-risk individuals.

المؤلفون: Takashima N; Department of Public Health, Shiga University of Medical Science., Arima H; Center for Epidemiologic Research in Asia, Shiga University of Medical Science.; Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University., Kita Y; Department of Public Health, Shiga University of Medical Science.; Tsuruga Nursing University., Fujii T; Department of Neurosurgery, Shiga University of Medical Science., Miyamatsu N; Department of Clinical Nursing, Shiga University of Medical Science., Komori M; Department of Fundamental Biosciences, Shiga University of Medical Science., Sugimoto Y; Department of Medical Informatics and Biomedical Engineering, Shiga University of Medical Science., Nagata S; Department of Medical Informatics and Biomedical Engineering, Shiga University of Medical Science., Miura K; Department of Public Health, Shiga University of Medical Science.; Center for Epidemiologic Research in Asia, Shiga University of Medical Science., Nozaki K; Center for Epidemiologic Research in Asia, Shiga University of Medical Science.; Department of Neurosurgery, Shiga University of Medical Science.

المصدر: Circulation journal : official journal of the Japanese Circulation Society [Circ J] 2018 Sep 25; Vol. 82 (10), pp. 2549-2556. Date of Electronic Publication: 2018 Jul 27.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 101137683 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1347-4820 (Electronic) Linking ISSN: 13469843 NLM ISO Abbreviation: Circ J Subsets: MEDLINE

مواضيع طبية MeSH: Stroke/*mortality, Age Factors ; Brain Infarction ; Cerebral Hemorrhage ; Japan/epidemiology ; Proportional Hazards Models ; Registries ; Risk Factors ; Sex Factors ; Stroke/epidemiology ; Stroke/pathology ; Stroke, Lacunar ; Survival Analysis

مستخلص: Background: Stroke is one of the leading causes of disability and mortality in Japan. The aim of the present analysis was to determine the non-acute survival rate after first-ever stroke using data from a large-scale population-based stroke registry in Japan. Methods and Results: Shiga Stroke Registry is an ongoing population-based registry of stroke, which covers approximately 1.4 million residents of Shiga Prefecture in central Japan. A total of 2,176 first-ever stroke patients, who were registered in 2011, were followed up until December 2013. The 2-year cumulative survival rates were estimated using Kaplan-Meier method according to index stroke subtype. Cox proportional hazards models were used to assess predictors of all-cause death. During a 2-year follow-up period, 663 patients (30.5%) died. The 2-year cumulative survival rate after first-ever stroke was 69.5%. There was heterogeneity in 2-year cumulative survival according to stroke subtype: lacunar infarction, 87.2%; large artery infarction, 76.1%; cardioembolic infarction, 55.4%; intracerebral hemorrhage, 65.9%; and subarachnoid hemorrhage, 56.7%. Older age, male sex, medical history, higher Japan coma scale score on admission, and stroke subtype were associated with risk of all-cause death in ≤2 years.
Conclusions: In the present population-based stroke registry with a real-world setting in Japan, 2-year cumulative mortality after first-ever stroke is still high (>30%), particularly for cardioembolic infarction, subarachnoid hemorrhage and intracerebral hemorrhage.

المؤلفون: Takashima N; Department of Public Health, Shiga University of Medical Science., Arima H; Center for Epidemiologic Research in Asia, Shiga University of Medical Science.; Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University., Kita Y; Department of Public Health, Shiga University of Medical Science.; Tsuruga Nursing University., Fujii T; Department of Neurosurgery, Shiga University of Medical Science., Miyamatsu N; Department of Clinical Nursing, Shiga University of Medical Science., Komori M; Department of Fundamental Biosciences, Shiga University of Medical Science., Sugimoto Y; Department of Medical Informatics and Biomedical Engineering, Shiga University of Medical Science., Nagata S; Department of Medical Informatics and Biomedical Engineering, Shiga University of Medical Science., Miura K; Department of Public Health, Shiga University of Medical Science.; Center for Epidemiologic Research in Asia, Shiga University of Medical Science., Nozaki K; Department of Neurosurgery, Shiga University of Medical Science.

