Trends in ischemic stroke outcomes in a rural population in the United States
The stroke mortality rate has gradually declined due to improved interventions and controlled risk factors. We investigated the associated factors and trends in recurrence and all-cause mortality in ischemic stroke patients from a rural population in the United States between 2004 and 2018. This was...
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| Published in: | Journal of the neurological sciences Vol. 422; p. 117339 |
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| Main Authors: | , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier B.V
15.03.2021
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| ISSN: | 0022-510X, 1878-5883, 1878-5883 |
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| Abstract | The stroke mortality rate has gradually declined due to improved interventions and controlled risk factors. We investigated the associated factors and trends in recurrence and all-cause mortality in ischemic stroke patients from a rural population in the United States between 2004 and 2018.
This was a retrospective cohort study based on electronic health records (EHR) data. A comprehensive stroke database called “Geisinger NeuroScience Ischemic Stroke (GNSIS)” was built for this study. Clinical data were extracted from multiple sources, including EHR and quality data.
The cohort included in the study comprised of 8561 consecutive ischemic stroke patients (mean age: 70.1 ± 13.9 years, men: 51.6%, 95.1% Caucasian). Hypertension was the most prevalent risk factor (75.2%). The one-year recurrence and all-cause mortality rates were 6.3% and 16.1%, respectively. Although the one-year stroke recurrence increased during the study period, the one-year stroke mortality rate decreased significantly. Age > 65 years, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality in stratified Cox proportional hazards model. In the Cause-specific hazard model, diabetes, chronic kidney disease and age < 65 years were found to be associated with one-year ischemic stroke recurrence.
Although all-cause mortality after stroke has decreased, stroke recurrence has significantly increased in stroke patients from rural population between 2004 and 2018. Older age, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality while diabetes, chronic kidney disease and age less than 65 years were predictors of ischemic stroke recurrence.
•Study cohort comprised of 8561 ischemic stroke patients from a rural population.•One-year all-cause mortality decreased between 2004 and 2018.•One-year stroke recurrence increased between 2004 and 2018.•Significant rise in stroke risk factors like hypertension, diabetes, dyslipidemia. |
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| AbstractList | AbstractIntroductionThe stroke mortality rate has gradually declined due to improved interventions and controlled risk factors. We investigated the associated factors and trends in recurrence and all-cause mortality in ischemic stroke patients from a rural population in the United States between 2004 and 2018. MethodsThis was a retrospective cohort study based on electronic health records (EHR) data. A comprehensive stroke database called “Geisinger NeuroScience Ischemic Stroke (GNSIS)” was built for this study. Clinical data were extracted from multiple sources, including EHR and quality data. ResultsThe cohort included in the study comprised of 8561 consecutive ischemic stroke patients (mean age: 70.1 ± 13.9 years, men: 51.6%, 95.1% Caucasian). Hypertension was the most prevalent risk factor (75.2%). The one-year recurrence and all-cause mortality rates were 6.3% and 16.1%, respectively. Although the one-year stroke recurrence increased during the study period, the one-year stroke mortality rate decreased significantly. Age > 65 years, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality in stratified Cox proportional hazards model. In the Cause-specific hazard model, diabetes, chronic kidney disease and age < 65 years were found to be associated with one-year ischemic stroke recurrence. ConclusionAlthough all-cause mortality after stroke has decreased, stroke recurrence has significantly increased in stroke patients from rural population between 2004 and 2018. Older age, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality while diabetes, chronic kidney disease and age less than 65 years were predictors of ischemic stroke recurrence. The stroke mortality rate has gradually declined due to improved interventions and controlled risk factors. We investigated the associated factors and trends in recurrence and all-cause mortality in ischemic stroke patients from a rural population in the United States between 2004 and 2018.INTRODUCTIONThe stroke mortality rate has gradually declined due to improved interventions and controlled risk factors. We investigated the associated factors and trends in recurrence and all-cause mortality in ischemic stroke patients from a rural population in the United States between 2004 and 2018.This was a retrospective cohort study based on electronic health records (EHR) data. A comprehensive stroke database called "Geisinger NeuroScience Ischemic Stroke (GNSIS)" was built for this study. Clinical data were extracted from multiple sources, including EHR and quality data.METHODSThis was a retrospective cohort study based on electronic health records (EHR) data. A comprehensive stroke database called "Geisinger NeuroScience