DefinitionThe rate of stroke deaths (ICD-10 codes I60-I69) per 100,000 population.
NumeratorThe number of deaths due to stroke (ICD-10 codes I60-I69) among Utah or U.S. residents for a calendar year.
DenominatorTotal midyear resident population for the same calendar year.
Why Is This Important?Stroke, the death of brain tissue usually resulting from artery blockage, was the fifth leading cause of death in Utah in 2015. About 700,000 new or first-time strokes occur in the U.S. each year. Stroke is a leading cause of long-term disability. Although strokes occur in all age groups, those 65 and older are most likely to experience stroke.
Healthy People Objective HDS-3:Reduce stroke deaths
U.S. Target: 34.8 deaths per 100,000 population
State Target: 28.2 deaths per 100,000 population
Other ObjectivesUtah's 42 Community Health Indicators[[br]]
CSTE Chronic Disease Indicators
How Are We Doing?Death rates for stroke have generally declined in recent decades. This trend is likely related to improvements in acute stroke care and in improved detection and treatment of hypertension. In 2015, the crude stroke death rate was 29.6 per 100,000 population.
How Do We Compare With the U.S.?In 2014, the age-adjusted Utah rate (37.9 per 100,000) was not statistically different from the U.S. rate (36.5 per 100,000). U.S. data were obtained through CDC WONDER.
In 2015, the age-adjusted Utah rate was 38.3 per 100,000. 2015 U.S. data is currently not available.
What Is Being Done?The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was formed in 2013, consolidating three Utah Department of Health programs (Diabetes Prevention and Control Program, Heart Disease and Stroke Prevention Program, and the Physical Activity, Nutrition, and Obesity Program). The purpose of the consolidation was to ensure a productive, collaborative, and efficient program focused on health outcomes.
EPICC aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. The program is organized around four domains:
*Domain 1: Epidemiology and Surveillance--gather, analyze, and disseminate data and information and conduct evaluation to inform, prioritize, deliver, and monitor programs and population health.
*Domain 2: Policy and Environment--environmental approaches the promote health and support and reinforce healthful behaviors (statewide in schools and childcare, worksites, and communities).
*Domain 3: Health Systems--Health system interventions to improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and manage complications.
*Domain 4: Community Clinical Linkages--Strategies to improve community-clinical linkages ensuring that communities support and clinics refer patients to programs that improve management of chronic conditions.[[br]]
The primary program strategies include:
*Increasing healthy nutrition and physical activity environments in K-12 schools
*Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool)
*Increasing healthy nutrition and physical activity environments in worksites
*Improving awareness of prediabetes and hypertension for Utahns
*Improving the quality of medical care for people with diabetes and hypertension
*Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension
*Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity
*Improving care and management of students with chronic conditions in Utah schools
Health Program InformationIn 2012, the Utah Department of Health published a statistical report titled ''The Impact of Heart Disease and Stroke in Utah''. This report describes overall patterns in cardiovascular disease and risk factors at the state and national levels and among Utah sub-populations (age group, sex, race, ethnicity, and Utah Small Area).
To download the full report, please visit [http://www.choosehealth.utah.gov/documents/pdfs/reports/HD_Stroke_Burden_Report2012.pdf].