المصدر: Circulation journal : official journal of the Japanese Circulation Society [Circ J] 2017 Oct 25; Vol. 81 (11), pp. 1636-1646. Date of Electronic Publication: 2017 Jun 03.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 101137683 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1347-4820 (Electronic) Linking ISSN: 13469843 NLM ISO Abbreviation: Circ J Subsets: MEDLINE

مواضيع طبية MeSH: Stroke/*epidemiology, Aged ; Aged, 80 and over ; Disease Management ; Female ; Humans ; Incidence ; Japan/epidemiology ; Male ; Registries ; Stroke/classification ; Stroke/mortality ; Stroke/therapy ; Treatment Outcome

مستخلص: Background: This study determined the current status of the incidence, management, and prognosis of stroke in Japan using a population-based stroke registry.Methods and Results:Shiga Stroke Registry is an ongoing population-based registry that covers approximately 1.4 million residents of Shiga Prefecture. Cases of acute stroke were identified using standard definitions through surveillance of both all acute-care hospitals with neurology/neurosurgery facilities and death certificates in 2011. A total of 2,956 stroke cases and 2,176 first-ever stroke cases were identified. The age- and sex-adjusted incidence rate for first-ever stroke using the 2013 European Standard Population as standard was per 100,000 person-years: 91.3 for ischemic stroke, 36.4 for intracerebral hemorrhage, and 13.7 for subarachnoid hemorrhage. It was estimated that approximately 220,000 new strokes occurred in 2011 in Japan. Among the 2,956 cases, most stroke patients underwent neuroimaging, 268 received surgical or endovascular treatment, and 2,158 had rehabilitation therapy; 78 patients received intravenous thrombolysis. A total of 1,846 stroke patients had died or were dependent at hospital discharge, and 390 died within 28 days of onset.
Conclusions: Incidence rates of stroke by subtypes were clarified and the total number of new strokes in Japan was estimated. More than half of stroke patients die or become dependent after a stroke. This study re-emphasized the importance of public health measures in reducing the burden of stroke in Japan.

المؤلفون: Nguyen HN; Department of Health Science, Shiga University of Medical Science., Fujiyoshi A, Abbott RD, Miura K

المصدر: Circulation journal : official journal of the Japanese Circulation Society [Circ J] 2013; Vol. 77 (12), pp. 2851-9. Date of Electronic Publication: 2013 Nov 15.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 101137683 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1347-4820 (Electronic) Linking ISSN: 13469843 NLM ISO Abbreviation: Circ J Subsets: MEDLINE

مواضيع طبية MeSH: Myocardial Ischemia/*epidemiology , Obesity/*epidemiology , Smoking/*epidemiology , Stroke/*epidemiology, Adult ; Aged ; Aged, 80 and over ; Asia/epidemiology ; Cholesterol/blood ; Female ; Humans ; Male ; Middle Aged ; Myocardial Ischemia/blood ; Myocardial Ischemia/etiology ; Obesity/blood ; Obesity/etiology ; Prevalence ; Risk Factors ; Smoking/adverse effects ; Smoking/blood ; Socioeconomic Factors ; Stroke/blood ; Stroke/etiology

مستخلص: The distribution and burden of 5 conventional risk factors (elevated blood pressure, high total cholesterol, diabetes, obesity/overweight and smoking) for cardiovascular diseases (CVD) were reviewed in 10 selected Asian countries, in addition to the United Kingdom and the United States. Over the past 3 decades, age-standardized systolic blood pressure was on the decline in high-income countries but on the rise in low- to middle-income countries. Similar patterns were observed for total cholesterol levels, although the absolute levels remained higher in high-income countries. A pronounced increase in the prevalence of diabetes mellitus was seen in most of the Asian countries, corresponding to an increase in the levels of body mass index. The number of smokers declined markedly with time, particularly in men, in some selected Asian countries (Japan, Singapore, China, Vietnam). However, the prevalence of current smokers for all countries in 2011 remained excessive. The population-attributable risks for stroke and ischemic heart were highest for high blood pressure, followed by total cholesterol, obesity, and smoking. Evidence suggests that in both Asia and the West, no country is in sufficient control of any of these factors and that intervention programs to alter their effect on CVD are of equal importance.