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. 2020 Sep 18;115(3):308–439. [Article in Portuguese] doi: 10.36660/abc.20200812

Table 2-5. – Number of DALYs, age-standardized DALY rates (per 100 000) and percent change of rates for stroke and stroke subtypes, in Brazil and its Federative Units, 1990 and 2017.

Cause of death and location 1990 2017 Percent change (95% UI)
Number (95% UI) Rate (95% UI) Number (95% UI) Rate (95% UI)
B.2.3- Stroke
Acre 3953.6 (3783.3;4122.2) 1979.4 (1889.4;2059) 7266.7 (6834.2;7705) 1186.3 (1115.8;1257.3) -40.1 (-43.8;-36.1)
Alagoas 43233.8 (40973.6;45710.8) 2817.5 (2696.9;2939.7) 50039.4 (47688.1;52560.1) 1603.7 (1528;1685.4) -43.1 (-46.4;-39.8)
Amapá 1920.5 (1817.3;2003.4) 1670.5 (1572;1744.3) 6037.8 (5631.2;6387.6) 1177.4 (1098.1;1246.7) -29.5 (-33.8;-25.2)
Amazonas 17676.9 (16548.2;18641.9) 1941.3 (1817.2;2042.1) 31700.8 (29773.6;33426.1) 1140 (1076.7;1203.3) -41.3 (-44.6;-37.3)
Bahia 156852.9 (148273.2;166581.9) 2060 (1952.1;2187.7) 195170.9 (186401.1;204704.4) 1235.6 (1179.1;1295.2) -40 (-43.7;-36.1)
Brazil 2448379.5 (2393632.7;2503724.8) 2511.9 (2457.3;2567.6) 2594661.6 (2510573.1;2684848.2) 1145.3 (1107.8;1185.3) -54.4 (-55.5;-53.2)
Ceará 77492.6 (71681.9;83089.4) 1703.7 (1591.4;1819.1) 103566.8 (98110.9;108379.4) 1057.1 (1000.6;1107) -38 (-42.2;-33.4)
Distrito Federal 16605 (15926.8;17311.1) 2251.3 (2165.6;2333.6) 22403.1 (21031.9;23843.1) 920.1 (864.6;978.9) -59.1 (-61.8;-56.6)
Espírito Santo 48506.9 (47021.8;49978.7) 3107.9 (3018.3;3201) 46467.9 (44131.5;48868.8) 1096.7 (1041.8;1153.2) -64.7 (-66.5;-62.8)
Goiás 53132.8 (51019.6;55603.8) 2378.7 (2290.8;2484.2) 67110 (63427;71058) 992.6 (937.7;1051.6) -58.3 (-60.4;-56.1)
Maranhão 75263.4 (68906.4;82104.3) 2388.4 (2215.7;2565.2) 91064 (85853.5;96952.9) 1402.6 (1322.8;1493.3) -41.3 (-46;-36.2)
Mato Grosso 18394.3 (17193.1;19706.7) 1921.2 (1795;2051.7) 33309.4 (31413.2;35286.5) 1053.1 (994.2;1114.2) -45.2 (-49.3;-40.3)
Mato Grosso do Sul 24999.9 (23740.6;26097.7) 2462.2 (2369.6;2564.2) 34030.3 (32246.1;35981.7) 1208.7 (1146.7;1277.8) -50.9 (-53.7;-48)
Minas Gerais 285548.6 (275818.9;297328.5) 2638.6 (2555.4;2738.7) 271355.2 (257504.2;284521) 1075.3 (1020.5;1128.8) -59.2 (-61.3;-57)
Pará 53548.4 (50133.8;56655) 2253.4 (2113.7;2377) 88611.2 (83452.1;93804) 1314.4 (1238.6;1389.9) -41.7 (-45.7;-37.3)
