Changes in stroke mortality trends and premature mortality due to stroke in Serbia, 1992-2013.

Abstract

To determine mortality trends and premature mortality due to stroke in Serbia in 1992-2013 period. We obtained mortality database from the Statistical Office of Serbia. From 1992 to 2005, age-standardized mortality rates (ASRs) per 100,000 for all stroke increased, with annual percentage change (APC) of 1.01% in men and 1.05% in women. From 2005 to 2013, ASRs decreased, with APC of -4.93% in men, and -5.63% in women. In men, years of life lost (YLLs) for all stroke deaths were 21,710 in 1992; 22,193 in 2003 and 17,464 in 2013, with average years of life lost (AYLLs) of 3.46, 2.89 and 3.00, respectively. In women, YLLs were 33,508 in 1992; 35,130 in 2003 and 21,676 in 2013, with AYLLs of 4.65; 3.57 and 2.97. From 1992 to 2013, ASRs and YLLs for all stroke showed two segment trends in Serbia, with increase in the first, and decrease in the second period. Due to the shorter AYLLs and longer life tables, in 2013 stroke deaths occurred at >4years older age in both sexes than in 1992.