Table 1. Mutually Exclusive Cerebrovascular Events Where Cerebrovascular Disease Was Listed As the Primary Reason for Emergency Department (ED) Visit or Hospital Admission or As Primary Cause of Death, 2006–2014a .
| Variable | 2006 | 2010 | 2014 | RPC (95% CI)b |
|---|---|---|---|---|
|
n (Rate per 100,000) | ||||
| Total eventsc | 626,897 (409.6) | 660,198 (405.5) | 711,898 (402.9) | −1.6 (−0.6 to −2.7) |
| Treat-and-release ED visits | 15,498 (10.1) | 18,462 (11.3) | 26,794 (15.3d) | 51.5 (49.5 to 55.3) |
| Nonfatal hospitalizations | 475,308 (309.8) | 513,239 (315.2) | 552,975 (313.6) | 1.2 (−0.2 to 2.7) |
| Deaths | 136,090 (89.7) | 128,497 (78.9) | 132,129 (74.0d) | −17.5 (−17.6 to −17.5) |
| Age, y | ||||
| 35–64 | 177,713 (150.0) | 203,068 (165.7) | 220,974 (178.1d) | 18.7 (15.8 to 22.0) |
| 65–74 | 124,683 (649.3) | 135,489 (624.0) | 158,680 (601.1d) | −7.4 (−9.6 to −5.1) |
| 75–84 | 183,761 (1,403.3) | 172,202 (1,318.4) | 174,343 (1,274.2d) | −9.2 (−11.0 to −7.2) |
| ≥85 | 140,739 (2,892.3) | 149,438 (2,720.3) | 157,901 (2,562.4d) | −11.4 (−12.8 to −9.9) |
| Sexc | ||||
| Men | 285,064 (437.9) | 309,385 (437.5) | 342,477 (438.4) | 0.1 (−0.9 to 1.2) |
| Women | 341,832 (383.4) | 350,813 (374.7) | 369,421 (368.7d) | −3.8 (−4.8 to −2.8) |
| Age by sex, y | ||||
| Men 35–64 | 98,254 (168.9) | 113,974 (189.4) | 126,301 (207.4d) | 22.8 (20.0 to 25.9) |
| Men 65–74 | 65,293 (737.6) | 73,122 (724.2) | 85,314 (690.9d) | −6.3 (−8.6 to −3.9) |
| Men 75–84 | 79,319 (1,479.1) | 76,373 (1,394.5) | 80,231 (1,361.4d) | −8.0 (−5.8 to −9.9) |
| Men ≥85 | 42,199 (2779.2) | 45,916 (2565.6) | 50,631 (2,400.8d) | −13.6 (−15.0 to −12.1) |
| Women 35–64 | 79,459 (131.8) | 89,095 (142.8) | 94,673 (149.9d) | 13.7 (10.7 to 17.2) |
| Women 65–74 | 59,391 (573.8) | 62,367 (536.9) | 73,366 (522.2d) | −9.0 (−11.0 to −6.9) |
| Women 75–84 | 104,443 (1,350.7) | 95,829 (1,263.5) | 94,111 (1,208.2d) | −10.6 (−12.2 to −8.8) |
| Women ≥85 | 98,540 (2,943.6) | 103,522 (2,795.1) | 107,270 (2,646.5d) | −10.1 (−11.4 to −8.7) |
| Regionc | ||||
| Northeast | 114,991 (372.0) | 119,121 (373.1) | 12,7371 (379.5) | 2.0 (−1.2 to 5.6) |
| Midwest | 144,831 (410.6) | 145,724 (396.7) | 159,581 (411.7) | 0.3 (−1.2 to 1.8) |
| South | 248,350 (454.0) | 265,823 (450.2) | 289,043 (443.3) | −2.4 (−4.2 to −0.4) |
| West | 118,902 (369.7) | 129,681 (369.3) | 135,948 (346.8) | −6.2 (−7.5 to −4.8) |
Abbreviations: CI, confidence interval; RPC, relative percentage change.
a
Sources: Nationwide Emergency Department Sample (7), National Inpatient Sample (8), and National Vital Statistics System (10).
b
RPC was calculated by dividing 2014–2006 rates by 2006 rates and is based on the rate per 100,000 persons.
c
Standardized by age to the 2010 US Census population distribution among adults aged ≥35 years. The crude age–sex specific rates were reported for subgroup estimate.
d
P < .05 for trend from 2006 through 2014 based on Joinpoint analyses.