Stroke: key points

Stroke is predominantly a disease of elderly people. Both incidence and mortality rates are much higher among older than younger people.

Incidence

  • Amongst the Scottish population, the incidence of stroke has fallen over time. Although the 2008/09 data suggest that this decline may be starting to level off, it may only be a 'blip' in the longer term downward trend. In 2009/10, there is a slight decrease compared 2008/2009.
  • While a greater number of women have strokes than men, women tend to have strokes at an older age, however the age-standardised incidence rates for different age groups are higher for men than for women.
  • Risk factors for stroke include:
  • high blood pressure
  • high blood cholesterol
  • poor diet
  • obesity
  • smoking
  • physical inactivity
  • excessive alcohol intake
  • diabetes
  • socio-economic deprivation.

Mortality

  • Stroke mortality rates in Scotland have fallen over time, but remain high compared to most other western European countries.
  • The rate for cerebrovascular disease (CVD) for under-75s (standardised by age) rose by 4% between 2007 and 2008. However, the rate has fallen by 59.1% over the period 1995-2010, meeting Scottish Government's target of a 50% reduction in premature stroke mortality over the period 1995-2010.
  • More women than men die from strokes, but as the female deaths tend to occur at an older age, the age-standardised mortality rates for several age groups are higher for men than women.
  • Mortality rates remain higher in west central Scotland and in deprived areas.

Section updates:

  • The last major update of this section was completed in June 2011.
  • The next major update is due to be carried out by end September 2012.