Vital Signs: Preventing Stroke Deaths
What you should know
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Line graph shows the age-standardized stroke death rate per 100,000 people from 2000 through 2015.
| Year | Deaths | Age Adjusted Rate |
|---|---|---|
| 2000 | 166611 | 118.4 |
| 2001 | 162495 | 113.5 |
| 2002 | 161670 | 111.3 |
| 2003 | 156667 | 106.1 |
| 2004 | 149046 | 99.4 |
| 2005 | 142550 | 93.2 |
| 2006 | 136090 | 87 |
| 2007 | 134979 | 84.5 |
| 2008 | 133114 | 81.6 |
| 2009 | 127840 | 76.8 |
| 2010 | 128497 | 75.9 |
| 2011 | 127951 | 73.5 |
| 2012 | 127581 | 71.6 |
| 2013 | 128078 | 70.2 |
| 2014 | 132129 | 70.8 |
| 2015 | 139367 | 73 |
Stroke death declines have STALLED in 3 out of every 4 states.
CONTINUED= death rates continued to decrease steadily from 2000 through 2015 in adults 35 years and older
SLOWED= the decrease in death rates slowed down over time
REVERSED= the death rates reversed from decreasing to increasing
DECLINES HAVE:
- Continued in Alaska, Montana, Wyoming, New Mexico, North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Iowa, Arkansas, West Virginia, and Rhode Island.
- Slowed in Washington, Oregon, Minnesota, Wisconsin, Missouri, Michigan, Indiana, Ohio, Kentucky, New York, Virginia, South Carolina, Maine, New Hampshire, Delaware, and New Jersey.
- Reversed in Hawaii, California, Nevada, Idaho, Utah, Arizona, Colorado, Texas, Louisiana, Illinois, Mississippi, Alabama, Georgia, Tennessee, North Carolina, Florida, District of Columbia, Maryland, Pennsylvania, Vermont, Massachusetts, and Connecticut.
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RISK FACTORS FOR STROKE
Knowing and managing your risk for stroke are key.
- HIGH BLOOD PRESSURE a leading cause of STROKE
- TOBACCO USE
- DIABETES
- HIGH CHOLESTEROL
- OBESITY & PHYSICAL INACTIVITY
Recognize the signs of stroke F.A.S.T.
- FACE – Ask the person to smile. Does one side droop?
- ARMS – Ask the person to raise both arms. Does one arm drift downwards?
- SPEECH – Ask the person to repeat a simple sentence. Are the words slurred?
- TIME – If the person shows any of these symptoms, call 911
Learning the signs of a stroke can HELP SAVE LIVES
SOURCE: Adapted from the Cincinnati Pre-hospital Stroke Scale, University of Cincinnati, 1997.
Stroke Systems of Care
Community
Detection – Everyone knows the signs of stroke and the need to call 911 immediately.
Pre-Hospital
Delivery – Fast emergency medical services (EMS) transport to the hospital with pre-hospital notification that they are on the way.
Hospital
Decision – Identify stroke, quickly decide on and provide appropriate treatment.
Post-Hospital
Discharge Coordination – Patient rehabilitates, recovers, and returns home.
SOURCES: Paul Coverdell National Acute Stroke Program, CDC;
Guidelines for the Early Management of Adults with Ischemic Stroke, Circulation, May 22, 2007.
The STROKE SYSTEMS OF CARE depends on coordinated partnerships among health systems and professionals, smooth transitions from one care setting to the next, data-driven quality improvement programs that provide the best care to every patient every time, consistent hospital discharge processes with all of the patient’s healthcare professionals, and continued actions that improve patient care and save lives.