Paraíba 45144.4 (42515.4;47988.9) 1858.6 (1751.2;1976.6) 54910.4 (50876.5;59063.6) 1206.4 (1118.5;1299.4) -35.1 (-40.9;-29.1)
Paraná 161625.7 (156492.6;166651.6) 3179.7 (3077;3274.8) 151291.7 (143947.2;158892.6) 1197.3 (1140.6;1255.3) -62.3 (-64.2;-60.3)
Pernambuco 130872.4 (125974.8;135596) 2751.6 (2651.9;2849.7) 136137.9 (129804.7;142784.5) 1375 (1311.6;1441) -50 (-52.3;-47.6)
Piauí 34432.1 (31750.1;37132.4) 2154.9 (1999.1;2316.3) 44933.5 (42457;48250.5) 1250.2 (1181.4;1343.6) -42 (-46.3;-37.4)
Rio de Janeiro 347453.9 (334592.7;357975.7) 3346.4 (3230.9;3445.4) 273760.5 (261736;286898.1) 1271.2 (1214.1;1331.4) -62 (-63.9;-60.1)
Rio Grande do Norte 25680.8 (24130.7;27242.4) 1487.2 (1395.3;1582.5) 34501.8 (32491.3;36566.5) 927.5 (872.6;983.7) -37.6 (-42.5;-32.5)
Rio Grande do Sul 172339.3 (165146.5;178677.8) 2524.5 (2421.8;2615.5) 170330.5 (160060.7;179998.5) 1150.9 (1082.3;1214.1) -54.4 (-56.8;-52)
Rondônia 12073.7 (11218.4;12924.2) 2741.2 (2563.3;2929.9) 17322.9 (15670.4;19262) 1178.2 (1069.9;1308.7) -57 (-61.6;-51.8)
Roraima 1569.1 (1426.3;1728.5) 2172.9 (2005;2364.6) 3644.2 (3249.6;4101.8) 1057.5 (946.3;1182.6) -51.3 (-57.5;-44.5)
Santa Catarina 69910.9 (67055.5;72514.6) 2666.7 (2559.3;2763.6) 71975.6 (67852.1;76213.3) 950.5 (898.1;1006.1) -64.4 (-66.2;-62.4)
São Paulo 539524.3 (519316.5;557948.6) 2449 (2360.9;2532.4) 542703.5 (515509.8;569546.5) 1043.5 (993.5;1094.6) -57.4 (-59.5;-55.2)
Sergipe 20033.1 (19174.8;20849.7) 2166.3 (2075.3;2253.8) 27552 (26196.3;28951.2) 1282.7 (1220.2;1347.5) -40.8 (-44;-37.2)
Tocantins 10590 (8966.2;11793.5) 2245 (1990.4;2461.4) 17463.5 (16283.5;18745.7) 1235.7 (1153.4;1326.5) -45 (-50.5;-37.6)
B.2.3.1- Ischemic stroke
Acre 1063.5 (996.8;1132.3) 667.8 (626.7;707.7) 2076 (1893.9;2264.6) 383.1 (351;417.7) -42.6 (-47.4;-37.9)
Alagoas 13197.8 (12462.3;14030.4) 985.2 (929.6;1045.1) 15974 (14833.8;17114.8) 542.2 (503.3;580.4) -45 (-48.8;-40.7)
Amapá 587.7 (545;627.3) 640.8 (595.3;680.4) 1748.6 (1589.7;1898.5) 402.8 (368.8;435.9) -37.1 (-41.9;-32.4)
Amazonas 5084.6 (4695.8;5429.5) 688.6 (637.7;735) 9130.4 (8393.2;9894.1) 375.1 (345.4;405.2) -45.5 (-49.4;-41)
Bahia 46074.5 (43055.7;49389.4) 671.6 (627.8;719.8) 60202.2 (56130.2;64836.4) 388.2 (361.5;418.2) -42.2 (-46.8;-37.5)
Brazil 731917.9 (704484.3;760431.9) 871.4 (841.1;902.4) 846622.4 (794644.5;900331.8) 387.3 (363.8;411.5) -55.6 (-57.3;-53.8)
