Temporal Trends in Ischemic Stroke Rates by Ethnicity, Sex, and Age (2000-2017): The Brain Attack Surveillance in Corpus Christi Project.


Journal

Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060

Informations de publication

Date de publication:
30 11 2021
Historique:
received: 15 04 2021
accepted: 21 09 2021
pubmed: 30 9 2021
medline: 7 4 2022
entrez: 29 9 2021
Statut: ppublish

Résumé

To compare 18-year (2000-2017) temporal trends in ischemic stroke rates by ethnicity, sex, and age. Data are from a population-based stroke surveillance study conducted in Nueces County, Texas, a geographically isolated, biethnic, urban community. Active (screening hospital admission logs, hospital wards, intensive care units) and passive (screening inpatient/emergency department discharge diagnosis codes) surveillance were used to identify cases aged ≥45 (n = 4,875) validated by stroke physicians using a consistent stroke definition over time. Ischemic stroke rates were derived from Poisson regression using annual population counts from the US Census to estimate the at-risk population. In those aged 45-59 years, rates increased in non-Hispanic Whites (104.3% relative increase; Previously documented ethnic stroke incidence disparities have ended as a result of declining rates in Mexican Americans and increasing rates in non-Hispanic Whites, most notably in midlife.

Identifiants

pubmed: 34584014
pii: WNL.0000000000012877
doi: 10.1212/WNL.0000000000012877
pmc: PMC8641969
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

e2164-e2172

Subventions

Organisme : NINDS NIH HHS
ID : R01 NS038916
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS070941
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL126700
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2021 American Academy of Neurology.

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Auteurs

Lynda D Lisabeth (LD)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX. llisabet@umich.edu.

Devin L Brown (DL)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Darin B Zahuranec (DB)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Sehee Kim (S)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Jaewon Lim (J)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Kevin A Kerber (KA)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

William J Meurer (WJ)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Erin Case (E)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Melinda A Smith (MA)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Morgan S Campbell (MS)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

Lewis B Morgenstern (LB)

From the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.

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