Table 5 Stroke prevention and treatment goals in 2030
Characteristics | Stroke | IS | ICH | SAH | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
2020 | 2025 | 2030 | 2020 | 2025 | 2030 | 2020 | 2025 | 2030 | 2020 | 2025 | 2030 | |
Epidemiological characteristics of stroke‡ | – | – | – | – | – | – | – | – | – | |||
Prevalence (%) | 1.6 | 1.7 | 1.8 | |||||||||
Incidence/100,000 person–years | 310.0 | 290.0 | 270.0 | |||||||||
Mortality/100,000 person–years | 210.0 | 200.0 | 190.0 | |||||||||
Risk factors in stroke patients (%) | – | – | – | – | – | – | – | – | – | |||
Obesity†† | 18.5 | 17.0 | 15.0 | |||||||||
Smoking | 16.0 | 14.0 | 12.0 | |||||||||
Drinking | 16.0 | 14.0 | 12.0 | |||||||||
Physical inactivity | 30.0 | 27.0 | 24.0 | |||||||||
Hypertension control rate | 35.0 | 38.0 | 42.0 | |||||||||
Diabetes control rate | 58.0 | 61.0 | 65.0 | |||||||||
Hyperlipidemia control rate | 34.0 | 37.0 | 40.0 | |||||||||
Pre-hospital management (%) | ||||||||||||
EMS | 10.5 | 13.0 | 15.0 | 7.5 | 10.0 | 12.5 | 19.5 | 22.5 | 25.0 | 22.5 | 25.0 | 17.5 |
Acute treatment (%) | ||||||||||||
Thrombolysis rate† | 3.2 | 5.0 | 8.0 | |||||||||
Intracranial hemorrhage rate | 3.2 | 2.9 | 2.5 | |||||||||
In-hospital mortality | 1.7 | 1.5 | 1.2 | |||||||||
Thrombectomy rate† | 0.8 | 1.2 | 1.6 | |||||||||
Intracranial hemorrhage rate | 7.7 | 6.5 | 5.0 | |||||||||
In-hospital mortality | 5.0 | 4.2 | 3.5 | |||||||||
Bridging rate† | 0.2 | 0.5 | 0.8 | |||||||||
Bridging bleeding rate | 12.9 | 10.5 | 9.0 | |||||||||
In-hospital mortality | 5.8 | 5.0 | 4.0 | |||||||||
Serious postoperative complications | 8.5 | 7.5 | 6.5 | 8.5 | 7.5 | 6.5 | ||||||
Rehabilitation rates during hospitalization | 25.0 | 40.0 | 50.0 | 25.0 | 40.0 | 50.0 | 25.0 | 40.0 | 50.0 | 25.0 | 40.0 | 50.0 |
Length of stay (d, median) | 10.7 | 10.0 | 9.5 | 10.5 | 10.0 | 9.0 | 17.2 | 16.0 | 15.0 | 14.7 | 13.5 | 12.5 |
Out-of-pocket expenses rate | 34.1 | 30.0 | 28.0 | 33.4 | 30.0 | 28.0 | 33.3 | 30.0 | 28.0 | 37.8 | 30.0 | 28.0 |
Discharge outcome | ||||||||||||
Medical transfer | 2.5 | 5.0 | 7.5 | 2.5 | 4.0 | 6.0 | 3.6 | 5.0 | 7.5 | 4.9 | 7.5 | 10.0 |
Discharge against medical advice | 7.1 | 5.5 | 4.0 | 5.7 | 5.0 | 4.0 | 17.2 | 15.0 | 12.5 | 17.0 | 15.0 | 12.5 |
Death | 1.1 | 1.0 | 0.8 | 0.7 | 0.6 | 0.5 | 4.6 | 4.0 | 3.0 | 4.4 | 3.6 | 2.5 |
Post-discharge patient management at 3-month (%) | ||||||||||||
Outpatient follow-up rate | 20.0 | 30.0 | 20.0 | 30.0 | 20.0 | 30.0 | 20.0 | 30.0 | ||||
Outpatient follow-up appointment rate | 25.0 | 50.0 | 25.0 | 50.0 | 25.0 | 50.0 | 25.0 | 50.0 | ||||
Professional rehabilitation rate | 30.0 | 40.0 | 30.0 | 40.0 | 30.0 | 40.0 | 30.0 | 40.0 | ||||
Social assistance rate | 10.0 | 20.0 | 10.0 | 20.0 | 10.0 | 20.0 | 10.0 | 20.0 | ||||
Stroke mortality | 4.0 | 3.5 | 3.0 | 2.4 | 2.2 | 2.0 | 6.6 | 6.0 | 5.5 | 4.5 | 4.0 | 3.0 |
Disability rate in survivors | 14.8 | 13.5 | 12.0 | 13.0 | 12.0 | 11.0 | 28.6 | 27.0 | 25.0 | 23.1 | 22.0 | 20.5 |
Stroke recurrence rate | 3.2 | 2.9 | 2.5 | 3.8 | 3.5 | 3.2 | 2.0 | 1.8 | 1.6 | 1.9 | 1.7 | 1.5 |
Post-discharge patient management at 12-month (%) | ||||||||||||
Outpatient follow-up rate | 30.0 | 40.0 | 30.0 | 40.0 | 30.0 | 40.0 | 30.0 | 40.0 | ||||
Outpatient follow-up appointment rate | 25.0 | 50.0 | 25.0 | 50.0 | 25.0 | 50.0 | 25.0 | 50.0 | ||||
Professional rehabilitation rate | 40.0 | 50.0 | 40.0 | 50.0 | 40.0 | 50.0 | 40.0 | 50.0 | ||||
Social assistance rate | 20.0 | 30.0 | 20.0 | 30.0 | 20.0 | 30.0 | 20.0 | 30.0 | ||||
Stroke mortality | 8.5 | 7.5 | 6.5 | 7.0 | 6.0 | 5.0 | 18.0 | 16.5 | 15.0 | 14.0 | 13.0 | 12.0 |
Disability rate in survivors | 12.5 | 11.5 | 10.5 | 12.4 | 11.5 | 10.5 | 29.0 | 17.0 | 25.0 | 12.5 | 11.5 | 10.5 |
Stroke recurrence rate | 5.5 | 5.0 | 4.5 | 6 | 5.5 | 5.0 | 3.5 | 3.0 | 2.5 | 3.5 | 3 | 2.5 |