Ceará 22421 (20485.5;24419.3) 546.3 (497.9;596.2) 35205.6 (32642.9;37754.2) 361.7 (335.2;388.2) -33.8 (-40.2;-27.1)
Distrito Federal 3906.4 (3644.7;4163.9) 766.5 (721.7;813) 6593.1 (5992;7230) 325.9 (298.5;356.9) -57.5 (-61.1;-53.7)
Espírito Santo 14282 (13533.3;15095.1) 1098.2 (1045.3;1153.6) 14731.1 (13585.4;15935.6) 363.2 (335.4;393.2) -66.9 (-69.2;-64.5)
Goiás 13916.2 (12991.6;14820.9) 800.2 (752;844.9) 19898.4 (18199.2;21777) 320.9 (293.9;350) -59.9 (-62.8;-56.7)
Maranhão 17377 (15585.8;19607.3) 660 (586.2;752.6) 27215.8 (24986.8;29637.2) 439.9 (404.1;479) -33.3 (-40;-26)
Mato Grosso 5212.7 (4803.6;5633.7) 705.7 (650.9;759.9) 10002 (9113.3;10867.5) 356.6 (326.3;386.9) -49.5 (-54.1;-44.5)
Mato Grosso do Sul 6723.6 (6322.8;7131.6) 813.8 (767.3;859.5) 10101.1 (9292.6;10911.3) 384.6 (354.4;414.8) -52.7 (-56.5;-48.9)
Minas Gerais 81390.3 (76723.4;86023.9) 881.5 (836.4;927.8) 86497.3 (79441.7;93590) 346.9 (318.9;375.4) -60.6 (-63.5;-57.6)
Pará 18296.6 (16994.5;19445.1) 906.6 (843.3;962.1) 28488.5 (26185.1;30787) 465.3 (428.2;501.5) -48.7 (-53;-44.3)
Paraíba 14128.8 (12998.2;15518.4) 609.2 (560.5;666.9) 18006.3 (16468.6;19631.7) 392.4 (358.4;427.9) -35.6 (-42.9;-27.8)
Paraná 51172.4 (48539.5;53822.5) 1204 (1146.1;1259.9) 55096.3 (51203.8;59213.8) 455.8 (424.5;489.8) -62.1 (-64.8;-59.4)
Pernambuco 41435.4 (39396.4;43702.5) 970.5 (925.1;1020.6) 41014.9 (38043.8;44085.7) 431.5 (400.1;463.9) -55.5 (-58.6;-52.1)
Piauí 9568.2 (8668;10635.1) 687.6 (623.1;765.2) 14673.1 (13540.8;15959.7) 411.7 (379.6;448) -40.1 (-45.6;-34)
Rio de Janeiro 95808.8 (90420.4;100946.9) 1069 (1012.6;1122.6) 83858 (77688.3;90710.3) 394.7 (366.4;426.8) -63.1 (-65.9;-60.3)
Rio Grande do Norte 9503.9 (8745.6;10253.4) 584.6 (538.8;631.1) 11733.2 (10776.4;12756) 319.1 (292.9;346.8) -45.4 (-50.7;-39.9)
Rio Grande do Sul 60826.8 (57517.2;64097.9) 1027.2 (972.9;1078) 61657.7 (56558.6;66642) 417.5 (382.7;451.1) -59.4 (-62.2;-56.3)
Rondônia 3034.7 (2783.7;3293.1) 970.7 (899.5;1042.4) 5412.4 (4855.6;6020.7) 415.3 (373.7;461) -57.2 (-61.8;-51.9)
Roraima 372.6 (336.5;412.4) 795.4 (729;867.3) 1055.5 (934.1;1183.6) 379.8 (337.7;421.7) -52.2 (-58.4;-45.5)
Santa Catarina 22415.1 (21207.6;23730.7) 1029.7 (974;1083.9) 25161.9 (23015.1;27290.2) 354.4 (325.4;383.2) -65.6 (-68;-62.8)
São Paulo 164767.5 (155579.3;173984.4) 890.4 (843.4;938) 186699.6 (171816.4;201713.6) 372 (342.1;401.3) -58.2 (-61;-55.2)
