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Trends in stroke hospitalizations and associated risk factors among children and young adults, 1995-2008.
Ann Neurol. 2011 Nov; 70(5):713-21.AN

Abstract

OBJECTIVE

The aim of this study was to determine acute stroke hospitalization rates for children and young adults and the prevalence of stroke risk factors among children and young adults hospitalized for acute stroke.

METHODS

The study population consisted of 1995-2008 hospitalizations from the Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project. Subarachnoid hemorrhage, intracerebral hemorrhage, and ischemic stroke hospitalizations were identified by the primary International Classification of Diseases, 9th ed, Clinical Modification (ICD-9-CM) code. Seven consecutive 2-year time intervals were selected. Three age groups were utilized: 5 to 14 years, 15 to 34 years, and 35 to 44 years. Stroke risk factors and comorbidities among those hospitalized with acute stroke were identified by secondary ICD-9-CM codes.

RESULTS

During the period of study, the prevalence of hospitalizations of acute ischemic stroke increased among all age and gender groups except females aged 5 to 14 years. Females aged 15 to 34 years and males and females aged 35 to 44 years showed a decrease in the prevalence of hospitalizations for subarachnoid hemorrhage, whereas females aged 5 to 14 years showed increases for subarachnoid hemorrhage. Hypertension, diabetes, obesity, lipid disorders, and tobacco use were among the most common coexisting conditions, and their prevalence increased from 1995 to 2008 among adolescents and young adults (aged 15-44 years) hospitalized with acute ischemic stroke.

INTERPRETATION

Increases in the prevalence of ischemic stroke hospitalizations and coexisting traditional stroke risk factors and health risk behaviors were identified among acute ischemic stroke hospitalizations in young adults. Our results from national surveillance data accentuate the need for public health initiatives to reduce risk factors for stroke among adolescents and young adults.

Authors+Show Affiliations

Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. MGeorge@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21898534

Citation

George, Mary G., et al. "Trends in Stroke Hospitalizations and Associated Risk Factors Among Children and Young Adults, 1995-2008." Annals of Neurology, vol. 70, no. 5, 2011, pp. 713-21.
George MG, Tong X, Kuklina EV, et al. Trends in stroke hospitalizations and associated risk factors among children and young adults, 1995-2008. Ann Neurol. 2011;70(5):713-21.
George, M. G., Tong, X., Kuklina, E. V., & Labarthe, D. R. (2011). Trends in stroke hospitalizations and associated risk factors among children and young adults, 1995-2008. Annals of Neurology, 70(5), 713-21. https://doi.org/10.1002/ana.22539
George MG, et al. Trends in Stroke Hospitalizations and Associated Risk Factors Among Children and Young Adults, 1995-2008. Ann Neurol. 2011;70(5):713-21. PubMed PMID: 21898534.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trends in stroke hospitalizations and associated risk factors among children and young adults, 1995-2008. AU - George,Mary G, AU - Tong,Xin, AU - Kuklina,Elena V, AU - Labarthe,Darwin R, Y1 - 2011/09/02/ PY - 2011/03/29/received PY - 2011/06/14/revised PY - 2011/07/01/accepted PY - 2011/9/8/entrez PY - 2011/9/8/pubmed PY - 2012/2/10/medline SP - 713 EP - 21 JF - Annals of neurology JO - Ann Neurol VL - 70 IS - 5 N2 - OBJECTIVE: The aim of this study was to determine acute stroke hospitalization rates for children and young adults and the prevalence of stroke risk factors among children and young adults hospitalized for acute stroke. METHODS: The study population consisted of 1995-2008 hospitalizations from the Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project. Subarachnoid hemorrhage, intracerebral hemorrhage, and ischemic stroke hospitalizations were identified by the primary International Classification of Diseases, 9th ed, Clinical Modification (ICD-9-CM) code. Seven consecutive 2-year time intervals were selected. Three age groups were utilized: 5 to 14 years, 15 to 34 years, and 35 to 44 years. Stroke risk factors and comorbidities among those hospitalized with acute stroke were identified by secondary ICD-9-CM codes. RESULTS: During the period of study, the prevalence of hospitalizations of acute ischemic stroke increased among all age and gender groups except females aged 5 to 14 years. Females aged 15 to 34 years and males and females aged 35 to 44 years showed a decrease in the prevalence of hospitalizations for subarachnoid hemorrhage, whereas females aged 5 to 14 years showed increases for subarachnoid hemorrhage. Hypertension, diabetes, obesity, lipid disorders, and tobacco use were among the most common coexisting conditions, and their prevalence increased from 1995 to 2008 among adolescents and young adults (aged 15-44 years) hospitalized with acute ischemic stroke. INTERPRETATION: Increases in the prevalence of ischemic stroke hospitalizations and coexisting traditional stroke risk factors and health risk behaviors were identified among acute ischemic stroke hospitalizations in young adults. Our results from national surveillance data accentuate the need for public health initiatives to reduce risk factors for stroke among adolescents and young adults. SN - 1531-8249 UR - https://www.unboundmedicine.com/medline/citation/21898534/Trends_in_stroke_hospitalizations_and_associated_risk_factors_among_children_and_young_adults_1995_2008_ L2 - https://doi.org/10.1002/ana.22539 DB - PRIME DP - Unbound Medicine ER -