Ischemic Stroke (GNSIS)" was built for this study. Clinical data were extracted from multiple sources, including EHR and quality data.The cohort included in the study comprised of 8561 consecutive ischemic stroke patients (mean age: 70.1 ± 13.9 years, men: 51.6%, 95.1% Caucasian). Hypertension was the most prevalent risk factor (75.2%). The one-year recurrence and all-cause mortality rates were 6.3% and 16.1%, respectively. Although the one-year stroke recurrence increased during the study period, the one-year stroke mortality rate decreased significantly. Age > 65 years, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality in stratified Cox proportional hazards model. In the Cause-specific hazard model, diabetes, chronic kidney disease and age < 65 years were found to be associated with one-year ischemic stroke recurrence.RESULTSThe cohort included in the study comprised of 8561 consecutive ischemic stroke patients (mean age: 70.1 ± 13.9 years, men: 51.6%, 95.1% Caucasian). Hypertension was the most prevalent risk factor (75.2%). The one-year recurrence and all-cause mortality rates were 6.3% and 16.1%, respectively. Although the one-year stroke recurrence increased during the study period, the one-year stroke mortality rate decreased significantly. Age > 65 years, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality in stratified Cox proportional hazards model. In the Cause-specific hazard model, diabetes, chronic kidney disease and age < 65 years were found to be associated with one-year ischemic stroke recurrence.Although all-cause mortality after stroke has decreased, stroke recurrence has significantly increased in stroke patients from rural population between 2004 and 2018. Older age, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality while diabetes, chronic kidney disease and age less than 65 years were predictors of ischemic stroke recurrence.CONCLUSIONAlthough all-cause mortality after stroke has decreased, stroke recurrence has significantly increased in stroke patients from rural population between 2004 and 2018. Older age, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality while diabetes, chronic kidney disease and age less than 65 years were predictors of ischemic stroke recurrence. The stroke mortality rate has gradually declined due to improved interventions and controlled risk factors. We investigated the associated factors and trends in recurrence and all-cause mortality in ischemic stroke patients from a rural population in the United States between 2004 and 2018. This was a retrospective cohort study based on electronic health records (EHR) data. A comprehensive stroke database called “Geisinger NeuroScience Ischemic Stroke (GNSIS)” was built for this study. Clinical data were extracted from multiple sources, including EHR and quality data. The cohort included in the study comprised of 8561 consecutive ischemic stroke patients (mean age: 70.1 ± 13.9 years, men: 51.6%, 95.1% Caucasian). Hypertension was the most prevalent risk factor (75.2%). The one-year recurrence and all-cause mortality rates were 6.3% and 16.1%, respectively. Although the one-year stroke recurrence increased during the study period, the one-year stroke mortality rate decreased significantly. Age > 65 years, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality in stratified Cox proportional hazards model. In the Cause-specific hazard model, diabetes, chronic kidney disease and age < 65 years were found to be associated with one-year ischemic stroke recurrence. Although all-cause mortality after stroke has decreased, stroke recurrence has significantly increased in stroke patients from rural population between 2004 and 2018. Older age, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality while diabetes, chronic kidney disease and age less than 65 years were predictors of ischemic stroke recurrence. •Study cohort comprised of 8561 ischemic stroke patients from a rural population.•One-year all-cause mortality decreased between 2004 and 2018.•One-year stroke recurrence increased between 2004 and 2018.•Significant rise in stroke risk factors like hypertension, diabetes, dyslipidemia. The stroke mortality rate has gradually declined due to improved interventions and controlled risk factors. We investigated the associated factors and trends in recurrence and all-cause mortality in ischemic stroke patients from a rural population in the United States between 2004 and 2018. This was a retrospective cohort study based on electronic health records (EHR) data. A comprehensive stroke database called "Geisinger NeuroScience Ischemic Stroke (GNSIS)" was built for this study. Clinical data were extracted from multiple sources, including EHR and quality data. The cohort included in the study comprised of 8561 consecutive ischemic stroke patients (mean age: 70.1 ± 13.9 years, men: 51.6%, 95.1% Caucasian). Hypertension was the most prevalent risk factor (75.2%). The one-year recurrence and all-cause mortality rates were 6.3% and 16.1%, respectively. Although the one-year stroke recurrence increased during the study period, the one-year stroke mortality rate decreased significantly. Age > 65 years, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality in stratified Cox proportional hazards model. In the Cause-specific hazard model, diabetes, chronic kidney disease and age < 65 years were found to be associated with one-year ischemic stroke recurrence. Although all-cause mortality after stroke has decreased, stroke recurrence has significantly increased in stroke patients from rural population between 2004 and 2018. Older age, atrial fibrillation or flutter, heart failure, and prior ischemic stroke were independently associated with one-year all-cause mortality while diabetes, chronic kidney disease and age less than 65 years were predictors of ischemic stroke recurrence. |
