E-129 Trends in demographic and geographic disparities of stroke-related mortality in older adults in the United States from 1999 to 2020

Stroke is a leading cause of mortality and morbidity in the United States. Many risk factors are controversial, and their relative importance is not fully understood. Elucidating the association between demographic and geographic disparities and stroke-related mortality in older adults will guide policy to alleviate stroke burden. This retrospective cohort study characterizes stroke-related mortality among individuals aged 55 and older in the United States from January 1999 to December 2020 using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database. Segmented regression was used to analyze trends in crude mortality rate (CMR) and age-adjusted mortality rate (AAMR) per 100,000 individuals stratified by stroke subcategory, sex, ethnicity, race, and urbanization. State-level data and locations of death were described. Total of 3,691,305 stroke-related deaths occurred in older adults in the United States between 1999 and 2020 (AAMR = 233.3). Among diagnosis, age, sex, race and ethnicity, and urbanization, the highest mortality rates were seen in non-specified stroke-type (AAMR = 173.5), those 85 or older (CMR = 1276.7), men (AAMR = 239.2), Non-Hispanic African American adults (AAMR = 319.0), and noncore populations (AAMR = 276.1). Most deaths (46.7%) occurred in inpatient facilities. Stroke-related mortality decreased in all states from 1999 to 2019 with the greatest and least decreases seen in California (-61.9%) and Mississ...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research