Stroke in a biracial population: The excess burden of stroke among blacks

Excess mortality resulting from stroke is an important reason why blacks have higher age-adjusted mortality rates than whites. This observation has 2 possible explanations: Strokes occur more commonly among blacks or blacks have higher mortality rates after stroke. Our population-based epidemiologic...

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Bibliographic Details
Published in:Stroke (1970) 2004-02, Vol.35 (2), p.426-431
Main Authors: KISSELA, Brett, SCHNEIDER, Alexander, PANCIOLI, Arthur, JAUCH, Edward, SHUKLA, Rakesh, BRODERICK, Joseph, KLEINDORFER, Dawn, KHOURY, Jane, MILLER, Rosemary, ALWELL, Kathleen, WOO, Daniel, SZAFLARSKI, Jerzy, GEBEL, James, MOOMAW, Charles
Format: Article
Language:English
Subjects:
Adult
Age Distribution
Aged
Aged, 80 and over
Biological and medical sciences
Black or African American
Black People - statistics & numerical data
Female
Humans
Incidence
Inpatients - statistics & numerical data
Kentucky - epidemiology
Male
Medical sciences
Middle Aged
Mortality - trends
Neurology
Odds Ratio
Ohio - epidemiology
Outpatients - statistics & numerical data
Risk Factors
Sex Distribution
Stroke - epidemiology
Stroke - mortality
United States - epidemiology
Vascular diseases and vascular malformations of the nervous system
White People - statistics & numerical data
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Summary:Excess mortality resulting from stroke is an important reason why blacks have higher age-adjusted mortality rates than whites. This observation has 2 possible explanations: Strokes occur more commonly among blacks or blacks have higher mortality rates after stroke. Our population-based epidemiological study is set in the Greater Cincinnati/Northern Kentucky region of 1.31 million people, which is representative of the US white and black populations with regard to many demographic and socioeconomic characteristics. Hospitalized cases were ascertained by International Classification of Diseases (ninth revision) discharge codes, prospective screening of emergency department admission logs, and review of coroner's cases. A sampling scheme was used to ascertain cases in the out-of-hospital setting. All potential cases underwent detailed chart abstraction by study nurses, followed by physician review. Race-specific incidence and case fatality rates were calculated. We identified 3136 strokes during the study period (January 1, 1993, to June 30, 1994). Stroke incidence rates were higher for blacks at every age, with the greatest risk (2- to 5-fold) seen in young and middle-aged blacks (
ISSN:0039-2499
1524-4628
1524-4628
DOI:10.1161/01.STR.0000110982.74967.39