| ArticleNumber | 117339 |
| Author | Lambert, Clare Schirmer, Clemens M. Zand, Ramin Gupta, Mudit Azarpazhooh, M. Reza Holland, Neil Chaudhary, Durgesh Khan, Ayesha Avula, Venkatesh Griessenauer, Christoph J. Li, Jiang Shahjouei, Shima Abedi, Vida |
| Author_xml | – sequence: 1 givenname: Durgesh surname: Chaudhary fullname: Chaudhary, Durgesh organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 2 givenname: Ayesha surname: Khan fullname: Khan, Ayesha organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 3 givenname: Shima surname: Shahjouei fullname: Shahjouei, Shima organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 4 givenname: Mudit surname: Gupta fullname: Gupta, Mudit organization: Phenomic Analytics and Clinical Data Core, Geisinger Health System, Danville, PA, United States – sequence: 5 givenname: Clare surname: Lambert fullname: Lambert, Clare organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 6 givenname: Venkatesh surname: Avula fullname: Avula, Venkatesh organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 7 givenname: Clemens M. surname: Schirmer fullname: Schirmer, Clemens M. organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 8 givenname: Neil surname: Holland fullname: Holland, Neil organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 9 givenname: Christoph J. surname: Griessenauer fullname: Griessenauer, Christoph J. organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States – sequence: 10 givenname: M. Reza surname: Azarpazhooh fullname: Azarpazhooh, M. Reza organization: Stroke Prevention and Atherosclerosis Research Center, Department of Clinical Neurological Sciences, Western University, London, ON, Canada – sequence: 11 givenname: Jiang surname: Li fullname: Li, Jiang organization: Department of Molecular and Functional Genomics, Weis Center for Research, Geisinger Health System, Danville, PA, United States – sequence: 12 givenname: Vida surname: Abedi fullname: Abedi, Vida organization: Department of Molecular and Functional Genomics, Weis Center for Research, Geisinger Health System, Danville, PA, United States – sequence: 13 givenname: Ramin surname: Zand fullname: Zand, Ramin email: ramin.zand@gmail.com organization: Geisinger Neuroscience Institute, Geisinger Health System, Danville, PA, United States |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33592506$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1136/jech.57.1.29 10.1161/CIRCULATIONAHA.115.017719 10.1016/j.jocn.2016.12.045 10.1016/j.amjmed.2014.03.017 10.1371/journal.pone.0204285 10.1002/ana.22385 10.18637/jss.v017.i05 10.1007/s11524-013-9847-2 10.1038/nrneurol.2018.31 10.1161/CIRCOUTCOMES.118.004973 10.1016/j.ypmed.2017.03.011 10.1089/pop.2017.0177 10.1159/000097855 10.1016/S1474-4422(15)00140-4 10.1161/01.STR.24.11.1640 10.18632/aging.101862 10.1016/j.jocn.2018.10.026 10.1161/STROKEAHA.115.011874 10.1161/STROKEAHA.117.016815 10.1016/j.jcdr.2013.02.015 10.1161/CIRCULATIONAHA.113.005119 10.1161/STROKEAHA.111.000655 10.1212/WNL.50.1.208 10.1177/0049124105277200 10.1161/STROKEAHA.112.677724 10.1161/STROKEAHA.114.005512 10.1016/S0140-6736(05)17741-1 10.1001/virtualmentor.2013.15.7.stas2-1307 10.15585/mmwr.mm6635e1 10.1136/bmj.37991.635266.44 10.1016/j.jstrokecerebrovasdis.2012.08.007 10.1159/000319028 10.1177/1747493015607519 10.1161/01.STR.0000030318.99727.FA 10.1186/s12883-018-1164-7 10.1161/STROKEAHA.107.181486 10.1161/01.STR.0000047852.05842.3C 10.21105/joss.01686 10.2337/diacare.27.5.1047 10.1001/jama.2014.7692 10.1016/S0140-6736(10)60834-3 10.1371/journal.pmed.1002669 10.1161/STROKEAHA.117.017089 10.1111/ijs.12508 10.1161/STROKEAHA.110.602615 10.1161/01.STR.0000072985.24967.7F 10.1161/01.STR.0000239694.19359.88 10.1016/j.amjms.2016.01.011 10.1186/s12877-019-1050-1 10.1111/j.1748-0361.2012.00411.x |
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| Keywords | Recurrent stroke All-cause mortality Trends Ischemic stroke Outcomes |
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| References | Doogan, Roberts, Wewers (bb0030) 2017; 104 Cao, Wang, Sun (bb0125) 2017; 38 Ohira, Shahar, Chambless (bb0295) 2006; 37 Malsch, Liman, Wiedmann (bb0235) 2018; 13 Joshi, Marino, Bhoi (bb0150) 2013; 4 Singh, Siahpush (bb0010) 2014; 91 Rodríguez-Castro, López-Dequit, Santamaría-Cadavid (bb0105) 2018; 18 Marshall, Wang, McKevitt (bb0285) 2013; 44 Skoufalos, Clarke, Ellis (bb0275) 2017; 20 Vaartjes, O’Flaherty, Capewell (bb0115) 2013; 44 Bergström, Irewall, Söderström, Ögren, Laurell, Mooe (bb0165) 2017 Aug; 48 Coull, Lovett, Rothwell (bb0160) 2004 Therneau (bb0090) 1999 Chugh, Havmoeller, Narayanan (bb0255) 2014; 129 Chen, Ovbiagele, Feng (bb0230) 2016; 351 Zhao, Wu, Liu (bb0210) 2019; 11 Hillen, Coshall, Tilling (bb0175) 2003; 34 Giang, Björck, Ståhl (bb0205) 2016; 11 Befort, Nazir, Perri (bb0025) 2012; 28 Sturgeon, Folsom (bb0180) 2007; 28 White, Boden-Albala, Wang (bb0270) 2005 Wickham, Averick, Bryan (bb0100) 2019; 4 Lakshminarayan, Berger, Fuller (bb0190) 2014; 45 McGovern, Pankow, Burke (bb0195) 1993; 24 Peter, Ingegerd, Åke (bb0220) 2002; 33 Austin, Lee, Fine (bb0055) 2016; 133 