TY - JOUR
T1 - Acute stroke in a metropolitan area 1970 and 1980. The Minnesota heart survey
AU - Gillum, Richard F.
AU - Gomez-Marin, Orlando
AU - Kottke, Thomas E.
AU - Jacobs, David R.
AU - Prineas, Ronald J.
AU - Folsom, Aaron R.
AU - Luepker, Russell V.
AU - Blackburn, Henry
PY - 1985
Y1 - 1985
N2 - Mortality rates for stroke, and hospitalization and case fatality rates for acute stroke in 1970 and 1980 were obtained for residents aged 30-74 of the Twin Cities (Minneapolis-St Paul) metropolitan area to determine whether improved hospital care contributed to the decline in stroke mortality. Age-adjusted mortality rates per 100,000 declined significantly in that decade for men (1970, 89.4; 1980, 47.5; p < 0.01) and women (1970, 72.6; 1980, 40.9; p < 0.01). Age-adjusted hospitalization rates per 100,000 population also declined significantly for men (1970, 438; 1980, 323; p < 0.01) and women (1970, 331; 1980, 203; p < 0.01). Age-adjusted mean length of hospital stay did not change significantly. Hospital case fatality declined for men aged 30-64 years (1970, 22.5%; 1980, 15.1%; p < 0.01) but did not change significantly for 65 to 74 year-old men (1970, 16.5%; 1980, 20.0%; p = 0.09) or for all women (age-adjusted rates: 1970, 13.6%; 1980, 16.0%; p = 0.17). There was no change in the distribution of severity of hospitalized cases between years. Therefore, the decline in stroke mortality is consistent with a decreased incidence of stroke resulting from improved hypertension control. Improvements in hospital medical care appear not to have contributed substantially to the decline in stroke mortality.
AB - Mortality rates for stroke, and hospitalization and case fatality rates for acute stroke in 1970 and 1980 were obtained for residents aged 30-74 of the Twin Cities (Minneapolis-St Paul) metropolitan area to determine whether improved hospital care contributed to the decline in stroke mortality. Age-adjusted mortality rates per 100,000 declined significantly in that decade for men (1970, 89.4; 1980, 47.5; p < 0.01) and women (1970, 72.6; 1980, 40.9; p < 0.01). Age-adjusted hospitalization rates per 100,000 population also declined significantly for men (1970, 438; 1980, 323; p < 0.01) and women (1970, 331; 1980, 203; p < 0.01). Age-adjusted mean length of hospital stay did not change significantly. Hospital case fatality declined for men aged 30-64 years (1970, 22.5%; 1980, 15.1%; p < 0.01) but did not change significantly for 65 to 74 year-old men (1970, 16.5%; 1980, 20.0%; p = 0.09) or for all women (age-adjusted rates: 1970, 13.6%; 1980, 16.0%; p = 0.17). There was no change in the distribution of severity of hospitalized cases between years. Therefore, the decline in stroke mortality is consistent with a decreased incidence of stroke resulting from improved hypertension control. Improvements in hospital medical care appear not to have contributed substantially to the decline in stroke mortality.
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U2 - 10.1016/0021-9681(85)90124-9
DO - 10.1016/0021-9681(85)90124-9
M3 - Article
AN - SCOPUS:0022356066
VL - 38
SP - 891
EP - 898
JO - Journal of Chronic Diseases
JF - Journal of Chronic Diseases
SN - 0895-4356
IS - 11
ER -