Weekly Variation in Ischemic Stroke Incidence According to the Age and Sex

성별과 연령에 따른 허혈성 뇌졸중 발생의 요일 변화

  • Kim, So-Yeon (Dept. of Internal Medicine and Neuroscience, Won-Kwang University Oriental Medical School) ;
  • Lee, Sang-Kwan (Dept. of Internal Medicine and Neuroscience, Won-Kwang University Oriental Medical School)
  • 김소연 (원광대학교 한의과대학 심계내과교실) ;
  • 이상관 (원광대학교 한의과대학 심계내과교실)
  • Published : 2010.06.30

Abstract

Objectives : The weekly variation of ischemic stroke incidence according to the age and sex. Methods : 977 consecutively admitted patients (521 males and 456 females) in a single stroke center from 2006 to 2008. All cases were confirmed with standardized criteria. We used the independent t-test and $x^2$ test in statistical methods. Results : The results demonstrated significant weekly variations of ischemic stroke incidence showing higher incidence on Saturday, Monday and Tuesday and lower incidence on the other days. Difference of ischemic stroke incidence was also shown between transit days, which included the transit days from the weekend to the week and vice versa, and non-transit days. Those aged older than 60 years and females showed more significant differences of weekly variation on transit days than on non-transit days. Conclusions : Ischemic stroke incidence has significant weekly variation, and transit days have higher incidence than non-transit days. Further study is required to identify the general weekly variation by multi-center trial.

Keywords

References

  1. European Stroke Initiative Executive Committee; EUSI Writing Committee, Olsen TS, Langhorne P, Diener HC. et al. European Stroke Initiative Recommendations for Stroke Management-update 2003. Cerebrovasc. Dis. 2003;16(4):311-37. https://doi.org/10.1159/000072554
  2. Meairs S, Wahlgren N, Dirnagl U et al. Stroke research priorities for the next decade-A representative view of the European scientific community. Cerebrovasc. Dis. 2006;22(2-3):75-82. https://doi.org/10.1159/000093098
  3. Kjellström T, Norrving B, Shatchkute A. Helsingborg Declaration 2006 on European stroke strategies. Cerebrovasc. Dis. 2007;23 (2-3):231-41.
  4. Bodis J, Boncz I, Kriszbacher I. Permanent stress may be the trigger of an acute myocardial infarction on the first work-day of the week. Int. J. Cardiol. 2009;Apr 2.
  5. Jakovljević D. Day of the week and ischemic stroke: is it Monday high or Sunday low? Stroke. 2004;35(9):2089-93. https://doi.org/10.1161/01.STR.0000137763.88044.28
  6. Kelly-Hayes M, Wolf PA, Kase CS, Brand FN, McGuirk JM, D'Agostino RB. Temporal patterns of stroke onset. The Framingham Study. Stroke. 1995;26(8):1343-7. https://doi.org/10.1161/01.STR.26.8.1343
  7. Manfredini R, Gallerani M, Portaluppi F, Salmi R, Fersini C. Chronobiological patterns of onset of acute cerebrovascular diseases. Thromb. Res. 1997;88(6):451-63. https://doi.org/10.1016/S0049-3848(97)00286-7
  8. Manfredini R, Casetta I, Paolino E et al. Monday preference in onset of ischemic stroke. Am. J. Med. 2001;111(5):401-3. https://doi.org/10.1016/S0002-9343(01)00836-1
  9. Wang H, Sekine M, Chen X, Kagamimori S. A study of weekly and seasonal variation of stroke onset. Int. J. Biometeorol. 2002;47(1):13-20. https://doi.org/10.1007/s00484-002-0147-x
  10. Pasqualetti P, Natali G, Casale R, Colantonio D. Epidemiological chronorisk of stroke. Acta. Neurol. Scand. 1990;81(1):71-4.
  11. Haapaniemi H, Hillbom M, Juvela S. Weekend and holiday increase in the onset of ischemic stroke in young women. Stroke. 1996;27(6):1023-7. https://doi.org/10.1161/01.STR.27.6.1023
  12. Brackenridge CJ. Daily variation and other factors affecting the occurrence of cerebrovascular accidents. J. Gerontol. 1981;36(2):176-9. https://doi.org/10.1093/geronj/36.2.176
  13. Anderson N, Feigin V, Bennett D. Diurnal, weekly, and seasonal variations in stroke occurrence in a population-based study in Auckland, New Zealand. N. Z. Med. J. 2004;117(1202):U1078.
  14. Passero S, Reale F, Ciacci G, Zei E. Differing temporal patterns of onset in subgroups of patients with intracerebral hemorrhage. Stroke. 2000;31(7):1538-44. https://doi.org/10.1161/01.STR.31.7.1538
  15. Sheth T, Nair C, Muller J, Yusuf S. Increased winter mortality from acute myocardial infarction and stroke: the effect of age. J. Am. Coll. Cardiol. 1999;33(7):1916-9. https://doi.org/10.1016/S0735-1097(99)00137-0
  16. Turin TC, Kita Y, Murakami Y et al. Increase of stroke incidence after weekend regardless of traditional risk factors: Takashima Stroke Registry, Japan;1988-2003. Cerebrovasc. Dis. 2007;24(4):328-37. https://doi.org/10.1159/000106978
  17. 통계청. 사회통계국 고용통계팀. 행정구역별 경제활동인구. 서울: 통계청; 2008.