Preventing Stroke Deaths

Line graph shows the age-standardized stroke death rate per 100,000 people from 2000 through 2015.

The decline in stroke deaths has slowed since 2013.

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.

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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.