Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019
ABSTRACT Background Stroke remains a leading cause of death and long‐term disability in China. Rehabilitation is known to be an effective intervention for reducing disability among stroke survivors. This study seeks to quantify the rehabilitation needs of stroke patients in China by analyzing preval...
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Wiley
2025-03-01
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| Series: | Brain and Behavior |
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| Online Access: | https://doi.org/10.1002/brb3.70389 |
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| author | Peng Zhao Huaxia Sun |
| author_facet | Peng Zhao Huaxia Sun |
| author_sort | Peng Zhao |
| collection | DOAJ |
| description | ABSTRACT Background Stroke remains a leading cause of death and long‐term disability in China. Rehabilitation is known to be an effective intervention for reducing disability among stroke survivors. This study seeks to quantify the rehabilitation needs of stroke patients in China by analyzing prevalence and years lived with disability (YLDs). Methods To assess rehabilitation needs, we first estimated the prevalence and YLDs among stroke patients in China using data from the Global Burden of Disease Study 2019. The WHO Rehabilitation Need Estimator was then applied to these estimates to derive the rehabilitation requirements. Results Our study reveals a substantial need for stroke rehabilitation services in China in 2019. An estimated 25.0 million stroke patients (95% uncertainty interval [UI] 22.0–28.0) could benefit from these services, accounting for 6.1 million years lived with disability (YLDs) [4.3–7.8]. This burden is disproportionately distributed between genders, with males experiencing 11.0 [9.5–12.0] million prevalent cases and 2.5 [1.8–3.2] million YLDs, compared to females with 14.0 [12.0–16.0] million cases and 3.6 [2.5–4.8] million YLDs. Worryingly, the age‐standardized prevalence of stroke in China has increased by 15.2% since 1990, rising from 11.2 per 1000 (95UI, 10.1–12.5) to 12.9 per 1000 (95UI, 11.5–14.4). Similarly, the age‐standardized YLD rate has grown by 15.8%, from 2.72 per 1000 (95UI, 1.94–3.49) to 3.15 per 1000 (95UI, 2.21–4.48). This upward trend in China contrasts sharply with the global picture, where age‐standardized prevalence and YLD rates have decreased by 6.2% and 4.8%, respectively. Conclusions These findings demonstrate a critical need for expanded access to rehabilitation services within China's stroke care system. To enhance patient outcomes and address this growing need, increased investment in stroke rehabilitation infrastructure, training, and research is essential. |
| format | Article |
| id | doaj-art-f1ae41bddee144c69ef6ca86ea88f4fd |
| institution | DOAJ |
| issn | 2162-3279 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
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| series | Brain and Behavior |
| spelling | doaj-art-f1ae41bddee144c69ef6ca86ea88f4fd2025-08-20T03:08:36ZengWileyBrain and Behavior2162-32792025-03-01153n/an/a10.1002/brb3.70389Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019Peng Zhao0Huaxia Sun1Department of Neurology The Second Affiliated Hospital of Hebei North University Zhangjiakou Hebei Province ChinaDepartment of Neurology Weifang Hospital of Traditional Chinese Medicine Weifang Shandong Province ChinaABSTRACT Background Stroke remains a leading cause of death and long‐term disability in China. Rehabilitation is known to be an effective intervention for reducing disability among stroke survivors. This study seeks to quantify the rehabilitation needs of stroke patients in China by analyzing prevalence and years lived with disability (YLDs). Methods To assess rehabilitation needs, we first estimated the prevalence and YLDs among stroke patients in China using data from the Global Burden of Disease Study 2019. The WHO Rehabilitation Need Estimator was then applied to these estimates to derive the rehabilitation requirements. Results Our study reveals a substantial need for stroke rehabilitation services in China in 2019. An estimated 25.0 million stroke patients (95% uncertainty interval [UI] 22.0–28.0) could benefit from these services, accounting for 6.1 million years lived with disability (YLDs) [4.3–7.8]. This burden is disproportionately distributed between genders, with males experiencing 11.0 [9.5–12.0] million prevalent cases and 2.5 [1.8–3.2] million YLDs, compared to females with 14.0 [12.0–16.0] million cases and 3.6 [2.5–4.8] million YLDs. Worryingly, the age‐standardized prevalence of stroke in China has increased by 15.2% since 1990, rising from 11.2 per 1000 (95UI, 10.1–12.5) to 12.9 per 1000 (95UI, 11.5–14.4). Similarly, the age‐standardized YLD rate has grown by 15.8%, from 2.72 per 1000 (95UI, 1.94–3.49) to 3.15 per 1000 (95UI, 2.21–4.48). This upward trend in China contrasts sharply with the global picture, where age‐standardized prevalence and YLD rates have decreased by 6.2% and 4.8%, respectively. Conclusions These findings demonstrate a critical need for expanded access to rehabilitation services within China's stroke care system. To enhance patient outcomes and address this growing need, increased investment in stroke rehabilitation infrastructure, training, and research is essential.https://doi.org/10.1002/brb3.70389Chinarehabilitationstroke |
| spellingShingle | Peng Zhao Huaxia Sun Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019 Brain and Behavior China rehabilitation stroke |
| title | Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019 |
| title_full | Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019 |
| title_fullStr | Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019 |
| title_full_unstemmed | Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019 |
| title_short | Evaluating the Rehabilitation Needs of Stroke Patients in China: A Trend Analysis From 1990 to 2019 |
| title_sort | evaluating the rehabilitation needs of stroke patients in china a trend analysis from 1990 to 2019 |
| topic | China rehabilitation stroke |
| url | https://doi.org/10.1002/brb3.70389 |
| work_keys_str_mv | AT pengzhao evaluatingtherehabilitationneedsofstrokepatientsinchinaatrendanalysisfrom1990to2019 AT huaxiasun evaluatingtherehabilitationneedsofstrokepatientsinchinaatrendanalysisfrom1990to2019 |