{"id":"https://openalex.org/W2093455243","doi":"https://doi.org/10.1161/01.str.0000081224.15480.52","title":"Are Changes in Mortality From Stroke Caused by Changes in Stroke Event Rates or Case Fatality?","display_name":"Are Changes in Mortality From Stroke Caused by Changes in Stroke Event Rates or Case Fatality?","publication_year":2003,"publication_date":"2003-07-15","ids":{"openalex":"https://openalex.org/W2093455243","doi":"https://doi.org/10.1161/01.str.0000081224.15480.52","mag":"2093455243","pmid":"https://pubmed.ncbi.nlm.nih.gov/12855832"},"language":"en","primary_location":{"id":"doi:10.1161/01.str.0000081224.15480.52","doi":"https://doi.org/10.1161/01.str.0000081224.15480.52","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.str.0000081224.15480.52","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103519419","display_name":"Cinzia Sarti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210099621","display_name":"University Hospital of Ume\u00e5","ror":"https://ror.org/012k96e85","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210099621"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Cinzia Sarti","raw_affiliation_strings":["From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)","institution_ids":["https://openalex.org/I4210099621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104071991","display_name":"Birgitta Stegmayr","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210099621","display_name":"University Hospital of Ume\u00e5","ror":"https://ror.org/012k96e85","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210099621"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Birgitta Stegmayr","raw_affiliation_strings":["From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)","institution_ids":["https://openalex.org/I4210099621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003853930","display_name":"Hanna K Tolonen","orcid":"https://orcid.org/0000-0003-3121-4303","observed_orcids":["https://orcid.org/0000-0003-3121-4303"]},"institutions":[{"id":"https://openalex.org/I4210099621","display_name":"University Hospital of Ume\u00e5","ror":"https://ror.org/012k96e85","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210099621"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Hanna Tolonen","raw_affiliation_strings":["From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)","institution_ids":["https://openalex.org/I4210099621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066867748","display_name":"Markku M\u00e4h\u00f6nen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210099621","display_name":"University Hospital of Ume\u00e5","ror":"https://ror.org/012k96e85","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210099621"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Markku Ma\u0308ho\u0308nen","raw_affiliation_strings":["From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)","institution_ids":["https://openalex.org/I4210099621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101494462","display_name":"Jaakko Tuomilehto","orcid":"https://orcid.org/0000-0002-8306-6202","observed_orcids":["https://orcid.org/0000-0002-8306-6202","https://orcid.org/0000-0003-1909-7407","https://orcid.org/0000-0002-5017-7344","https://orcid.org/0000-0002-3424-0745","https://orcid.org/0009-0005-2384-549X"]},"institutions":[{"id":"https://openalex.org/I4210099621","display_name":"University Hospital of Ume\u00e5","ror":"https://ror.org/012k96e85","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210099621"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Jaakko Tuomilehto","raw_affiliation_strings":["From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)","institution_ids":["https://openalex.org/I4210099621"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5081602472","display_name":"Kjell Asplund","orcid":"https://orcid.org/0000-0001-6710-4152","observed_orcids":["https://orcid.org/0000-0001-6710-4152"]},"institutions":[{"id":"https://openalex.org/I4210099621","display_name":"University Hospital of Ume\u00e5","ror":"https://ror.org/012k96e85","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210099621"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Kjell Asplund","raw_affiliation_strings":["From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland (C.S., H.T., M.M., J.T.), and Department of Medicine, University Hospital, Umea\u030a, Sweden (B.S., K.A.)","institution_ids":["https://openalex.org/I4210099621"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210099621"],"apc_list":null,"apc_paid":null,"fwci":5.8783,"has_fulltext":false,"cited_by_count":137,"citation_normalized_percentile":{"value":0.96548043,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"34","issue":"8","first_page":"1833","last_page":"1840"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9897000193595886,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9897000193595886,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12935","display_name":"Healthcare Systems and Public Health","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/stroke-mortality","display_name":"stroke mortality","score":0.9649999737739563},{"id":"https://openalex.org/keywords/case-fatality","display_name":"case fatality","score":0.925000011920929},{"id":"https://openalex.org/keywords/mortality-trends","display_name":"mortality trends","score":0.9330000281333923},{"id":"https://openalex.org/keywords/who-monica-project","display_name":"MONICA project","score":0.8529999852180481},{"id":"https://openalex.org/keywords/eastern-europe","display_name":"Eastern Europe","score":0.7720000147819519},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.531000018119812},{"id":"https://openalex.org/keywords/stroke-management","display_name":"stroke management","score":0.6449999809265137},{"id":"https://openalex.org/keywords/disease-severity","display_name":"disease severity","score":0.9079999923706055}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8860195875167847},{"id":"https://openalex.org/C187316915","wikidata":"https://www.wikidata.org/wiki/Q92307203","display_name":"Case fatality rate","level":3,"score":0.863181471824646},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.8068543672561646},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.7031478881835938},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.5928866863250732},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.49958324432373047},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4572010934352875},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.14335474371910095},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13563528656959534},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001208","descriptor_name":"Asia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D003710","descriptor_name":"Demography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009026","descriptor_name":"Mortality","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D012680","descriptor_name":"Sensitivity