article · JAMA Neurology
A cross-sectional investigation of stroke trends across the United States between 1990 and 2019 reveals a shifting public health landscape. Age-standardised stroke rates decreased over the three-decade period, indicating notable progress in managing stroke-related outcomes. In contrast, the overall absolute burden of stroke expanded, driven in part by a marked increase in hemorrhagic stroke occurrences. In addition, the findings highlight substantial disparities in stroke trends when comparing various age cohorts and geographical locations. These divergent patterns demonstrate that despite improvements in population-adjusted rates, stroke remains an escalating public health concern. Effectively mitigating this multifaceted challenge requires the design and deployment of healthcare interventions and public policies that are tailored directly to specific demographics and geographic regions.
While lower standardised stroke rates point to improvements in clinical management, an expanding total number of cases and more hemorrhagic strokes create severe healthcare pressures. Because risks differ markedly across locations and age profiles, understanding these patterns is vital for public health planners seeking to allocate healthcare resources and design preventive programmes that protect vulnerable groups.
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In this cross-sectional study, the declining age-standardized stroke rates over the past 3 decades suggest progress in managing stroke-related outcomes. However, the increasing absolute burden of stroke, coupled with a notable rise in hemorrhagic stroke, suggests an evolving and substantial public health challenge in the US. Moreover, the significant disparities in stroke burden trends across different age groups and geographic locations underscore the necessity for region- and demography-specific interventions and policies to effectively mitigate the multifaceted and escalating burden of stroke in the country.
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DOI: 10.1001/jamaneurol.2024.0190
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