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Vital Signs: Recent Trends in Stroke Death Rates - United States, 2000-2015.

Abstract The prominent decline in U.S. stroke death rates observed for more than 4 decades has slowed in recent years. CDC examined trends and patterns in recent stroke death rates among U.S. adults aged ≥35 years by age, sex, race/ethnicity, state, and census region.
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Authors

Mayor MeshTerms
Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 28880858
OWN - NLM
STAT- In-Process
DA  - 20170907
LR  - 20170907
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 35
DP  - 2017 Sep 08
TI  - Vital Signs: Recent Trends in Stroke Death Rates - United States, 2000-2015.
PG  - 933-939
LID - 10.15585/mmwr.mm6635e1 [doi]
AB  - INTRODUCTION: The prominent decline in U.S. stroke death rates observed for more 
      than 4 decades has slowed in recent years. CDC examined trends and patterns in
      recent stroke death rates among U.S. adults aged >/=35 years by age, sex,
      race/ethnicity, state, and census region. 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. 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. 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. 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. 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%). 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. CONCLUSIONS 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. 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.
FAU - Yang, Quanhe
AU  - Yang Q
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Tong, Xin
AU  - Tong X
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Schieb, Linda
AU  - Schieb L
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Vaughan, Adam
AU  - Vaughan A
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Gillespie, Cathleen
AU  - Gillespie C
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Wiltz, Jennifer L
AU  - Wiltz JL
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - King, Sallyann Coleman
AU  - King SC
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Odom, Erika
AU  - Odom E
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Merritt, Robert
AU  - Merritt R
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - Hong, Yuling
AU  - Hong Y
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
FAU - George, Mary G
AU  - George MG
AD  - Division for Heart Disease and Stroke Prevention, National Center for Chronic
      Disease Prevention and Health Promotion, CDC.
LA  - eng
PT  - Journal Article
DEP - 20170908
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
EDAT- 2017/09/08 06:00
MHDA- 2017/09/08 06:00
CRDT- 2017/09/08 06:00
AID - 10.15585/mmwr.mm6635e1 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2017 Sep 8;66(35):933-939. doi:
      10.15585/mmwr.mm6635e1.