O AVC é a segunda causa principal de morte e uma das principais causas de incapacidade no mundo.[4]GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021 Oct;20(10):795-820.
https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(21)00252-0/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/34487721?tool=bestpractice.com
Em 2019, ocorreram 12.2 milhões de novos AVCs e 6.55 milhões de pessoas morreram como resultado.[4]GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021 Oct;20(10):795-820.
https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(21)00252-0/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/34487721?tool=bestpractice.com
O AVC é a quinta principal causa de morte e uma das principais causas de incapacidade nos EUA, com uma prevalência de 3.3% e aproximadamente 795,000 AVCs novos e recorrentes por ano.[5]Martin SS, Aday AW, Almarzooq ZI, et al. 2024 heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024 Feb 20;149(8):e347-913.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001209
http://www.ncbi.nlm.nih.gov/pubmed/38264914?tool=bestpractice.com
O AVC hemorrágico é responsável por cerca de 10% dos AVCs incidentes, mas é responsável por mais mortes e anos de vida perdidos ajustados por incapacidade que o AVC isquêmico.[4]GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021 Oct;20(10):795-820.
https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(21)00252-0/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/34487721?tool=bestpractice.com
[5]Martin SS, Aday AW, Almarzooq ZI, et al. 2024 heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024 Feb 20;149(8):e347-913.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001209
http://www.ncbi.nlm.nih.gov/pubmed/38264914?tool=bestpractice.com
Três quartos dos AVCs hemorrágicos são devidos a hemorragias intracerebrais, e os restantes são devidos a hemorragias subaracnoides.[6]Shoamanesh A, Patrice Lindsay M, Castellucci LA, et al. Canadian stroke best practice recommendations: management of spontaneous intracerebral hemorrhage, 7th edition update 2020. Int J Stroke. 2021 Apr;16(3):321-41.
https://journals.sagepub.com/doi/10.1177/1747493020968424
http://www.ncbi.nlm.nih.gov/pubmed/33174815?tool=bestpractice.com
A prevalência global de hemorragia intracerebral foi de 18.88 milhões de casos em 2020.[7]GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-22.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30925-9/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/33069326?tool=bestpractice.com
Houve uma redução de 3.33% na taxa de prevalência padronizada por idade de 2010 a 2020.[7]GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-22.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30925-9/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/33069326?tool=bestpractice.com
No mundo todo, o número de mortes atribuíveis à hemorragia intracerebral em 2021 foi de 3.38 milhões.[5]Martin SS, Aday AW, Almarzooq ZI, et al. 2024 heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024 Feb 20;149(8):e347-913.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001209
http://www.ncbi.nlm.nih.gov/pubmed/38264914?tool=bestpractice.com
A taxa de mortalidade padronizada por idade caiu entre 2010 e 2021.[5]Martin SS, Aday AW, Almarzooq ZI, et al. 2024 heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024 Feb 20;149(8):e347-913.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001209
http://www.ncbi.nlm.nih.gov/pubmed/38264914?tool=bestpractice.com
[7]GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-22.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30925-9/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/33069326?tool=bestpractice.com
Em 2020, a mortalidade por hemorragia intracerebral padronizada por idade foi maior na Oceania, seguida pela África Subsaariana ocidental, central e oriental e sudeste da Ásia.[7]GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-22.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30925-9/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/33069326?tool=bestpractice.com
O risco global estimado de AVC hemorrágico durante a vida a partir dos 25 anos de idade é de 8.2%.[8]GBD 2016 Lifetime Risk of Stroke Collaborators, Feigin VL, Nguyen G, et al. Global, regional, and country-specific lifetime risks of stroke, 1990 and 2016. N Engl J Med. 2018 Dec 20;379(25):2429-37.
https://www.nejm.org/doi/full/10.1056/NEJMoa1804492
http://www.ncbi.nlm.nih.gov/pubmed/30575491?tool=bestpractice.com
A incidência de hemorragia intracerebral aumenta com a idade.[4]GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021 Oct;20(10):795-820.
https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(21)00252-0/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/34487721?tool=bestpractice.com
[9]Greenberg SM, Ziai WC, Cordonnier C, et al. 2022 Guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke. 2022 Jul;53(7):e282-361.
https://www.ahajournals.org/doi/full/10.1161/STR.0000000000000407
http://www.ncbi.nlm.nih.gov/pubmed/35579034?tool=bestpractice.com
Em geral, os homens têm uma incidência maior que as mulheres, embora a diferença diminua com a idade.[5]Martin SS, Aday AW, Almarzooq ZI, et al. 2024 heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024 Feb 20;149(8):e347-913.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001209
http://www.ncbi.nlm.nih.gov/pubmed/38264914?tool=bestpractice.com
[10]Appelros P, Stegmayr B, Terént A. Sex differences in stroke epidemiology: a systematic review. Stroke. 2009 Apr;40(4):1082-90.
https://www.ahajournals.org/doi/10.1161/STROKEAHA.108.540781
http://www.ncbi.nlm.nih.gov/pubmed/19211488?tool=bestpractice.com
As pessoas negras e pessoas de origem asiática ou latina/hispânica têm uma taxa mais alta de hemorragia intracerebral que as pessoas brancas.[11]Gardener H, Sacco RL, Rundek T, et al. Race and ethnic disparities in stroke incidence in the northern Manhattan study. Stroke. 2020 Apr;51(4):1064-9.
https://www.ahajournals.org/doi/full/10.1161/STROKEAHA.119.028806
http://www.ncbi.nlm.nih.gov/pubmed/32078475?tool=bestpractice.com
[12]Howard G, Moy CS, Howard VJ, et al. Where to focus efforts to reduce the black-white disparity in stroke mortality: incidence versus case fatality? Stroke. 2016 Jul;47(7):1893-8.
https://www.ahajournals.org/doi/10.1161/STROKEAHA.115.012631
http://www.ncbi.nlm.nih.gov/pubmed/27256672?tool=bestpractice.com