Team RC (bb0060) 2013 Howard, Kleindorfer, Cushman (bb0015) 2017; 48 Kapral, Austin, Geerthana (bb0020) 2019; 12 Wild, Roglic, Green (bb0250) 2004; 27 Modig, Talbäck, Ziegler (bb0200) 2019; 19 Healy (bb0065) 2005; 34 Koton, Schneider, Rosamond (bb0110) 2014; 312 (bb0050) 2013; 15 Mangiafico (bb0080) 2016 Petty, Brown, Whisnant (bb0170) 1998; 50 Rizopoulos (bb0075) 2006; 17 Appelros, Nydevik, Viitanen (bb0240) 2003; 34 Parks, Housemann, Brownson (bb0035) 2003; 57 Kearney, Whelton, Reynolds (bb0245) 2005; 365 Dorsey, Glidden, Holloway (bb0145) 2018; 14 Tsai, Anderson, Thomas (bb0290) 2015; 10 Song, Fonarow, Olson (bb0140) 2016; 47 Mohan, Wolfe, Rudd (bb0155) 2011; 42 Kassambara, Kosinski, Biecek (bb0095) 2019 Hurdle (bb0045) 2009 Adamczyk, Attenello, Wen (bb0135) 2013; 22 Howard, Kleindorfer, Judd (bb0265) 2011; 69 Campbell, Donnan, Lees (bb0120) 2015; 14 O’Donnell, Xavier, Liu (bb0225) 2010; 376 Signorell (bb0070) 2020 Gray (bb0085) 2014 Allen, Holford, Bracken (bb0185) 2010; 30 Zheng, Yao (bb0215) 2019; 60 Wafa, Wolfe, Rudd (bb0260) 2018; 15 Adams, Del Zoppo, Alberts (bb0130) 2007; 38 Thomson, Mitchell, Williams (bb0040) 2006 Fang, Coca Perraillon, Ghosh (bb0280) 2014; 127 Yang, Tong, Schieb (bb0005) 2017; 66 Therneau (10.1016/j.jns.2021.117339_bb0090) 1999 Zhao (10.1016/j.jns.2021.117339_bb0210) 2019; 11 Mohan (10.1016/j.jns.2021.117339_bb0155) 2011; 42 Team RC (10.1016/j.jns.2021.117339_bb0060) Koton (10.1016/j.jns.2021.117339_bb0110) 2014; 312 Signorell (10.1016/j.jns.2021.117339_bb0070) 2020 Modig (10.1016/j.jns.2021.117339_bb0200) 2019; 19 Rizopoulos (10.1016/j.jns.2021.117339_bb0075) 2006; 17 Rodríguez-Castro (10.1016/j.jns.2021.117339_bb0105) 2018; 18 Campbell (10.1016/j.jns.2021.117339_bb0120) 2015; 14 Coull (10.1016/j.jns.2021.117339_bb0160) 2004 Song (10.1016/j.jns.2021.117339_bb0140) 2016; 47 Cao (10.1016/j.jns.2021.117339_bb0125) 2017; 38 Adamczyk (10.1016/j.jns.2021.117339_bb0135) 2013; 22 Skoufalos (10.1016/j.jns.2021.117339_bb0275) 2017; 20 Sturgeon (10.1016/j.jns.2021.117339_bb0180) 2007; 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| References_xml | – start-page: 1327 year: 2005 end-page: 1331 ident: bb0270 article-title: Ischemic stroke subtype incidence among whites, blacks, and Hispanics: The northern Manhattan study publication-title: Circulation – year: 2006 ident: bb0040 article-title: Examining the Health Disparities Research Plan of the National Institutes of Health: Unfinished Business – volume: 312 start-page: 259 year: 2014 end-page: 268 ident: bb0110 article-title: Stroke incidence and mortality trends in US communities, 1987 to 2011 publication-title: JAMA – year: 2019 ident: bb0095 article-title: Package ‘Survminer’ Type Package Title Drawing Survival Curves using ‘ggplot2’ – volume: 11 start-page: 52 year: 2016 end-page: 61 ident: bb0205 article-title: Trends in risk of recurrence after the first ischemic stroke in adults younger than 55 years of age in Sweden publication-title: Int. J. Stroke – volume: 44 start-page: 1809 year: 2013 end-page: 1816 ident: bb0285 article-title: Trends in risk factor prevalence and management before first stroke publication-title: Stroke – volume: 14 start-page: 285 year: 2018 end-page: 297 ident: bb0145 article-title: Teleneurology and mobile technologies: the future of neurological care publication-title: Nat. Rev. Neurol. – volume: 28 start-page: 392 year: 2012 end-page: 397 ident: bb0025 article-title: Prevalence of obesity among adults from rural and urban areas of the United States: findings from NHANES (2005-2008) publication-title: J. Rural. Health – start-page: 1 year: 1999 end-page: 83 ident: bb0090 article-title: A package for survival analysis in S publication-title: Citeseer – year: 2004 ident: bb0160 article-title: Population based study of early risk of stroke after transient ischaemic attack or minor stroke: implications for public education and organisation of services publication-title: BMJ – volume: 34 start-page: 137 year: 2005 end-page: 140 ident: bb0065 article-title: Book review: an R and S-PLUS companion to applied regression publication-title: Sociol. Methods Res. – volume: 12 year: 2019 ident: bb0020 article-title: Rural-urban differences in stroke risk factors, incidence, and mortality in people with and without prior stroke publication-title: Circ. Cardiovasc. Qual. Outcomes – year: 2014 ident: bb0085 article-title: cmprsk: Subdistribution Analysis of Competing Risks. R Package Version 2.2–7 – volume: 133 start-page: 601 year: 2016 end-page: 609 ident: bb0055 article-title: Introduction to the analysis of survival data in the presence of competing risks publication-title: Circulation – volume: 17 start-page: 1 year: 2006 end-page: 25 ident: bb0075 article-title: Itm: an R package for latent variable modeling and item response theory analyses publication-title: J. Stat. Softw. – volume: 34 start-page: 122 year: 2003 end-page: 126 ident: bb0240 article-title: Poor outcome after first-ever stroke: predictors for death, dependency, and recurrent stroke within the first year publication-title: Stroke – volume: 45 start-page: 2575 year: 2014 end-page: 2581 ident: bb0190 article-title: Trends in 10-year survival of patients with stroke hospitalized between 1980 and 2000 publication-title: Stroke – volume: 24 start-page: 1640 year: 1993 end-page: 1648 ident: bb0195 article-title: Trends in survival of hospitalized stroke patients between 1970 and 1985. The minnesota heart survey publication-title: Stroke – volume: 