Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023

Background: Stroke is a significant health burden in Vietnam, with substantial impacts on mortality, morbidity, and healthcare resources. An up-to-date report on stroke epidemiology and associated risk factors in Vietnam was missing. Method: We analyzed the data published in the Global Burden of Dis...

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Main Authors: Minh Cong Tran, Lara Prisco, Phuong Minh Pham, Huy Quoc Phan, Mario Ganau, Nhat Pham, Linh Huyen Truong, Proochista Ariana, Phuong Viet Dao, Dung Tien Nguyen, Chi Van Nguyen, Hoa Thi Truong, Thang Huy Nguyen, Jeyaraj Pandian, Ton Duy Mai, Andrew Farmery
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Global Epidemiology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590113325000173
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author Minh Cong Tran
Lara Prisco
Phuong Minh Pham
Huy Quoc Phan
Mario Ganau
Nhat Pham
Linh Huyen Truong
Proochista Ariana
Phuong Viet Dao
Dung Tien Nguyen
Chi Van Nguyen
Hoa Thi Truong
Thang Huy Nguyen
Jeyaraj Pandian
Ton Duy Mai
Andrew Farmery
author_facet Minh Cong Tran
Lara Prisco
Phuong Minh Pham
Huy Quoc Phan
Mario Ganau
Nhat Pham
Linh Huyen Truong
Proochista Ariana
Phuong Viet Dao
Dung Tien Nguyen
Chi Van Nguyen
Hoa Thi Truong
Thang Huy Nguyen
Jeyaraj Pandian
Ton Duy Mai
Andrew Farmery
author_sort Minh Cong Tran
collection DOAJ
description Background: Stroke is a significant health burden in Vietnam, with substantial impacts on mortality, morbidity, and healthcare resources. An up-to-date report on stroke epidemiology and associated risk factors in Vietnam was missing. Method: We analyzed the data published in the Global Burden of Disease (GBD) 2019, in combination with the first-time analysis of the Registry of Stroke Care Quality Improvement (RES-Q) initiative in Vietnam from 2017 to 2023. Findings: Comparative analysis globally revealed that Vietnam had one of the highest stroke incidence and prevalence rates in Southeast Asia and ranked 4th in stroke mortality among 11 neighbouring countries. In the RES-Q dataset, 95,696 patients (77 %) were ischemic stroke, 23,203 (18 %) were intracerebral haemorrhage, and 2816 (2 %) were subarachnoid haemorrhage. In GBD 2019, stroke was the leading cause of death among cardiovascular diseases in Vietnam, accounting for 135,999 fatalities. The incidence of stroke was 222 (95 % UIs 206–242) per 100,000 population, with a prevalence of 1541 (1430-1679) per 100,000. Results align with the report from the RES-Q dataset in two megacities of Vietnam: Hanoi (incidence rate of 168.9, prevalence rate of 1182.2) and Ho Chi Minh City (incidence rate of 207.1, prevalence rate of 1221.8). Key risk factors for stroke mortality are high systolic blood pressure (79,000 deaths), unhealthy dietary (43,000 deaths), high fasting plasma glucose (35,000 deaths), and air pollution (33,000 deaths). Incidence is lower in rural Vietnam, but availability and quality of care are higher in megacities. Interpretation: The results promote a further understanding of stroke and risk factors for the Vietnamese population and suggest prevention and treatment strategies for the Vietnamese government, including facility and capacity improvement and applications of advanced technologies.
