Published online before print November 7, 2002, doi: 10.1161/01.STR.0000038988.64376.3A
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(Stroke. 2002;33:2789.)
© 2002 American Heart Association, Inc.
Original Contributions |
Stroke in the Young in the Northern Manhattan Stroke Study
From Wayne State University/Detroit Medical Center Comprehensive Stroke Program, Department of Neurology, Wayne State University School of Medicine, Detroit, Mich (B.S.J.); Divisions of Sociomedical Science (B.B.-A.), Biostatistics (I.-F.L.), and Epidemiology (R.L.S.), Joseph P. Mailman School of Public Health, Columbia University, New York, NY; and Department of Neurology (B.B.-A., R.L.S.) and Sergievsky Center (R.L.S.), College of Physicians and Surgeons, Columbia University, and Columbia-Presbyterian Medical Center of New York Presbyterian Hospital, New York, NY (B.B.-A., R.L.S.).
Correspondence to Bradley S. Jacobs, MD, MS, University Health Center, 8C, 4201 St. Antoine, Detroit, MI 48201. E-mail bjacobs{at}med.wayne.edu
Background and Purpose— Stroke and stroke subtype incidence in young black and Hispanic populations have not been well studied. The purpose of this study was to determine stroke incidence rates in these populations and to compare rates among various race-ethnic, sex, and age groups.
Methods— A population-based incidence study identified all cases of first stroke in Northern Manhattan from 1993 to 1997. Stroke and stroke subtype incidence rates were calculated for younger (20 to 44 years of age) and older (
45 years of age) adults. The relative risk (RR) of stroke in blacks and Hispanics compared with whites was calculated. Stroke subtypes, infarct subtypes, and case fatality rates were compared in the young and old and in different race-ethnic groups and sexes.
Results— Over 4 years, 74 cases of first stroke in young patients were discovered (47% women, 12% black, 80% Hispanic, 8% white). The stroke incidence rates (cases per 100 000 persons per year) in the young were 23 overall, 10 for infarct, 7 for intracerebral hemorrhage (ICH), and 6 for subarachnoid hemorrhage. The RR of stroke in the young was greatest for blacks (2.4; 95% CI, 0.8 to 6.7) and Hispanics (2.5; 95% CI, 1.1 to 5.8) compared with whites. ICH was more frequent in men with a RR of 3.7 (95% CI, 1.4 to 10.1). Case fatality rates at 30 days were higher in blacks (38%) and Hispanics (16%) compared with whites (0%).
Conclusions— Young blacks and Hispanics have greater stroke incidences than young whites.
Key Words: incidence • mortality • racial differences • stroke • young adults
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