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Stroke, Vol 22, 1491-1496, Copyright © 1991 by American Heart Association
RL Sacco, WA Hauser and JP Mohr
BACKGROUND AND PURPOSE: The growing black and Hispanic populations in the
United States call for studies of the rates and prognosis for cerebral
infarction to help plan more focused prevention programs. METHODS: Using
the Statewide Planning and Research Cooperative System, we obtained
discharge data for 1,034 patients over age 39, who were hospitalized for
stroke from 1983 to 1986, using four zip code areas of the ethnically mixed
community of Northern Manhattan. RESULTS: Stroke incidence increased with
age in both men and women in all three race/ethnic groups. The age-adjusted
stroke incidence per 100,000 per year for men greater than or equal to 40
years of age was 567 for blacks, 306 for Hispanics, and 351 for whites.
Incidence in women greater than or equal to 40 years was 716 in blacks, 361
in Hispanics, and 326 in whites. Hypertension and diabetes were more
prevalent in blacks and Hispanics with stroke, whereas whites had more
ischemic cardiac disease. Crude in-hospital mortality was greater in
younger blacks and Hispanics compared with whites, whereas 2-year
readmission rates, overall and for stroke, were similar in the three
groups. CONCLUSIONS: These estimates of hospitalized stroke incidence and
mortality substantiate the greater incidence of stroke in blacks and
provide new data concerning Hispanics for public health planning.
ARTICLES
Hospitalized stroke in blacks and Hispanics in northern Manhattan
Neurological Institute, Columbia-Presbyterian Medical Center, New York, NY 10032.
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