The Burden of Stroke in the Great Lakes States

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The Burden of Stroke in the Great Lakes States
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The Burden of Stroke in the Great Lakes States

• Goal assess the burden of stroke in the Great
  Lakes region.
• Presents data on stroke for each Network state
  including prevalence, age-adjusted mortality
  rate, distribution of risk factors, recognition
  of and response to stroke symptoms, pre-transport
  deaths, and hospital discharges.
• Data will guide the Network.

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The Burden
of Stroke in the Great Lakes StatesPrevalence
of Stroke Risk Factors
Source Behavioral Risk Factor Surveillance
System, 2007.
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The Burden of Stroke in
the Great Lakes StatesPrevalence of Stroke
Risk Factors
Source Behavioral Risk Factor Surveillance
System, 2007.
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The Burden of Stroke in
the Great Lakes StatesRecognition of Stroke
Symptoms
  Illinois Indiana Michigan Minnesota Ohio Wisconsin
Severe headache 52.0 64.7 56.7 60.0 56.9 59.4
Severe dizziness/imbalance/trouble walking 84.5 89.0 87.5 83.7 84.7 88.8
Sudden vision trouble 66.2 73.2 72.7 68.3 67.4 71.9
Sudden numbness/ weakness 91.2 93.9 95.4 93.0 95.1 95.5
Sudden confusion/ trouble speaking 86.8 89.5 89.8 88.3 91.0 89.1
Sources Illinois Point-In-Time Survey (based on
BRFSS methodology), 2005. Minnesota, Wisconsin
Behavioral Risk Factor Surveillance System, 2005.
Indiana, Ohio Behavioral Risk Factor
Surveillance System, 2006. Michigan Behavioral
Risk Factor Surveillance System 2007 preliminary
data.
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The Burden of Stroke in
the Great Lakes States Anticipated Response to
Heart Attack and Stroke Symptoms

Sources Illinois Point-In-Time Survey based on
BRFSS methodology, 2005. Minnesota, Wisconsin
Behavioral Risk Factor Surveillance System, 2005.
Indiana, Ohio Behavioral Risk Factor
Surveillance System, 2006. Michigan Behavioral
Risk Factor Surveillance System, 2007 preliminary
data.   Those who refused to answer the question
were excluded from the denominator.  
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The Burden of
Stroke in the Great Lakes States Estimated
Stroke Prevalence

Estimated Number Percentage
Illinois 270,295 2.8
Indiana 138,004 2.9
Michigan 213,499 2.8
Minnesota 70,872 1.8
Ohio 270,166 3.1
Wisconsin 81,327 1.9
Great Lakes Region 1,044,164 2.7
United States 5,920,705 2.6
Sources Stroke Prevalence (Ever Told Had a
Stroke) BRFSS, 2007. Age18 and older population
estimate Estimates of the Population by Selected
Age-groups for the United States, States, and
Puerto Rico July 1, 2007 (SC-EST2007-01).
Source Population Division, U.S. Census Bureau.
Release Date May 1, 2008.
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The Burden of Stroke in
the Great Lakes StatesStroke Prevalence by
Race
Source Behavioral Risk Factor Surveillance
System, 2007
Median Percent Stroke Prevalence (51 States).  
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The Burden of Stroke
in the Great Lakes StatesStroke Prevalence by
Gender
Source Behavioral Risk Factor Surveillance
System, 2007 Median Percent Stroke Prevalence
(51 States)  
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The Burden of Stroke
in the Great Lakes States Stroke Prevalence
by Age
Source Behavioral Risk Factor Surveillance
System, 2007 Median Percent Stroke Prevalence
(51 States)  
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The Burden of Stroke
in the Great Lakes StatesHospital Discharge
Data
Sources Illinois, Indiana Discharge Data, 2005.
(Total charges for stroke event discharges,
2006) Ohio State Hospital Discharge Data, 2003
Michigan Inpatient Database, 2006 Wisconsin
Hospital Inpatient Discharge Data, 2005. (Total
charges for stroke event discharges, 2006.)
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The Burden of Stroke in the
Great Lakes StatesStroke Mortality, 2005
  Stroke Mortality Rate Number of Stroke Deaths
Illinois 47.3 6,232
Indiana 50.2 3,284
Michigan 46.5 5,049
Minnesota 41.9 2,372
Ohio 48.3 6,280
Wisconsin 45.6 2,952
Great Lakes Region 48.1 26,223
United States 46.6 143,579
Sources State Reported Illinois Department of
Public Health, Vital Statistics, 2005 Indiana
State Department of Health, Data Analysis Team,
2005 Michigan Department of Community Health,
Vital Statistics, 2005 Minnesota Department of
Health, Vital Statistics, 2005 Ohio Department
of Health, Vital Statistics, 2005 Wisconsin
Department of Health and Family Services, Vital
Statistics, 2005. Overall rate
(per 100,000)age-adjusted to the 2000 US standard
population. CDC Wonder, 2005.
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The Burden of
Stroke in the Great Lakes StatesStroke
Mortality Rate (per 100,000) by Gender and Race,
2005.