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spelling doaj-art-90e7acbead0c43e295e45edf00fdd2882025-08-20T03:45:04ZengElsevierGlobal Epidemiology2590-11332025-06-01910019910.1016/j.gloepi.2025.100199Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023Minh Cong Tran0Lara Prisco1Phuong Minh Pham2Huy Quoc Phan3Mario Ganau4Nhat Pham5Linh Huyen Truong6Proochista Ariana7Phuong Viet Dao8Dung Tien Nguyen9Chi Van Nguyen10Hoa Thi Truong11Thang Huy Nguyen12Jeyaraj Pandian13Ton Duy Mai14Andrew Farmery15Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United KingdomNuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United KingdomOxford University Clinical Research Unit, Nuffield Department of Medicine, University of Oxford, Oxford, United KingdomKU Leuven, Leuven, BelgiumNuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United KingdomDepartment of Computer Science, Cardiff University, Cardiff, Wales, United KingdomNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United KingdomCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United KingdomBach Mai Stroke Center, Bach Mai Hospital, Hanoi, Viet Nam; Vietnam National University-University of Medicine and Pharmacy, Hanoi, Viet Nam; Hanoi Medical University, Hanoi, Viet NamBach Mai Stroke Center, Bach Mai Hospital, Hanoi, Viet Nam; Vietnam National University-University of Medicine and Pharmacy, Hanoi, Viet Nam; Hanoi Medical University, Hanoi, Viet NamBach Mai Stroke Center, Bach Mai Hospital, Hanoi, Viet NamBach Mai Stroke Center, Bach Mai Hospital, Hanoi, Viet NamDepartment of Neurology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet NamChristian Medical College, Ludhiana, 141008, Punjab, IndiaBach Mai Stroke Center, Bach Mai Hospital, Hanoi, Viet Nam; Vietnam National University-University of Medicine and Pharmacy, Hanoi, Viet Nam; Hanoi Medical University, Hanoi, Viet Nam; Corresponding author at: Bach Mai Stroke Center, Bach Mai Hospital, Hanoi, Viet Nam.Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, United KingdomBackground: Stroke is a significant health burden in Vietnam, with substantial impacts on mortality, morbidity, and healthcare resources. An up-to-date report on stroke epidemiology and associated risk factors in Vietnam was missing. Method: We analyzed the data published in the Global Burden of Disease (GBD) 2019, in combination with the first-time analysis of the Registry of Stroke Care Quality Improvement (RES-Q) initiative in Vietnam from 2017 to 2023. Findings: Comparative analysis globally revealed that Vietnam had one of the highest stroke incidence and prevalence rates in Southeast Asia and ranked 4th in stroke mortality among 11 neighbouring countries. In the RES-Q dataset, 95,696 patients (77 %) were ischemic stroke, 23,203 (18 %) were intracerebral haemorrhage, and 2816 (2 %) were subarachnoid haemorrhage. In GBD 2019, stroke was the leading cause of death among cardiovascular diseases in Vietnam, accounting for 135,999 fatalities. The incidence of stroke was 222 (95 % UIs 206–242) per 100,000 population, with a prevalence of 1541 (1430-1679) per 100,000. Results align with the report from the RES-Q dataset in two megacities of Vietnam: Hanoi (incidence rate of 168.9, prevalence rate of 1182.2) and Ho Chi Minh City (incidence rate of 207.1, prevalence rate of 1221.8). Key risk factors for stroke mortality are high systolic blood pressure (79,000 deaths), unhealthy dietary (43,000 deaths), high fasting plasma glucose (35,000 deaths), and air pollution (33,000 deaths). Incidence is lower in rural Vietnam, but availability and quality of care are higher in megacities. Interpretation: The results promote a further understanding of stroke and risk factors for the Vietnamese population and suggest prevention and treatment strategies for the Vietnamese government, including facility and capacity improvement and applications of advanced technologies.http://www.sciencedirect.com/science/article/pii/S2590113325000173Global burden of diseaseStroke care managementVietnamStroke
spellingShingle Minh Cong Tran
Lara Prisco
Phuong Minh Pham
Huy Quoc Phan
Mario Ganau
Nhat Pham
Linh Huyen Truong
Proochista Ariana
Phuong Viet Dao
Dung Tien Nguyen
Chi Van Nguyen
Hoa Thi Truong
Thang Huy Nguyen
Jeyaraj Pandian
Ton Duy Mai
Andrew Farmery
Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023
Global Epidemiology
Global burden of disease
Stroke care management
Vietnam
Stroke
title Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023
title_full Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023
title_fullStr Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023
title_full_unstemmed Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023
title_short Comprehensive analysis of stroke epidemiology in Vietnam: Insights from GBD 1990–2019 and RES-Q 2017–2023
title_sort comprehensive analysis of stroke epidemiology in vietnam insights from gbd 1990 2019 and res q 2017 2023
topic Global burden of disease
Stroke care management
Vietnam
Stroke
url http://www.sciencedirect.com/science/article/pii/S2590113325000173
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