Evidence map›Paper›PMID 36073626›Full record

ArticleJournal of the American Heart Association2022

Demographic and Regional Trends in Stroke-Related Mortality in Young Adults in the United States, 1999 to 2019.

Robert W Ariss, Abdul Mannan Khan Minhas, Jacob Lang, P Kasi Ramanathan, Safi U Khan, Mahwash Kassi, Haider J Warraich, Dhaval Kolte, Mohamad Alkhouli, Salik Nazir

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Robert W ArissDivision of Cardiovascular Medicine University of Toledo Medical Center Toledo OH.ORCID 0000-0001-5555-5829
Abdul Mannan Khan MinhasDivision of Medicine Forrest General Hospital Hattiesburg MS.ORCID 0000-0002-9829-3520
Jacob LangDivision of Cardiovascular Medicine University of Toledo Medical Center Toledo OH.
P Kasi RamanathanProMedica Heart and Vascular Institute, ProMedica Toledo Hospital Toledo OH.
Safi U KhanDepartment of Cardiology Houston Methodist DeBakey Heart and Vascular Center Houston TX.ORCID 0000-0003-1559-6911
Mahwash KassiDepartment of Cardiology Houston Methodist DeBakey Heart and Vascular Center Houston TX.ORCID 0000-0001-6949-8554
Haider J WarraichDivision of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.ORCID 0000-0001-9493-1372
Dhaval KolteCardiology Division Massachusetts General Hospital and Harvard Medical School Boston MA.ORCID 0000-0002-7107-3667
Mohamad AlkhouliDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0003-3847-0959
Salik NazirDivision of Cardiovascular Medicine University of Toledo Medical Center Toledo OH.ORCID 0000-0001-8202-9576
University of Toledo Medical Center · USHouston Methodist · USBrigham and Women's Hospital · USForrest General Hospital · USHarvard University · USMayo Clinic · USProMedica Toledo Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Despite improvements in the management and prevention of stroke, increasing hospitalizations for stroke and stagnant mortality rates have been described in young adults. However, there is a paucity of contemporary national mortality estimates in young adults. Methods and Results Trends in mortality related to stroke in young adults (aged 25-64 years) were assessed using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database. Age-adjusted mortality rates per 100 000 people with associated annual percentage change were calculated. Joinpoint regression was used to assess the trends in the overall sample and different demographic (sex, race and ethnicity, and age) and geographical (state, urban-rural, and regional) subgroups. Between 1999 and 2019, a total of 566 916 stroke-related deaths occurred among young adults. After the initial decline in mortality in the overall population, age-adjusted mortality rate increased from 2013 to 2019 with an associated annual percentage change of 1.5 (95% CI, 1.1-2.0). Mortality rates were higher in men versus women and in non-Hispanic Black people versus individuals of other races and ethnicities. Non-Hispanic American Indian or Alaskan Native people had a marked increase in stroke-related mortality (annual percentage change 2010-2019: 3.3). Furthermore, rural (nonmetropolitan) counties experienced the greatest increase in mortality (annual percentage change 2012-2019: 3.1) compared with urban (metropolitan) counties. Conclusions Following the initial decline in stroke-related mortality, young adults have experienced increasing mortality rates from 2013 to 2019, with considerable differences across demographic groups and regions.

Indexed as

EthnicityStrokeCenters for Disease Control and Prevention, U.S.FemaleHumansMaleMortalityRural PopulationUnited StatesYoung Adultdisparitiesmortalitystrokeyoung adults

Identifiers

PMID36073626
PMCPMC9683653
OpenAlexW4294992387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.