{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:29:05Z","timestamp":1769063345671,"version":"3.49.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1999,10]]},"abstract":"<jats:p>\n            <jats:italic>Background and Purpose<\/jats:italic>\n            \u2014This report describes trends in the key indices of cerebrovascular disease over 6 years from the end of the 1980s in a geographically defined segment of the city of Perth, Western Australia.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods<\/jats:italic>\n            \u2014Identical methods were used to find and assess all cases of suspected stroke in a population of approximately 134 000 residents in a triangular area of the northern suburbs of Perth. Case fatality was measured as vital status at 28 days after the onset of symptoms. Data for first-ever strokes and for all strokes for equivalent periods of 12 months in 1989\u20131990 and 1995\u20131996 were compared by age-standardized rates and proportions and Poisson regression.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Results<\/jats:italic>\n            \u2014There were 355 strokes in 328 patients and 251 first-ever strokes (71%) for 1989\u20131990 and 290 events in 281 patients and 213 first-ever strokes (73%) for 1995\u20131996. In Poisson models including age and period, overall trends in the incidence of both first-ever strokes (rate ratio=0.75; 95% confidence limits, 0.63, 0.90) and all strokes (rate ratio=0.73; 95% confidence limits, 0.62, 0.85) were obviously significant, but only the changes in men were independently significant. Case fatality did not change, and the balance between hemorrhagic and occlusive strokes in 1995\u20131996 was almost indistinguishable from that observed in 1989\u20131990.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            \u2014Our results, which are the only longitudinal population-based data available for Australia for key indices of stroke, suggest that it is a change in the frequency of stroke, rather than its outcome, that is chiefly responsible nationally for the fall in mortality from cerebrovascular disease.\n          <\/jats:p>","DOI":"10.1161\/01.str.30.10.2105","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"2105-2111","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":66,"title":["Trends in the Incidence, Severity, and Short-Term Outcome of Stroke in Perth, Western Australia"],"prefix":"10.1161","volume":"30","author":[{"given":"Konrad","family":"Jamrozik","sequence":"first","affiliation":[{"name":"From the University of Western Australia, Nedlands (K.J., R.J.B., G.J.H., P.W.B., C.S.A.), and Royal Perth Hospital (N.L., G.J.H., C.S.A.) (Western Australia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn J.","family":"Broadhurst","sequence":"additional","affiliation":[{"name":"From the University of Western Australia, Nedlands (K.J., R.J.B., G.J.H., P.W.B., C.S.A.), and Royal Perth Hospital (N.L., G.J.H., C.S.A.) (Western Australia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nai","family":"Lai","sequence":"additional","affiliation":[{"name":"From the University of Western Australia, Nedlands (K.J., R.J.B., G.J.H., P.W.B., C.S.A.), and Royal Perth Hospital (N.L., G.J.H., C.S.A.) (Western Australia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme J.","family":"Hankey","sequence":"additional","affiliation":[{"name":"From the University of Western Australia, Nedlands (K.J., R.J.B., G.J.H., P.W.B., C.S.A.), and Royal Perth Hospital (N.L., G.J.H., C.S.A.) (Western Australia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter W.","family":"Burvill","sequence":"additional","affiliation":[{"name":"From the University of Western Australia, Nedlands (K.J., R.J.B., G.J.H., P.W.B., C.S.A.), and Royal Perth Hospital (N.L., G.J.H., C.S.A.) (Western Australia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig S.","family":"Anderson","sequence":"additional","affiliation":[{"name":"From the University of Western Australia, Nedlands (K.J., R.J.B., G.J.H., P.W.B., C.S.A.), and Royal Perth Hospital (N.L., G.J.H., C.S.A.) (Western Australia)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","unstructured":"National Heart Foundation of Australia. Heart Facts: 1995. Canberra Australia: National Heart Foundation; 1997."},{"key":"e_1_3_2_2_2","first-page":"1137","volume":"26","year":"1997","unstructured":"Jamrozik K. Stroke: a looming epidemic? Aust Fam Physician. 1997;26:1137\u20131143.","journal-title":"Aust Fam Physician"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.26.4.541"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.25.10.8091436"},{"key":"e_1_3_2_5_2","unstructured":"Castles I. Projections of the Populations of Australia States and Territories: 1993 to 2041. Canberra Australia: Australian Bureau of Statistics; 1994. ABS catalog No. 3222:0."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1993.tb137528.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1993.tb137529.x"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.19.12.3201509"},{"key":"e_1_3_2_9_2","first-page":"13","volume":"28","year":"1979","unstructured":"Teasdale G, Murray G, Parker L, Jennet B. Adding up the Glasgow Coma Scale. Acta Neurochir Suppl (Wien). 1979;28:13\u201316.","journal-title":"Acta Neurochir Suppl (Wien)"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000115178"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.25.10.8091436"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288809164105"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.20.6.2728057"},{"key":"e_1_3_2_14_2","first-page":"113","volume":"58","year":"1980","unstructured":"Hatano S. Experience from a multicentre stroke register: a preliminary report. Bull World Health Organ. 1980;58:113\u2013130.","journal-title":"Bull World Health Organ"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)91331-6"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.26.3.361"},{"key":"e_1_3_2_17_2","unstructured":"Waterhouse J Muir CS Correa P Powell J. Cancer Incidence in Five Continents: Volume 3. Lyon France: International Agency for Research on Cancer; 1976:456."},{"key":"e_1_3_2_18_2","unstructured":"Statistical Analysis System Institute Inc. SAS Version 6.0. Cary NC: SAS Inc; 1991."},{"key":"e_1_3_2_19_2","unstructured":"Microsoft Corporation. Microsoft Excel v 8.0. Seattle Washington: Microsoft Corporation; 1997."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.26.3.355"},{"key":"e_1_3_2_21_2","doi-asserted-by":"crossref","unstructured":"Ebrahim S. Clinical Epidemiology of Stroke. Oxford England: Oxford University Press; 1990:30\u201347.","DOI":"10.1093\/oso\/9780192617491.003.0002"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(93)92938-P"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/1047-2797(93)90101-9"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.28.3.500"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.25.9.8073452"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.23.12.1448817"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.STR.30.10.2105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:27:48Z","timestamp":1715552868000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.30.10.2105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,10]]},"references-count":26,"journal-issue":{"issue":"10","published-print":{"date-parts":[[1999,10]]}},"alternative-id":["10.1161\/01.STR.30.10.2105"],"URL":"https:\/\/doi.org\/10.1161\/01.str.30.10.2105","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,10]]},"assertion":[{"value":"1999-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1999-06-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1999-10-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}