Sergipe 6658.2 (6265.3;7056.5) 781.8 (736.7;828.1) 8987.9 (8329;9671) 443.8 (411.4;476.9) -43.2 (-47.3;-38.6)
Tocantins 2692 (2368.4;3009.9) 750 (674.7;828.6) 5401.9 (4954.1;5885.6) 408.6 (374.8;444.9) -45.5 (-51.5;-38.7)
B.2.3.2- Intracerebral hemorrhage
Acre 2042.4 (1946.7;2151.3) 1021.1 (972.1;1070.2) 3907 (3628.3;4180.9) 625.6 (581;667.5) -38.7 (-43.7;-33.5)
Alagoas 22644.7 (21077;24235.6) 1476.9 (1388.9;1567.2) 27097.9 (25636;28599.9) 855.7 (809.8;904.3) -42.1 (-46.4;-37.8)
Amapá 1000.2 (936.5;1047.5) 829.7 (774.6;869.6) 3256.8 (2973.7;3497.4) 613.2 (561;657.1) -26.1 (-31.8;-19.8)
Amazonas 9657.5 (8944.9;10226.1) 1033.8 (957;1093.8) 17298.4 (16028.8;18370.1) 607.4 (564.8;644.9) -41.2 (-45.5;-36.3)
Bahia 84377.2 (79355.7;90141) 1108.1 (1040.1;1183.5) 104105.8 (98385.8;110053.4) 656.6 (620.6;694) -40.7 (-45.3;-35.8)
Brazil 1334369 (1303152.8;1373801.4) 1322.1 (1291.8;1358.2) 1326910.8 (1288958.3;1368112.2) 576.9 (560.7;594.9) -56.4 (-57.8;-55.1)
Ceará 40070.2 (36879.4;43154.2) 893.2 (817;960.7) 52333.9 (49236;55146.4) 533.9 (501.6;562.5) -40.2 (-45.3;-34.6)
Distrito Federal 9370.1 (8908.1;10046.1) 1179 (1125.2;1252.5) 11358.7 (10528;12284.1) 443.7 (413.3;477.7) -62.4 (-65;-59.3)
Espírito Santo 27092.1 (26043.2;28443.7) 1651.2 (1587.7;1725.3) 23985.1 (22605.5;25435.7) 557 (525.7;591.2) -66.3 (-68.3;-64.1)
Goiás 30618.2 (29152.7;32584.3) 1291.1 (1232.1;1366.3) 35332.4 (33203.1;37574) 509.5 (478.7;541.7) -60.5 (-63;-57.8)
Maranhão 40946.2 (36530.2;45483) 1334.4 (1213.3;1456.3) 48119.1 (44681.6;52607.1) 738.8 (686.2;810.1) -44.6 (-50.9;-37.9)
Mato Grosso 9481.7 (8758.9;10235.2) 952.6 (879.1;1027.3) 17317.5 (16178.9;18505.5) 529.8 (495.5;566.5) -44.4 (-49.2;-38.3)
Mato Grosso do Sul 14326.7 (13580.5;15036) 1346.6 (1285.1;1408.5) 18396.2 (17315.1;19515.4) 639.5 (601.6;678.8) -52.5 (-55.9;-49.1)
Minas Gerais 160746.7 (153946.9;171975.7) 1422.7 (1364.4;1509) 139119.5 (131593;146724) 546.2 (516.9;575.9) -61.6 (-64.2;-58.9)
Pará 27317.6 (25130.3;29082.4) 1111.4 (1017.5;1182.7) 46066.2 (42810.4;49272.9) 668.3 (622.2;712.9) -39.9 (-45;-34.3)
Paraíba 23051.3 (21538.9;24766) 954 (892.6;1024.9) 28591.1 (26253.3;30997.8) 629.8 (578.8;682.3) -34 (-40.8;-26.8)
Paraná 88216.4 (84443;91983) 1633.9 (1570.7;1702) 72564.6 (68483;76843.2) 561.1 (530.1;593.1) -65.7 (-67.9;-63.3)
