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Stroke Incidence and Prevalence

Epidemiology of Stroke Dexter L. Morris, PhD, MD Department of Emergency Medicine University of North Carolina School of Medicine Chapel Hill, NC. Stroke Incidence and Prevalence. 600,000 new strokes each year 160,000 deaths US: 83% of strokes ischemic, 17% hemorrhagic.

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Stroke Incidence and Prevalence

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  1. Epidemiology of Stroke Dexter L. Morris, PhD, MDDepartment of Emergency Medicine University of North Carolina School of MedicineChapel Hill, NC

  2. Stroke Incidence and Prevalence • 600,000 new strokes each year • 160,000 deaths • US: 83% of strokes ischemic, 17% hemorrhagic

  3. Age-Adjusted Stroke Mortality Rates in the United States from 1979 to 1998 by Race and Gender Age-adjusted stroke mortality rate/100,000 19

  4. Death rates of each HSA compared to U.S. rate (1988-92) Stroke- White Male

  5. Total Deaths from Stroke in the United States by Year,1979-1998 Stroke deaths in thousands, United States Total age-adjusted stroke mortality rate/100,000 19 Year

  6. Total Stroke Deaths in the United States by Race and Age, 1998 Stroke deaths in thousands Total Deaths Age group

  7. Hypertension Previous Stroke/TIA Heart Disease Atrial Fibrillation Carotid Bruit Diabetes Smoking Older > Younger Black > Hispanic Hispanic > White Male > Female Risk Factors For Stroke

  8. Natural History of Stroke • Death • 7.5% of ischemic and 37.5% hemorrhagic stroke patients die within 30 days • Disability • Of those who survive 30 days, 20% require institutional care

  9. Stroke Healthcare Costs • Stroke is a leading cause of long term disability in the US • Approximately 1 million hospital admissions per year for stroke • Total costs for stroke in US over 45 BILLION dollars a year

  10. Summary • Stroke is a huge disease in the United States • It causes a tremendous amount of mortality and disability • Although stroke rates may be declining, the number of strokes will become greater because of increases in population and the aging of the population

  11. Summary (cont) • Hypertension is a major controllable/treatable risk factor for stroke • Emergency Medicine Physicians have an increasingly important role in the treatment and prevention of this disease

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