Trends in Acute Ischemic Stroke Hospitalizations in the United States.
Trends in Acute Ischemic Stroke Hospitalizations in the United States.
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DOI：
10.1161/jaha.116.003233
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发表时间：
2016-05-11
影响因子：
5.4
通讯作者：
Towfighi A
中科院分区：
文献类型：
--
作者：
Ramirez L;Kim-Tenser MA;Sanossian N;Cen S;Wen G;He S;Mack WJ;Towfighi A
基于人群的研究显示，美国急性缺血性卒中（AIS）住院率下降，但没有研究评估种族/民族、年龄和性别特异性AIS住院率的近期时间趋势。使用全国住院患者样本，在≥25岁的成人中评估了2000年至2010年因AIS住院的时间趋势。使用加权住院次数和美国人口普查数据计算年龄、性别和人种/种族特异性和年龄校正的卒中住院率。从2000年到2010年，年龄调整的卒中住院率从250/10万下降到204/10万（总体率下降18.4%）。65至84岁人群的特定年龄AIS住院率下降（846 - 605/100 000）和≥85岁（每100 000人中有2077至1618人），但25至44岁的人（每100 000人中有16至23人）和45至64岁的人（每100 000人中有149至156人）增加。黑人的年龄调整年住院率最高，其次是西班牙裔和白人（2010年每10万人中有358，170和155）。年龄调整的AIS住院率在黑人中增加，但在西班牙裔和白人中减少。与男性相比，女性的年龄调整AIS住院率较低，下降幅度更大（女性为272 - 212/100 000，男性为298 - 245/100 000）。尽管美国的中风住院率总体下降，但在老年人、女性、西班牙裔和白人中下降更为明显。可能需要重新努力，针对易受伤害的个人进行风险因素控制。
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. Temporal trends in hospitalization for AIS from 2000 to 2010 were assessed among adults ≥25 years using the Nationwide Inpatient Sample. Age‐, sex‐, and race/ethnic‐specific and age‐adjusted stroke hospitalization rates were calculated using the weighted number of hospitalizations and US census data. From 2000 to 2010, age‐adjusted stroke hospitalization rates decreased from 250 to 204 per 100 000 (overall rate reduction 18.4%). Age‐specific AIS hospitalization rates decreased for individuals aged 65 to 84 years (846 to 605 per 100 000) and ≥85 years (2077 to 1618 per 100 000), but increased for individuals aged 25 to 44 years (16 to 23 per 100 000) and 45 to 64 years (149 to 156 per 100 000). Blacks had the highest age‐adjusted yearly hospitalization rates, followed by Hispanics and whites (358, 170, and 155 per 100 000 in 2010). Age‐adjusted AIS hospitalization rates increased for blacks but decreased for Hispanics and whites. Age‐adjusted AIS hospitalization rates were lower in women and declined more steeply compared to men (272 to 212 per 100 000 in women versus 298 to 245 per 100 000 in men). Although overall stroke hospitalizations declined in the United States, the reduction was more pronounced among older individuals, women, Hispanics, and whites. Renewed efforts at targeting risk factor control among vulnerable individuals may be warranted.