Stroke hospitalization trends of the working-aged in Finland

• Published in: PloS one 2018-08, Vol.13 (8), p.e0201633-e0201633
• Main Authors: Sipilä, Jussi O T, Posti, Jussi P, Ruuskanen, Jori O, Rautava, Päivi, Kytö, Ville
• Format: Article
• Language: English
• Subjects: Adult; Adults; Age; Age Distribution; Age groups; Brain hemorrhage; Brain research; Cardiovascular diseases; Cerebral Hemorrhage - epidemiology; Cerebral Hemorrhage - mortality; Female; Finland - epidemiology; Health aspects; Health risks; Hemorrhage; Hospital Mortality - trends; Hospitalization; Hospitalization - trends; Hospitals; Humans; Incidence; Length of Stay; Male; Management; Medicine and Health Sciences; Men; Middle Aged; Mortality; Neurology; Neurosciences; NMR; Nuclear magnetic resonance; Patients; People and places; Population; Public health; Research and Analysis Methods; Risk factors; Sex Factors; Stroke; Stroke - epidemiology; Stroke - mortality; Studies; Subarachnoid hemorrhage; Subarachnoid Hemorrhage - epidemiology; Subarachnoid Hemorrhage - mortality; Subgroups; Traumatic brain injury; Trends; Young Adult; Young adults; Young people
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0201633

The age-standardized incidence of stroke has decreased globally but, for reasons unknown, conflicting results have been observed regarding trend in incidence of major stroke subtypes in young adults. We studied these trends among people of working age in a population-based setting in Finland, where cardiovascular risk factor profiles have developed favorably. All hospitalizations for stroke in 2004-2005 and 2013-2014 for persons 18-64 years of age were identified from a national register. The search included all hospitals that provide acute stroke care on mainland Finland. Hospitalizations for both intracerebral hemorrhage (ICH; -15.2%; p = 0.0008) and subarachnoid hemorrhage (SAH; -26.5%; p