104 start-page: 79 year: 2017 end-page: 85 ident: bb0030 article-title: A growing geographic disparity: rural and urban cigarette smoking trends in the United States publication-title: Prev. Med. (Baltim.) – volume: 15 year: 2018 ident: bb0260 article-title: Long-term trends in incidence and risk factors for ischaemic stroke subtypes: prospective population study of the South London stroke register publication-title: PLoS Med. – start-page: 1 year: 2013 end-page: 12 ident: bb0060 article-title: The R Project for Statistical Computing – volume: 34 start-page: 1457 year: 2003 end-page: 1463 ident: bb0175 article-title: Cause of stroke recurrence is multifactorial: patterns, risk factors, and outcomes of stroke recurrence in the South London stroke register publication-title: Stroke – volume: 91 start-page: 272 year: 2014 end-page: 292 ident: bb0010 article-title: Widening rural-urban disparities in all-cause mortality and mortality from major causes of death in the USA, 1969-2009 publication-title: J. Urban Health – volume: 19 start-page: 31 year: 2019 ident: bb0200 article-title: Temporal trends in incidence, recurrence and prevalence of stroke in an era of ageing populations, a longitudinal study of the total Swedish population publication-title: BMC Geriatr. – year: 2009 ident: bb0045 article-title: Inside a U.S. Healthcare ‘Island of Excellence’ – year: 2016 ident: bb0080 article-title: rcompanion: Functions to Support Extension Education Program Evaluation [R statistical package] – volume: 14 start-page: 846 year: 2015 end-page: 854 ident: bb0120 article-title: Endovascular stent thrombectomy: the new standard of care for large vessel ischaemic stroke publication-title: Lancet Neurol. – volume: 11 start-page: 1686 year: 2019 end-page: 1694 ident: bb0210 article-title: Trends in the incidence of recurrent stroke at 5 years after the first-ever stroke in rural China: A population-based stroke surveillance from 1992 to 2017 publication-title: Aging (Albany NY) – volume: 37 start-page: 2493 year: 2006 end-page: 2498 ident: bb0295 article-title: Risk factors for ischemic stroke subtypes publication-title: Stroke – volume: 47 start-page: 1294 year: 2016 end-page: 1302 ident: bb0140 article-title: Association of get with the guidelines-stroke program participation and clinical outcomes for medicare beneficiaries with ischemic stroke publication-title: Stroke – volume: 50 start-page: 208 year: 1998 end-page: 216 ident: bb0170 article-title: Survival and recurrence after first cerebral infarction: a population-based study in Rochester, Minnesota, 1975 through 1989 publication-title: Neurology – volume: 33 start-page: 2357 year: 2002 end-page: 2362 ident: bb0220 article-title: Predictors of severe stroke publication-title: Stroke – volume: 27 start-page: 1047 year: 2004 end-page: 1053 ident: bb0250 article-title: Global prevalence of diabetes: estimates for the year 2000 and projections for 2030 publication-title: Diabetes Care – volume: 127 start-page: 608 year: 2014 end-page: 615 ident: bb0280 article-title: Trends in stroke rates, risk, and outcomes in the United States, 1988 to 2008 publication-title: Am. J. Med. – volume: 4 start-page: 1686 year: 2019 ident: bb0100 article-title: Welcome to the Tidyverse publication-title: J. Open Source Softw. – volume: 365 start-page: 217 year: 2005 end-page: 223 ident: bb0245 article-title: Global burden of hypertension: analysis of worldwide data publication-title: Lancet – volume: 38 start-page: 1655 year: 2007 end-page: 1711 ident: bb0130 article-title: Guidelines for the early management of adults with ischemic stroke: a guideline from the American heart association/American stroke association stroke council, clinical cardiology council, cardiovascular radiology and intervention council, and the atheros publication-title: Stroke – volume: 15 start-page: 600 year: 2013 end-page: 602 ident: bb0050 publication-title: Geisinger: an insider’s view – volume: 22 start-page: 1263 year: 2013 end-page: 1269 ident: bb0135 article-title: Mechanical thrombectomy in acute stroke: utilization variances and impact of procedural volume on inpatient mortality publication-title: J. Stroke Cerebrovasc. Dis. – volume: 48 start-page: 2046 year: 2017 Aug end-page: 2051 ident: bb0165 article-title: One-Year Incidence, Time Trends, and Predictors of Recurrent Ischemic Stroke in Sweden From 1998 to 2010: An Observational Study publication-title: Stroke – volume: 66 start-page: 933 year: 2017 end-page: 939 ident: bb0005 article-title: Vital signs: recent trends in stroke death rates — United States, 2000–2015 publication-title: MMWR Morb. Mortal. Wkly Rep. – volume: 48 start-page: 1773 year: 2017 end-page: 1778 ident: bb0015 article-title: Contributors to the excess stroke mortality in rural areas in the United States publication-title: Stroke – volume: 4 start-page: 71 year: 2013 end-page: 73 ident: bb0150 article-title: Implementing telestroke to reduce the burden of stroke in Louisiana publication-title: J. Cardiovasc. Dis. Res. – volume: 28 start-page: 39 year: 2007 end-page: 45 ident: bb0180 article-title: Trends in hospitalization rate, hospital case fatality, and mortality rate of stroke by subtype in Minneapolis-St. Paul, 1980–2002 publication-title: Neuroepidemiology – volume: 10 start-page: 485 year: 2015 end-page: 493 ident: bb0290 article-title: Risk factors for ischemic stroke and its subtypes in Chinese vs. Caucasians: systematic review and meta-analysis publication-title: Int. J. Stroke – volume: 18 start-page: 164 year: 2018 ident: bb0105 article-title: Trends in stroke outcomes in the last ten years in a European tertiary hospital publication-title: BMC Neurol. – volume: 44 start-page: 591 year: 2013 end-page: 597 ident: bb0115 article-title: Remarkable decline in ischemic stroke mortality is not matched by changes in incidence publication-title: Stroke – volume: 129 start-page: 837 year: 2014 end-page: 847 ident: bb0255 article-title: Worldwide epidemiology of atrial fibrillation publication-title: Circulation – volume: 38 start-page: 100 year: 2017 end-page: 105 ident: bb0125 article-title: Prediction of favorable outcome by percent improvement in patients with acute ischemic stroke treated with endovascular stent thrombectomy publication-title: J. Clin. Neurosci. – volume: 57 year: 2003 ident: bb0035 article-title: Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States publication-title: J. Epidemiol. Community Health – volume: 20 year: 2017 ident: bb0275 article-title: Rural aging in America: proceedings of the 2017 connectivity summit publication-title: Popul. Health Manag. – volume: 376 start-page: 112 year: 2010 end-page: 123 ident: bb0225 article-title: Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study publication-title: Lancet – volume: 30 start-page: 525 year: 2010 end-page: 532 ident: bb0185 article-title: Trends in one-year recurrent ischemic stroke among the elderly in the USA: 1994–2002 publication-title: Cerebrovasc. Dis. – volume: 351 start-page: 380 year: 2016 end-page: 386 ident: bb0230 article-title: Diabetes and stroke: epidemiology, pathophysiology, pharmaceuticals and outcomes publication-title: Am J Med Sci – volume: 69 start-page: 619 year: 2011 end-page: 627 ident: bb0265 article-title: Disparities in stroke incidence contributing to disparities in stroke mortality publication-title: Ann. Neurol. – volume: 42 start-page: 1489 year: 2011 end-page: 1494 ident: bb0155 article-title: Risk and cumulative risk of stroke recurrence: a systematic review and meta-analysis publication-title: Stroke – volume: 13 year: 2018 ident: bb0235 article-title: Outcome after stroke attributable to baseline factors—the PROSpective cohort with incident stroke (PROSCIS) publication-title: PLoS One – volume: 60 start-page: 24 year: 2019 end-page: 30 ident: bb0215 article-title: Impact of risk factors for recurrence after the first ischemic stroke in adults: a systematic review and meta-analysis publication-title: J. Clin. Neurosci. – year: 2020 ident: bb0070 article-title: DescTools: Tools for Descriptive Statistics. R package version 0.99.32 – volume: 57 year: 2003 ident: 10.1016/j.jns.2021.117339_bb0035 article-title: Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States publication-title: J. Epidemiol. Community Health doi: 10.1136/jech.57.1.29 – volume: 133 start-page: 601 year: 2016 ident: 10.1016/j.jns.2021.117339_bb0055 article-title: Introduction to the analysis of survival data in the presence of competing risks publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.115.017719 – ident: 10.1016/j.jns.2021.117339_bb0095 – volume: 38 start-page: 100 year: 2017 ident: 10.1016/j.jns.2021.117339_bb0125 article-title: Prediction of favorable outcome by percent improvement in patients with acute ischemic stroke treated with endovascular stent thrombectomy publication-title: J. Clin. Neurosci. doi: 10.1016/j.jocn.2016.12.045 – volume: 127 start-page: 608 year: 2014 ident: 10.1016/j.jns.2021.117339_bb0280 article-title: Trends in stroke rates, risk, and outcomes in the United States, 1988 to 2008 publication-title: Am. J. Med. doi: 10.1016/j.amjmed.2014.03.017 – volume: 13 year: 2018 ident: 10.1016/j.jns.2021.117339_bb0235 article-title: Outcome after stroke attributable to baseline factors—the PROSpective cohort with incident stroke (PROSCIS) publication-title: PLoS One doi: 10.1371/journal.pone.0204285 – volume: 69 start-page: 619 year: 2011 ident: 10.1016/j.jns.2021.117339_bb0265 article-title: Disparities in stroke incidence contributing to disparities in stroke mortality publication-title: Ann. Neurol. doi: 10.1002/ana.22385 – volume: 17 start-page: 1 year: 2006 ident: 10.1016/j.jns.2021.117339_bb0075 article-title: Itm: an R package for latent variable modeling and item response theory analyses publication-title: J. Stat. Softw. doi: 10.18637/jss.v017.i05 – volume: 91 start-page: 272 year: 2014 ident: 10.1016/j.jns.2021.117339_bb0010 article-title: Widening rural-urban disparities in all-cause mortality and mortality from major causes of death in the USA, 1969-2009 publication-title: J. Urban Health doi: 10.1007/s11524-013-9847-2 – volume: 14 start-page: 285 year: 2018 ident: 10.1016/j.jns.2021.117339_bb0145 article-title: Teleneurology and mobile technologies: the future of neurological care publication-title: Nat. Rev. Neurol. doi: 10.1038/nrneurol.2018.31 – volume: 12 year: 2019 ident: 10.1016/j.jns.2021.117339_bb0020 article-title: Rural-urban differences in stroke risk factors, incidence, and mortality in people with and without prior stroke publication-title: Circ. Cardiovasc. Qual. Outcomes doi: 10.1161/CIRCOUTCOMES.118.004973 – volume: 104 start-page: 79 year: 2017 ident: 10.1016/j.jns.2021.117339_bb0030 article-title: A growing geographic disparity: rural and urban cigarette smoking trends in the United States publication-title: Prev. Med. (Baltim.) doi: 10.1016/j.ypmed.2017.03.011 – volume: 20 year: 2017 ident: 10.1016/j.jns.2021.117339_bb0275 