• Sources Illinois Department of Public Health,
  Vital Statistics, 2005 Indiana State Department
  of Health, Data Analysis Team, 2005 Michigan
• Department of Community Health, Vital Statistics,
  2005 Minnesota Department of Health, Vital
  Statistics, 2005 Ohio Department of Health,
  Vital
• Statistics, 2005 Wisconsin Department of Health
  and Family Services, Vital Statistics, 2005.
• Overall age-adjusted to the 2000 US standard
  population (as reported by states).
• Illinois stroke mortality data for
  race/ethnicity are grouped as white and
  non-white For comparison purposes, Illinois
  data provided here
• taken from the CDC Wonder Data 2005.
• CDC Wonder, 2005.

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The Burden of
Stroke in the Great Lakes StatesStroke
Mortality Trends for Women by Race, 35 years and
older, in the Great Lakes Region compared to the
US.
Source CDC Wonder, 1999-2005 (Age-adjusted
Rates, 2000 U.S. Standard Population).  
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The Burden of Stroke in the
Great Lakes StatesStroke Mortality Trends for
Men by Race, 35 years and older, in the Great
Lakes Region compared to the U.S.
Source CDC Wonder, 1999-2005 (Age-adjusted
Rates, 2000 U.S. Standard Population).
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Survivor Stories

• A stroke face on the numbers.
• Stroke survivor stories from our region.
• Identified with help from the AHA/ASA, NSA and
  other partners.

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The Burden of Stroke in the Great
Lakes States Summary

• In 2007, the estimated stroke prevalence ranged
  from 1.8 percent (Minnesota) to 3.1 percent
  (Ohio)
• In 2005, the age-adjusted stroke mortality rate
  per 100,000 ranged from 41.9 (Minnesota) to 50.2
  (Indiana), with Indiana, Ohio, and Illinois
  having a higher rate than the U.S. age-adjusted
  rate of 46.6 per 100,000
• In 2005, black men had the highest age-adjusted
  stroke mortality rates, ranging from 61.7 (Ohio)
  to 74.3 (Illinois) per 100,000
• According to the 2007 Behavioral Risk Factor
  Surveillance System survey, sudden severe
  headache and sudden vision trouble are the least
  recognized symptoms of stroke among adults ages
  18 and older
• More than 157,043 stroke patients were
  discharged from hospitals in the region with
  total hospital charges over 3.3 billion.

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The Burden of Stroke in the
Great Lakes States Limitations

• Data for stroke prevalence, recognition of and
  anticipated response to stroke symptoms and
  hospital discharge data are from different years.
  
• Data on incidence and quality and costs of
  medical care are lacking.
• Challenging to find reliable data on American
  Indian/Alaskan Native, Asian, Hawaiian/Pacific
  Islander and Hispanic populations.
• Difficult to compare states within the Great
  Lakes region and the region with other regions in
  the United States.
• Better coordination and timely data analysis are
  needed to improve efforts to reduce the burden of
  stroke in the Great Lakes region.

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The Burden of Stroke in
the Great Lakes States Data Sources

• U.S. Census, Population Division, Population
  Estimates, July 1st 2007.
• U.S. Census, American Community Survey, 2006.
• U.S. Census, Current Population Survey, 2007
  ASEC.
• Behavioral Risk Factor Surveillance System
  (BRFSS), 2005-2007.
• Illinois Point-In-Time Survey, 2005.
• CDC Wonder, 1999-2005.
• National Center for Health Statistics, 2005.
• Vital Statistics (from each state health
  department), 2005.
• Joint Commission, 2008.
• Hospital Discharge Data (from each state),
  2003-2006.
• CDC Morbidity and Mortality Reports, 2005-2008.

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The Burden of Stroke in
the Great Lakes States Contact Information

• The Burden of Stroke in the Great Lakes States
  report is available on the GLRSN web site
  http//glrsn.uic.edu or call 312-355-5423 to
  request a copy of the report on CD.
• Dilip Pandey, MD, PhD
• Principal Investigator
• Angela Bray Hedworth, MS, RHEd, CHES
• Program Manager
• Great Lakes Regional Stroke Network
• Center for Stroke Research
• University of Illinois at Chicago
• 1645 W. Jackson Blvd., Suite 400
• Chicago, IL 60612
• Phone [phone]
• Web http//glrsn.uic.edu