Health Indicator Report of Stroke (Cerebrovascular Disease) Deaths
In the U.S., there are more than 140,000 deaths due to stroke each year ([https://www.cdc.gov/stroke/facts.htm]). Stroke, the death of brain tissue usually resulting from artery blockage, was the fifth leading cause of death in Utah in 2018. There were 919 deaths with stroke as the underlying cause of death in the state.
Stroke deaths have had an overall slow but steady decline for both Utah and the U.S. In 2018, the age-adjusted stroke death rate for Utah was 36.3 per 100,000. The age-adjusted U.S. rate for 2017 was 37.6.
Stroke Deaths, Utah and U.S., 1980-2018
NotesICD-9 codes 430-438; ICD-10 codes I60-I69 (equivalent to NCHS 113 Leading Causes of Death #61: Cerebrovascular Diseases). Estimates from 1998 and before have been comparability-modified to be consistent with ICD-10 coding system definitions. All rates are age-adjusted to the U.S. 2000 standard population. However, Utah rates are drawn from IBIS, which uses 11 age-adjustment groups, and may differ from the Utah rates in CDC WONDER. ICD-10 codes used were I60-I69.
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
- Population Estimates: Utah Governor's Office of Planning and Budget
- Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2018
- U.S. Centers for Disease Control and Prevention, on-line data - CDC WONDER
- National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention
DefinitionThe rate of stroke deaths (ICD-10 codes I60-I69 as the underlying cause of death) per 100,000 population.
NumeratorThe number of deaths due to stroke (ICD-10 codes I60-I69 as the underlying cause of death) in a calendar year.
DenominatorTotal midyear resident population for the same calendar year.
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
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, a risk factor for stroke. In 1999 (the year ICD-10 codes were adopted for death coding), the age-adjusted death rate for stroke in Utah was 61.3 per 100,000 population. In 2018, the age-adjusted death rate was 36.3 per 100,000 population.
How Do We Compare With the U.S.?In 2018, the age-adjusted Utah rate was 36.3 per 100,000. The Utah rate in 2017 was similar, 36.4 per 100,000. In comparison, the 2017 U.S. rate was 37.6 per 100,000. U.S. data were obtained through CDC WONDER. Age-adjusted rates assume the age distribution for Utah and the U.S. are the same; in other words, it provides rates as though both populations have the same number of people in each age group. The age-adjusted rate for Utah is only a little lower than the national rate.
What Is Being Done?The Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program 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. The EPICC Program 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.
Available ServicesStroke is the fifth leading cause of death in the United States (2017 data, [https://www.cdc.gov/nchs/fastats/deaths.htm]). In Utah, stroke was also the fifth leading cause of death in 2018. The Utah Department of Health has a Disability Program that can provide data and resources for individuals affected by stroke. More information is available at [https://health.utah.gov/disabilities]. At a national level, the U.S. Department of Health and Human Services (HHS) established Million Hearts. Million Hearts is an initiative to prevent one million cardiovascular events in the U.S. in five years. This initiative is co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS). More information is available at [https://millionhearts.hhs.gov].
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].
Page Content Updated On 11/18/2019, Published on 11/19/2019