Evidence map›Paper›PMID 34584014›Full record

ArticleNeurology2021

Temporal Trends in Ischemic Stroke Rates by Ethnicity, Sex, and Age (2000-2017): The Brain Attack Surveillance in Corpus Christi Project.

Lynda D Lisabeth, Devin L Brown, Darin B Zahuranec, Sehee Kim, Jaewon Lim, Kevin A Kerber, William J Meurer, Erin Case, Melinda A Smith, Morgan S Campbell and 1 more

Open access · greenAbstract read
In one paragraph

Article in Neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Ethnic Differences in Postacute Stroke Rehabilitation.Archives of physical medicine and rehabilitation · 2026
    Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Racial and Ethnic Disparities in Stroke Incidence and Outcomes.Current cardiovascular risk reports · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Methods and early recruitment of the Brain Attack Surveillance in Corpus Christi-Post-acute Care (BASIC-PAC) Project.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Lynda D LisabethFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX. llisabet@umich.edu.
Devin L BrownFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.ORCID 0000-0002-9815-3421
Darin B ZahuranecFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
Sehee KimFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
Jaewon LimFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
Kevin A KerberFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
William J MeurerFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.ORCID 0000-0002-1158-5302
Erin CaseFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
Melinda A SmithFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
Morgan S CampbellFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
Lewis B MorgensternFrom the Departments of Epidemiology (L.D.L., E.C., M.A.S, L.B.M.) and Biostatistics (S.K., J.L.), University of Michigan School of Public Health; Stroke Program (L.D.L., D.L.B., D.B.Z., K.A.K., W.J.M., M.A.S, L.B.M.) and Department of Emergency Medicine (W.J.M., L.B.M.), University of Michigan Medical School, Ann Arbor; and CHRISTUS Spohn Hospitals (M.S.C.), CHRISTUS Health System, Corpus Christi, TX.
University of Michigan · US

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
Sleep apnea after stroke: Implications for screening and treatmentR01HL126700 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, LISABETH, LYNDA D · 2016 to 2019
$3.0M
Sleep apnea health disparities in Mexican American stroke patientsR01NS070941 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, LISABETH, LYNDA D · 2011 to 2015
$2.6M
NHLBI NIH HHS R01 HL126700NINDS NIH HHS R01 NS038916NINDS NIH HHS R01 NS070941
6 · The paper itself

Abstract

objectiveTo compare 18-year (2000-2017) temporal trends in ischemic stroke rates by ethnicity, sex, and age.

methodsData are from a population-based stroke surveillance study conducted in Nueces County, Texas, a geographically isolated, biethnic, urban community. Active (screening hospital admission logs, hospital wards, intensive care units) and passive (screening inpatient/emergency department discharge diagnosis codes) surveillance were used to identify cases aged ≥45 (n = 4,875) validated by stroke physicians using a consistent stroke definition over time. Ischemic stroke rates were derived from Poisson regression using annual population counts from the US Census to estimate the at-risk population.

resultsIn those aged 45-59 years, rates increased in non-Hispanic Whites (104.3% relative increase;

conclusionPreviously documented ethnic stroke incidence disparities have ended as a result of declining rates in Mexican Americans and increasing rates in non-Hispanic Whites, most notably in midlife.

Indexed as

Ischemic StrokeStrokeAgedBrainEthnicityFemaleHumansMaleMexican AmericansMiddle AgedTexas

Identifiers

PMID34584014
PMCPMC8641969
OpenAlexW3203106957

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.