and Specificity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014944","descriptor_name":"World Health Organization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016012","descriptor_name":"Poisson Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017677","descriptor_name":"Age Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017678","descriptor_name":"Sex Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.1161/01.str.0000081224.15480.52","doi":"https://doi.org/10.1161/01.str.0000081224.15480.52","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.str.0000081224.15480.52","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"},{"id":"pmid:12855832","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12855832","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"Journal Article"},{"id":"pmh:oai:lsmu.lt:20.500.12512/72914","doi":null,"is_oa":false,"landing_page_url":"http://www.ncbi.nlm.nih.gov/pubmed/12855832","pdf_url":null,"source":{"id":"https://openalex.org/S7407055191","display_name":"Lithuanian University of Health Sciences","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"},{"id":"pmh:oai:www.julkari.fi:10024/88519","doi":null,"is_oa":false,"landing_page_url":"http://www.julkari.fi/handle/10024/88519","pdf_url":null,"source":{"id":"https://openalex.org/S4306402058","display_name":"STM:n Hallinnonalan avoin julkaisuarkisto (Julkari)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"A"},{"id":"mag:2887067650","doi":null,"is_oa":false,"landing_page_url":"https://www.ahajournals.org/doi/abs/10.1161/01.str.0000081224.15480.52?related-urls=yesl34%2F8%2F1833c34%2F8%2F1833&related-urls=yes&legid=strokeaha%3B34%2F8%2F1833&legid=strokeaha%3B34%2F8%2F1833&cited-by=yes","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Stroke","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W101236184","https://openalex.org/W343167409","https://openalex.org/W1492157159","https://openalex.org/W1526564775","https://openalex.org/W1536087023","https://openalex.org/W1542468218","https://openalex.org/W1581046071","https://openalex.org/W1590901651","https://openalex.org/W1972628844","https://openalex.org/W1979451797","https://openalex.org/W2019591095","https://openalex.org/W2019942249","https://openalex.org/W2020294286","https://openalex.org/W2020996965","https://openalex.org/W2022377893","https://openalex.org/W2027922954","https://openalex.org/W2047201518","https://openalex.org/W2052315847","https://openalex.org/W2056855989","https://openalex.org/W2058713271","https://openalex.org/W2076114373","https://openalex.org/W2079570361","https://openalex.org/W2088759639","https://openalex.org/W2094135397","https://openalex.org/W2100115466","https://openalex.org/W2109568753","https://openalex.org/W2120375525","https://openalex.org/W2123567963","https://openalex.org/W2127645825","https://openalex.org/W2129761019","https://openalex.org/W2133829294","https://openalex.org/W2150950302","https://openalex.org/W2151136808","https://openalex.org/W2159032108","https://openalex.org/W2162155667","https://openalex.org/W2170532901","https://openalex.org/W2596975613","https://openalex.org/W3004546326","https://openalex.org/W4214847386","https://openalex.org/W4236261045","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W7017409492","https://openalex.org/W2133829294","https://openalex.org/W1991917264","https://openalex.org/W2945746694","https://openalex.org/W2022377893","https://openalex.org/W2135125516","https://openalex.org/W7213582880","https://openalex.org/W2012820125","https://openalex.org/W197945850","https://openalex.org/W2124565607"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"PURPOSE:":[2],"Mortality":[3,130],"from":[4,67,101],"stroke":[5,50,128,199,229],"has":[6],"been":[7],"declining":[8,161,202],"over":[9],"recent":[10],"decades":[11],"in":[12,16,32,49,56,70,77,98,107,127,132,137,140,145,149,153,175,190,198,210,216,225,232],"most":[13,195],"countries,":[14],"except":[15],"Eastern":[17,154],"Europe.":[18,155],"In":[19,156,178,194],"this":[20,220],"analysis,":[21],"based":[22],"on":[23,238],"the":[24,157,167,183,226,239],"World":[25],"Health":[26],"Organization":[27],"Monitoring":[28],"Trends":[29,106],"and":[30,53,79,95,110,139],"Determinants":[31],"Cardiovascular":[33],"Disease":[34],"(WHO":[35],"MONICA)":[36],"Project,":[37],"we":[38],"explored":[39],"to":[40,47,54,82,103,122,172,208,223],"what":[41],"extent":[42],"these":[43,242],"trends":[44],"are":[45],"due":[46,222],"changes":[48,55,197,209,215,224,231],"event":[51,108,217],"rate":[52],"case":[57,111,176,191,211],"fatality.":[58,177,192],"METHODS:":[59],"The":[60],"WHO":[61],"MONICA":[62],"Project":[63],"collected":[64],"standardized":[65],"data":[66],"14":[68,135,143],"populations":[69,136,144,158,179],"9":[71],"countries.":[72],"All":[73],"acute":[74],"strokes":[75],"occurring":[76],"men":[78,138],"women":[80],"35":[81],"64":[83],"years":[84],"of":[85,134,142,166,228,241],"age":[86],"were":[87,113,125,205],"included.":[88],"Registration":[89],"was":[90,151,185,221],"carried":[91],"out":[92],"between":[93],"1982":[94],"1995,":[96],"resulting":[97],"time":[99],"spans":[100],"7":[102],"13":[104],"years.":[105],"rates":[109],"fatality":[112,212],"calculated":[114],"as":[115],"average":[116],"annual":[117],"percentage":[118],"change.":[119],"RESULTS:":[120],"Up":[121],"6-fold":[123],"differences":[124],"observed":[126,152],"mortality.":[129],"declined":[131],"8":[133],"10":[141],"women.":[146],"An":[147],"increase":[148,189],"mortality":[150],"with":[159,180],"a":[160,173],"trend,":[162],"about":[163],"two":[164],"thirds":[165],"change":[168],"could":[169],"be":[170,236],"attributed":[171],"decline":[174],"increasing":[181],"mortality,":[182,200],"rise":[184],"explained":[186],"by":[187],"an":[188],"CONCLUSIONS:":[193],"populations,":[196],"whether":[201],"or":[203,230],"increasing,":[204],"principally":[206],"attributable":[207],"rather":[213],"than":[214],"rates.":[218],"Whether":[219],"management":[227],"disease":[233],"severity":[234],"cannot":[235],"established":[237],"basis":[240],"results.":[243]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":12},{"year":2012,"cited_by_count":10}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}