The findings of this study will help identify populations that could benefit from interventions to prevent and control modifiable stroke risk factors, further improve the quality of care, and reduce stroke prevalence and mortality.ĭata Source.
National Vital Statistics System from the National Center for Health Statistics were used to examine recent trends in stroke death rates by age, sex, and race/ethnicity at the national level and by census region and state during 2000–2015. † However, a recent study suggested that the rate of decline in stroke death rates has slowed in recent years, and the rate has even increased slightly since 2013 ( 4). Stroke is also a leading cause of serious long-term disability, with an estimated annual cost of $33.9 billion ( 3). Despite this decline, nearly 800,000 persons in the United States have a new or recurrent stroke each year, and approximately 140,000 stroke victims die thus, stroke accounts for one in every 20 deaths ( 3). Age-standardized rates among adults aged ≥35 years declined from 315.7 deaths per 100,000 in 1968 to 73.3 per 100,000 in 2015.* The substantial decline in stroke death rates has been attributed to improvements in modifiable stroke risk factors and in stroke treatment and care over time ( 1, 2). Stroke death rates in the United States have declined since at least the 1960s stroke fell from the third to the fourth leading cause of death in 2008 and to the fifth in 2013. These findings suggest the importance of strategically identifying opportunities for prevention and intervening in vulnerable populations, especially because effective and underused interventions to prevent stroke incidence and death are known to exist. Declines in stroke death rates failed to continue in 38 states, and during 2013–2015, an estimated 32,593 excess stroke deaths might not have occurred if the previous rate of decline could have been sustained.Ĭonclusions and Implications for Public Health Practice: Prior declines in stroke death rates have not continued in recent years, and substantial variations exist in timing and magnitude of change by demographic and geographic characteristics. The last trend segment indicated a reversal from a decrease to a statistically significant increase among Hispanics (APC = 5.8%) and among persons in the South Census Region (APC = 4.2%). The annual percent change (APC) in stroke death rates changed from 2000 to 2015, from a 3.4% decrease per year during 2000–2003, to a 6.6% decrease per year during 2003–2006, a 3.1% decrease per year during 2006–2013, and a 2.5% (nonsignificant) increase per year during 2013–2015.
Results: Among adults aged ≥35 years, age-standardized stroke death rates declined 38%, from 118.4 per 100,000 persons in 2000 to 73.3 per 100,000 persons in 2015.
#Death race 2000 points software
Joinpoint software was used to identify trends in stroke death rates, and the excess number of stroke deaths resulting from unfavorable changes in trends was estimated. Methods: Trends in the rates of stroke as the underlying cause of death during 2000–2015 were analyzed using data from the National Vital Statistics System. adults aged ≥35 years by age, sex, race/ethnicity, state, and census region. CDC examined trends and patterns in recent stroke death rates among U.S. stroke death rates observed for more than 4 decades has slowed in recent years. Introduction: The prominent decline in U.S. Additional information is available at.The findings emphasize the importance of continuing surveillance of stroke and strategically identifying disparities in specific risk factors, incidence, and geography that might be driving the unfavorable changes in the rate of decline so that targeted interventions can be implemented to prevent strokes in vulnerable populations.An estimated 30,000 excess stroke deaths might have occurred because of the unfavorable changes in the rate of decline in stroke mortality during 2013–2015.Thirty-eight states had an unfavorable change in the rate of decline in stroke death rates during 2000–2015.Trends in stroke death rates reversed in 2013 among Hispanics and in the South Census Region, where significant declines from year to year changed to significant increases during 2013–2015.After more than 4 decades of decline, stroke death rates in the United States have declined more slowly, stalled, or reversed among some subpopulations in recent years.
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