Pernambuco 73380.8 (69895.3;76702.7) 1499.7 (1430.9;1568.9) 74615.6 (70543.1;78768.3) 744.4 (703.9;786.5) -50.4 (-53.4;-47.5)
Piauí 18501.1 (16948.8;20251.5) 1160.3 (1060.5;1264) 23443.1 (22029.8;25610) 651 (611.5;710.8) -43.9 (-48.8;-38.6)
Rio de Janeiro 201658.8 (193417.1;211873.7) 1858 (1782.2;1943.7) 147613.4 (140085.6;156033.4) 676.3 (641.5;713.3) -63.6 (-66;-61.1)
Rio Grande do Norte 12099.4 (11196.2;12951.9) 706.5 (651.7;757.1) 17465.8 (16141.3;18793.4) 468.6 (433.9;504.3) -33.7 (-39.7;-26.6)
Rio Grande do Sul 90116 (85634.7;94313.2) 1235.2 (1173.1;1292.4) 85329.9 (79196.9;90723.5) 570.3 (529.1;605.5) -53.8 (-56.9;-50.3)
Rondônia 6920.4 (6371.4;7465.9) 1469.9 (1361.9;1583.8) 8998.9 (8019.1;10137.8) 592.7 (529.6;666.4) -59.7 (-64.6;-53.9)
Roraima 868.7 (786;962.9) 1116.5 (1020.8;1223.5) 1914.8 (1686.6;2190.9) 527.6 (464.5;599.3) -52.7 (-59.7;-45.1)
Santa Catarina 37531.6 (35812;39073.7) 1347.1 (1285.7;1402.4) 35160.6 (32444.1;37333.3) 451.6 (418.2;478.8) -66.5 (-68.8;-64.1)
São Paulo 286216.8 (273648.3;299941.9) 1235.3 (1182.4;1289) 259904.1 (245650.4;275069.5) 490.6 (464.5;518.7) -60.3 (-62.8;-57.4)
Sergipe 10290.6 (9777.3;10791) 1120.9 (1062.3;1176.2) 14532.9 (13755.7;15333.1) 666.3 (631.3;703.4) -40.6 (-44.7;-35.7)
Tocantins 5825.5 (4890.2;6575) 1189.3 (1037.1;1325.3) 9081.5 (8410.7;9866.8) 633.5 (587.1;688.8) -46.7 (-52.9;-38.2)
B.2.3.3- Subarachnoid hemorrhage
Acre 847.7 (773.2;919.3) 290.6 (269.9;311.1) 1283.8 (1183.9;1391) 177.6 (164.1;193.1) -38.9 (-44.9;-32.4)
Alagoas 7391.3 (6373.7;8529.4) 355.3 (311.7;397.2) 6967.4 (6414.6;7757.1) 205.9 (189.4;228.9) -42.1 (-50.3;-29.8)
Amapá 332.7 (309.9;365) 200.1 (186;223.5) 1032.5 (948.2;1149) 161.5 (148.4;179.7) -19.3 (-26.7;-10.9)
Amazonas 2934.8 (2699.5;3205.7) 218.9 (203.2;238.9) 5271.9 (4852.8;5795.8) 157.6 (145.2;173.4) -28 (-34.4;-20.6)
Bahia 26401.2 (23947.3;28838.7) 280.2 (256.7;306.5) 30862.9 (28723;33700.7) 190.8 (177.6;208.7) -31.9 (-38.9;-24.6)
Brazil 382092.5 (341738.8;399795.1) 318.4 (287;332.2) 421128.4 (402202.4;445263.2) 181 (173.1;191) -43.1 (-46.3;-37.2)
Ceará 15001.4 (12391.2;18119.3) 264.2 (225.1;311.9) 16027.3 (14761.6;17474.1) 161.5 (148.7;176) -38.9 (-49.2;-28.2)
Distrito Federal 3328.5 (2921.2;3564.8) 305.8 (267.9;326.7) 4451.2 (3996.2;4855.6) 150.5 (134.4;164.3) -50.8 (-55.3;-45.2)
Espírito Santo 7132.8 (5899.9;7604.3) 358.5 (294.5;382.4) 7751.8 (7128.6;8367.7) 176.5 (162.5;190) -50.8 (-55.4;-39.5)