article-title: Rural aging in America: proceedings of the 2017 connectivity summit publication-title: Popul. Health Manag. doi: 10.1089/pop.2017.0177 – year: 2009 ident: 10.1016/j.jns.2021.117339_bb0045 – volume: 28 start-page: 39 year: 2007 ident: 10.1016/j.jns.2021.117339_bb0180 article-title: Trends in hospitalization rate, hospital case fatality, and mortality rate of stroke by subtype in Minneapolis-St. Paul, 1980–2002 publication-title: Neuroepidemiology doi: 10.1159/000097855 – start-page: 1327 year: 2005 ident: 10.1016/j.jns.2021.117339_bb0270 article-title: Ischemic stroke subtype incidence among whites, blacks, and Hispanics: The northern Manhattan study – volume: 14 start-page: 846 year: 2015 ident: 10.1016/j.jns.2021.117339_bb0120 article-title: Endovascular stent thrombectomy: the new standard of care for large vessel ischaemic stroke publication-title: Lancet Neurol. doi: 10.1016/S1474-4422(15)00140-4 – volume: 24 start-page: 1640 year: 1993 ident: 10.1016/j.jns.2021.117339_bb0195 article-title: Trends in survival of hospitalized stroke patients between 1970 and 1985. The minnesota heart survey publication-title: Stroke doi: 10.1161/01.STR.24.11.1640 – volume: 11 start-page: 1686 year: 2019 ident: 10.1016/j.jns.2021.117339_bb0210 article-title: Trends in the incidence of recurrent stroke at 5 years after the first-ever stroke in rural China: A population-based stroke surveillance from 1992 to 2017 publication-title: Aging (Albany NY) doi: 10.18632/aging.101862 – ident: 10.1016/j.jns.2021.117339_bb0060 – volume: 60 start-page: 24 year: 2019 ident: 10.1016/j.jns.2021.117339_bb0215 article-title: Impact of risk factors for recurrence after the first ischemic stroke in adults: a systematic review and meta-analysis publication-title: J. Clin. Neurosci. doi: 10.1016/j.jocn.2018.10.026 – volume: 47 start-page: 1294 year: 2016 ident: 10.1016/j.jns.2021.117339_bb0140 article-title: Association of get with the guidelines-stroke program participation and clinical outcomes for medicare beneficiaries with ischemic stroke publication-title: Stroke doi: 10.1161/STROKEAHA.115.011874 – volume: 48 start-page: 2046 issue: 8 year: 2017 ident: 10.1016/j.jns.2021.117339_bb0165 article-title: One-Year Incidence, Time Trends, and Predictors of Recurrent Ischemic Stroke in Sweden From 1998 to 2010: An Observational Study publication-title: Stroke doi: 10.1161/STROKEAHA.117.016815 – volume: 4 start-page: 71 year: 2013 ident: 10.1016/j.jns.2021.117339_bb0150 article-title: Implementing telestroke to reduce the burden of stroke in Louisiana publication-title: J. Cardiovasc. Dis. Res. doi: 10.1016/j.jcdr.2013.02.015 – volume: 129 start-page: 837 year: 2014 ident: 10.1016/j.jns.2021.117339_bb0255 article-title: Worldwide epidemiology of atrial fibrillation publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.113.005119 – volume: 44 start-page: 1809 year: 2013 ident: 10.1016/j.jns.2021.117339_bb0285 article-title: Trends in risk factor prevalence and management before first stroke publication-title: Stroke doi: 10.1161/STROKEAHA.111.000655 – volume: 50 start-page: 208 year: 1998 ident: 10.1016/j.jns.2021.117339_bb0170 article-title: Survival and recurrence after first cerebral infarction: a population-based study in Rochester, Minnesota, 1975 through 1989 publication-title: Neurology doi: 10.1212/WNL.50.1.208 – volume: 34 start-page: 137 year: 2005 ident: 10.1016/j.jns.2021.117339_bb0065 article-title: Book review: an R and S-PLUS companion to applied regression publication-title: Sociol. Methods Res. doi: 10.1177/0049124105277200 – year: 2020 ident: 10.1016/j.jns.2021.117339_bb0070 – volume: 44 start-page: 591 year: 2013 ident: 10.1016/j.jns.2021.117339_bb0115 article-title: Remarkable decline in ischemic stroke mortality is not matched by changes in incidence publication-title: Stroke doi: 10.1161/STROKEAHA.112.677724 – ident: 10.1016/j.jns.2021.117339_bb0085 – volume: 45 start-page: 2575 year: 2014 ident: 10.1016/j.jns.2021.117339_bb0190 article-title: Trends in 10-year survival of patients with stroke hospitalized between 1980 and 2000 publication-title: Stroke doi: 10.1161/STROKEAHA.114.005512 – volume: 365 start-page: 217 year: 2005 ident: 10.1016/j.jns.2021.117339_bb0245 article-title: Global burden of hypertension: analysis of worldwide data publication-title: Lancet doi: 10.1016/S0140-6736(05)17741-1 – start-page: 1 year: 1999 ident: 10.1016/j.jns.2021.117339_bb0090 article-title: A package for survival analysis in S publication-title: Citeseer – volume: 15 start-page: 600 year: 2013 ident: 10.1016/j.jns.2021.117339_bb0050 publication-title: AMA J Ethics doi: 10.1001/virtualmentor.2013.15.7.stas2-1307 – volume: 66 start-page: 933 year: 2017 ident: 10.1016/j.jns.2021.117339_bb0005 article-title: Vital signs: recent trends in stroke death rates — United States, 2000–2015 publication-title: MMWR Morb. Mortal. Wkly Rep. doi: 10.15585/mmwr.mm6635e1 – year: 2004 ident: 10.1016/j.jns.2021.117339_bb0160 article-title: Population based study of early risk of stroke after transient ischaemic attack or minor stroke: implications for public education and organisation of services publication-title: BMJ doi: 10.1136/bmj.37991.635266.44 – volume: 22 start-page: 1263 year: 2013 ident: 10.1016/j.jns.2021.117339_bb0135 article-title: Mechanical thrombectomy in acute stroke: utilization variances and impact of procedural volume on inpatient mortality publication-title: J. Stroke Cerebrovasc. Dis. doi: 10.1016/j.jstrokecerebrovasdis.2012.08.007 – volume: 30 start-page: 525 year: 2010 ident: 10.1016/j.jns.2021.117339_bb0185 article-title: Trends in one-year recurrent ischemic stroke among the elderly in the USA: 1994–2002 publication-title: Cerebrovasc. Dis. doi: 10.1159/000319028 – ident: 10.1016/j.jns.2021.117339_bb0080 – volume: 11 start-page: 52 year: 2016 ident: 10.1016/j.jns.2021.117339_bb0205 article-title: Trends in risk of recurrence after the first ischemic stroke in adults younger than 55 years of age in Sweden publication-title: Int. J. Stroke doi: 10.1177/1747493015607519 – volume: 33 start-page: 2357 year: 2002 ident: 10.1016/j.jns.2021.117339_bb0220 article-title: Predictors of severe stroke publication-title: Stroke doi: 10.1161/01.STR.0000030318.99727.FA – volume: 18 start-page: 164 year: 2018 ident: 10.1016/j.jns.2021.117339_bb0105 article-title: Trends in stroke outcomes in the last ten years in a European tertiary hospital publication-title: BMC Neurol. doi: 10.1186/s12883-018-1164-7 – volume: 38 start-page: 1655 year: 2007 ident: 10.1016/j.jns.2021.117339_bb0130 article-title: Guidelines for the early management of adults with ischemic stroke: a guideline from the American heart association/American stroke association stroke council, clinical cardiology council, cardiovascular radiology and intervention council, and the atheros publication-title: Stroke doi: 10.1161/STROKEAHA.107.181486 – volume: 34 start-page: 122 year: 2003 ident: 10.1016/j.jns.2021.117339_bb0240 article-title: Poor outcome after first-ever stroke: predictors for death, dependency, and recurrent stroke within the first year publication-title: Stroke doi: 10.1161/01.STR.0000047852.05842.3C – volume: 4 start-page: 1686 year: 2019 ident: 10.1016/j.jns.2021.117339_bb0100 article-title: Welcome to the Tidyverse publication-title: J. Open Source Softw. doi: 10.21105/joss.01686 – year: 2006 ident: 10.1016/j.jns.2021.117339_bb0040 – volume: 27 start-page: 1047 year: 2004 ident: 10.1016/j.jns.2021.117339_bb0250 article-title: Global prevalence of diabetes: estimates for the year 2000 and projections for 2030 publication-title: Diabetes Care doi: 10.2337/diacare.27.5.1047 – volume: 312 start-page: 259 year: 2014 ident: 10.1016/j.jns.2021.117339_bb0110 article-title: Stroke incidence and mortality trends in US communities, 1987 to 2011 publication-title: JAMA doi: 10.1001/jama.2014.7692 – volume: 376 start-page: 112 year: 2010 ident: 10.1016/j.jns.2021.117339_bb0225 article-title: Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study publication-title: Lancet doi: 10.1016/S0140-6736(10)60834-3 – volume: 15 year: 2018 ident: 10.1016/j.jns.2021.117339_bb0260 article-title: Long-term trends in incidence and risk factors for ischaemic stroke subtypes: prospective population study of the South London stroke register publication-title: PLoS Med. doi: 10.1371/journal.pmed.1002669 – volume: 48 start-page: 1773 year: 2017 ident: 10.1016/j.jns.2021.117339_bb0015 article-title: Contributors to the excess stroke mortality in rural areas in the United States publication-title: Stroke doi: 10.1161/STROKEAHA.117.017089 – volume: 10 start-page: 485 year: 2015 ident: 10.1016/j.jns.2021.117339_bb0290 article-title: Risk factors for ischemic stroke and its subtypes in Chinese vs. Caucasians: systematic review and meta-analysis publication-title: Int. J. Stroke doi: 10.1111/ijs.12508 – volume: 42 start-page: 1489 year: 2011 ident: 10.1016/j.jns.2021.117339_bb0155 article-title: Risk and cumulative risk of stroke recurrence: a systematic review and meta-analysis publication-title: Stroke doi: 10.1161/STROKEAHA.110.602615 – volume: 34 start-page: 1457 year: 2003 ident: 10.1016/j.jns.2021.117339_bb0175 article-title: Cause of stroke recurrence is multifactorial: patterns, risk factors, and outcomes of stroke recurrence in the South London stroke register publication-title: Stroke doi: 10.1161/01.STR.0000072985.24967.7F – volume: 37 start-page: 2493 year: 2006 ident: 10.1016/j.jns.2021.117339_bb0295 article-title: Risk factors for ischemic stroke subtypes publication-title: Stroke doi: 10.1161/01.STR.0000239694.19359.88 – volume: 351 start-page: 380 year: 2016 ident: 10.1016/j.jns.2021.117339_bb0230 article-title: Diabetes and stroke: epidemiology, pathophysiology, pharmaceuticals and outcomes publication-title: Am J Med Sci doi: 10.1016/j.amjms.2016.01.011 – volume: 19 start-page: 31 year: 2019 ident: 10.1016/j.jns.2021.117339_bb0200 article-title: Temporal trends in incidence, recurrence and prevalence of stroke in an era of ageing populations, a longitudinal study of the total Swedish population publication-title: BMC Geriatr. doi: 10.1186/s12877-019-1050-1 – volume: 28 start-page: 392 year: 2012 ident: 10.1016/j.jns.2021.117339_bb0025 article-title: Prevalence of obesity among adults from rural and urban areas of the United States: findings from NHANES (2005-2008) publication-title: J. Rural. Health doi: 10.1111/j.1748-0361.2012.00411.x |
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| SubjectTerms | Aged Aged, 80 and over All-cause mortality Atrial Fibrillation Brain Ischemia - epidemiology Humans Ischemic Stroke Male Middle Aged Neurology Outcomes Proportional Hazards Models Recurrent stroke Retrospective Studies Risk Factors Rural Population Stroke - epidemiology Stroke - therapy Trends United States - epidemiology |
| Title | Trends in ischemic stroke outcomes in a rural population in the United States |
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