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Reassessing the Stroke Belt: Using Small Area Spatial Statistics to Identify Clusters of High Stroke Mortality in the United States

Stroke Belt

Stroke, 1 July 2016 Background and Purpose—The stroke belt is described as an 8-state region with high stroke mortality across the southeastern United States. Using spatial statistics, we identified clusters of high stroke mortality (hot spots) and adjacent areas of low stroke mortality (cool spots) for US counties and evaluated for regional differences in county-level risk factors. ₀ […]

Trends in Acute Ischemic Stroke Hospitalizations in the United States

photo by Rosser321 (https://www.flickr.com/photos/41178161@N07/)

J Am Heart Assoc, 11 May 2016 Background Population-based studies have revealed declining acute ischemic stroke (AIS) hospitalization rates in the United States, but no study has assessed recent temporal trends in race/ethnic-, age-, and sex-specific AIS hospitalization rates. … Conclusions Although overall stroke hospitalizations declined in the United States, the reduction was more pronounced among older individuals, […]

Race-Specific Predictors of Mortality in Intracerebral Hemorrhage: Differential Impacts of Intraventricular Hemorrhage and Age Among Blacks and Whites

J Am Heart Assoc, 16 August 2016 Background Intracerebral hemorrhage (ICH) carries high risk for short-term mortality. We sought to identify race-specific predictors of mortality in ICH patients. … Conclusions IVH and age differentially predict mortality among blacks and whites. Blacks have higher rates of obstructive hydrocephalus and more frequently require EVD placement compared to their white counterparts. […]

Where to Focus Efforts to Reduce the Black–White Disparity in Stroke Mortality: Incidence Versus Case Fatality?

Stroke, 1 July 2016 Background and Purpose—At age 45 years, blacks have a stroke mortality ≈3× greater than their white counterparts, with a declining disparity at older ages. We assess whether this black–white disparity in stroke mortality is attributable to a black–white disparity in stroke incidence versus a disparity in case fatality. … Conclusions—These findings show that the […]

Informing Policy for Reducing Stroke Health Disparities from the Experience of African-American Male Stroke Survivors

J Racial Ethn Health Disparities, 20 October 2015 Background The burden of stroke is severe among African-Americans. Despite overall declines in the rate of stroke since 2000, outcomes are largely unimproved or have worsened for African-American men. Adverse psychosocial challenges may hinder adherence to a regimen of risk factor reduction. … Conclusions In order to be effective, policies […]

Nursing Best Practices to Prevent Stroke in Women

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Stroke, 10 March 2015 Stroke remains the third leading cause of death in women affecting 3.8 million women compared with 3 million men. Almost half of the women surviving stroke are anticipated to have residual deficits, including cognitive dysfunction and weakness 6 months later. With the aging population and increased longevity of women in our […]

Meta-Analysis of Genome-Wide Association Studies Identifies Genetic Risk Factors for Stroke in African Americans

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Stroke, 18 June 2015 Background and Purpose—The majority of genome-wide association studies (GWAS) of stroke have focused on European-ancestry populations; however, none has been conducted in African Americans, despite the disproportionately high burden of stroke in this population. The Consortium of Minority Population Genome-Wide Association Studies of Stroke (COMPASS) was established to identify stroke susceptibility […]

Predictors of Mortality in Acute Ischemic Stroke Intervention: Analysis of the North American Solitaire Acute Stroke Registry

Stroke, 9 July 2015 Background and Purpose—Failure to recanalize predicts mortality in acute ischemic stroke. In the North American Solitaire Acute Stroke registry, we investigated parameters associated with mortality in successfully recanalized patients.… Conclusions—Failure to recanalize and presence of symptomatic intracranial hemorrhage resulted in increased mortality. Despite successful recanalization, proximal occlusion, high National Institutes of […]

Sex Disparities in Stroke: Women Have More Severe Strokes but Better Survival Than Men

J Am Heart Assoc, 6 July 2015

Stroke Legislation Impacts Distribution of Certified Stroke Centers in the United States

Stroke, 18 June 2015 Background and Purpose—The number of certified primary stroke centers (PSCs) have increased dramatically during the past decade in the United States We aimed to understand the factors affecting PSC distribution in the United States, including the impact of state stroke legislation.… Conclusions—State stroke legislation, a generalizable intervention, increased the number of […]

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