Goiás 8598.4 (7989.3;9184.5) 287.4 (265.6;307) 11879.3 (10974.1;13114.1) 162.2 (150.1;178.6) -43.6 (-48.6;-36.8)
Maranhão 16940.2 (13560.2;20200.9) 394 (321;459.7) 15729.1 (14113.5;17089.8) 223.9 (199;243.2) -43.2 (-50.9;-32.3)
Mato Grosso 3699.9 (3386.4;4012) 262.9 (241.4;287.3) 5989.9 (5522;6551.1) 166.7 (154.3;182) -36.6 (-43.1;-29.6)
Mato Grosso do Sul 3949.6 (3524;4259.3) 301.8 (272.8;324.2) 5533 (5124.3;6033) 184.7 (171.2;201.1) -38.8 (-45.1;-31.2)
Minas Gerais 43411.7 (36926.5;46441.3) 334.4 (286;356.7) 45738.5 (42358.9;49050.9) 182.2 (169;195.2) -45.5 (-50.4;-37.9)
Pará 7934.2 (7204.8;8740.1) 235.4 (216.8;259.9) 14056.5 (12883.9;15453.7) 180.9 (166.2;198.4) -23.2 (-30.1;-15.8)
Paraíba 7964.3 (6876.5;9209) 295.5 (255.4;339.2) 8313 (7521.9;9221.7) 184.2 (166.7;204.3) -37.7 (-48.2;-25.5)
Paraná 22236.9 (18814.4;23684.3) 341.8 (287.1;364.5) 23630.8 (21760.6;25484.3) 180.4 (166.5;194) -47.2 (-52.1;-39.6)
Pernambuco 16056.3 (14930.2;17673.3) 281.4 (262.2;311.8) 20507.5 (19042.9;22982.6) 199.2 (185;222.9) -29.2 (-35.8;-22.5)
Piauí 6362.7 (5250.5;7430) 307 (258.7;356.2) 6817.4 (6299.7;7358.7) 187.4 (173.4;202.5) -39 (-47.3;-28.2)
Rio de Janeiro 49986.3 (39896.5;53598.5) 419.4 (335.1;449.1) 42289.2 (38909;45633.2) 200.1 (184.6;215.2) -52.3 (-56.7;-41.4)
Rio Grande do Norte 4077.6 (3612.7;4762.8) 196.1 (174.2;236.3) 5302.8 (4835.1;6667.4) 139.8 (127.7;175.3) -28.7 (-37.7;-18.9)
Rio Grande do Sul 21396.6 (19895.4;23508.5) 262.1 (244.7;290.7) 23342.9 (21439;25660.3) 163.1 (150.5;178.8) -37.8 (-43.1;-31.4)
Rondônia 2118.6 (1933.7;2303) 300.6 (275.8;327.4) 2911.6 (2578.8;3318.4) 170.2 (151;193.1) -43.4 (-51;-34.1)
Roraima 327.8 (294;368.6) 261.1 (234.8;298.9) 673.8 (592.6;805.6) 150.1 (132.2;178.6) -42.5 (-50.8;-32.5)
Santa Catarina 9964.3 (9246.9;10542.8) 289.9 (267.1;306.6) 11653.1 (10732.6;13019.9) 144.5 (133.5;160.9) -50.2 (-54.8;-43)
São Paulo 88540 (77303.1;94399.5) 323.3 (286.2;343.1) 96099.9 (89106.8;103155.3) 181 (168.3;194.1) -44 (-49.1;-36.7)
Sergipe 3084.4 (2757.9;3439.9) 263.6 (241.5;290.9) 4031.2 (3725.2;4445.7) 172.6 (159.7;190.2) -34.5 (-42.1;-26.6)
Tocantins 2072.4 (1546;2522.9) 305.7 (242.4;363.9) 2980.1 (2699;3279) 193.6 (175.8;212.5) -36.7 (-47.4;-21.4)

Source: Global Burden of Disease Study 2017, Institute for Health Metrics and Evaluation.109