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These studies suggest that a person can have multiple strokes, as evidenced by the mention of recurrent strokes and the large number of stroke survivors worldwide, but the exact number of strokes an individual can have is not specified.
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In the United States, approximately 700,000 people suffer a stroke each year. Of these, around 500,000 are first-time strokes, while the remaining 200,000 are recurrent strokes . This highlights the significant burden of stroke on the healthcare system and the importance of preventive measures to reduce the incidence of both first-time and recurrent strokes.
Globally, stroke remains a leading cause of death and disability. In 2019, there were an estimated 12.2 million new stroke cases and 6.55 million deaths due to stroke worldwide. The prevalence of stroke survivors was around 101 million, indicating a substantial number of individuals living with the aftermath of a stroke. The burden of stroke is particularly high in low- and middle-income countries, which account for 85% of all stroke deaths.
In Japan, the Shiga Stroke Registry reported 2,956 stroke cases in 2011, with 2,176 being first-ever strokes. The estimated annual incidence of new strokes in Japan was approximately 220,000. Similarly, in China, a nationwide survey in 2013 found an incidence rate of 345.1 per 100,000 person-years, with a significant increase in stroke burden over the past 30 years.
The risk of recurrent stroke is substantial. Studies indicate that the risk of having another stroke within five years ranges from 15% to 40%. This underscores the need for effective secondary prevention strategies to reduce the likelihood of recurrence and improve outcomes for stroke survivors.
Stroke is a major public health issue with significant incidence and recurrence rates globally. In the United States alone, 700,000 strokes occur annually, with a considerable portion being recurrent events. The global burden is even more pronounced, particularly in low- and middle-income countries. Effective prevention and management strategies are crucial to reducing the incidence and recurrence of stroke, thereby alleviating its impact on individuals and healthcare systems worldwide.
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