StrDth stroke, cerebrovascular disease, cardiovascular disease, brain attack, brain hemorrhage StrDth.UT_US The rate of stroke deaths (ICD-10 codes I60-I69 as the underlying cause of death) per 100,000 population. The number of deaths due to stroke (ICD-10 codes I60-I69 as the underlying cause of death) in a calendar year. Total midyear resident population for the same calendar year. 10/18/2021 In the U.S., there are more than 140,000 deaths due to stroke each year ([https://www.cdc.gov/stroke/facts.htm]). Stroke, the death of brain tissue usually resulting from artery blockage, was the sixth leading cause of death in Utah in 2020. There were 916 deaths with stroke as the underlying cause of death in the state. HDS-3 Utah is getting closer to its target of reducing stroke deaths to 28.2 per 100,000 population. Death rates for stroke have generally declined in recent decades. This trend is likely related to improvements in acute stroke care and in improved detection and treatment of hypertension, a risk factor for stroke. In 1999 (the year ICD-10 codes were adopted for death coding), the age-adjusted death rate for stroke in Utah was 61.3 per 100,000 population. In 2020, the age-adjusted death rate was 34.0 per 100,000 population. In 2020, the age-adjusted Utah rate was 34.0 per 100,000. In comparison, the 2019 U.S. rate was 37.0 per 100,000. U.S. data were obtained through CDC WONDER. Age-adjusted rates assume the age distribution for Utah and the U.S. are the same; in other words, it provides rates as though both populations have the same number of people in each age group. The age-adjusted rate for Utah is only a little lower than the national rate. Originally the EPICC Program (The Healthy Living through Environment, Policy, and Improved Clinical Care Program), The Healthy Environments, Active Living (HEAL) Program was formed in 2013, consolidating three Utah Department of Health programs (Diabetes Prevention and Control Program, Heart Disease and Stroke Prevention Program, and the Physical Activity, Nutrition, and Obesity Program). The purpose of the consolidation was to ensure a productive, collaborative, and efficient program focused on health outcomes. The HEAL Program aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. The Healthy Environments, Active Living (HEAL) Program is a program within the Utah Department of Health Bureau of Health Promotion. HEAL focuses on enabling education and engaged change for public health by engaging its three main audiences: individuals, partners, and decision-makers. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites. Stroke is the fifth leading cause of death in the United States (2019 data, [https://www.cdc.gov/nchs/fastats/deaths.htm]). In Utah, stroke was also the fifth leading cause of death in 2018. The Utah Department of Health has a Disability Program that can provide data and resources for individuals affected by stroke. More information is available at [https://health.utah.gov/disabilities]. At a national level, the U.S. Department of Health and Human Services (HHS) established Million Hearts. Million Hearts is an initiative to prevent one million cardiovascular events in the U.S. in five years. This initiative is co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS). More information is available at [https://millionhearts.hhs.gov]. __References:__[[br]] 1. American Heart Association. ''What are the risk factors of stroke?'' Accessed at [http://www.strokeassociation.org/STROKEORG/AboutStroke/UnderstandingRisk/Understanding-Stroke-Risk_UCM_308539_SubHomePage.jsp]. 2. American Heart Association. ''Heart Disease and Stroke Statistics? 2016 Update''. Downloaded from [http://circ.ahajournals.org/content/circulationaha/early/2015/12/16/CIR.0000000000000350.full.pdf/] on 12/14/2016. 3. American Stroke Association. [http://www.strokeassociation.org] __Resources:__[[br]] Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC): [http://www.choosehealth.utah.gov/healthcare.php][[br]] [[br]] American Heart Association: [http://www.heart.org/][[br]] [[br]] Centers for Disease Control and Prevention, Division of Heart Disease and Stroke Prevention: [http://www.cdc.gov/dhdsp/][[br]] [[br]] Healthy People 2020 Heart Disease & Stroke Objectives: [http://www.healthypeople.gov/2020/topics-objectives/topic/heart-disease-and-stroke/objectives][[br]] [[br]] HEAL linneafletcher@utah.gov A 11/10/2022 Detail modified by: cjasumback@utah.gov, 11/16/2021 11/1/18 BR deleted this from "What doing" The primary program strategies include: *Increasing healthy nutrition and physical activity environments in K-12 schools *Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool) *Increasing healthy nutrition and physical activity environments in worksites *Improving awareness of prediabetes and hypertension for Utahns *Improving the quality of medical care for people with diabetes and hypertension *Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension *Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity *Improving care and management of students with chronic conditions in Utah schools 11.1.18 BR updated the Million Hearts information slightly 11.1.18 BR deleted this from health status outcomes r medicare patients who have experienced a stroke, 24% are discharged into an inpatient rehabilitation facility and 31% are discharged into a skill nursing facility. Of those patients that return home, 32% use home healthcare services. After stroke, women have a greater disability than men. Blacks and Hispanics had less functional status at discharge when compared to non-Hispanic whites.[[br]] [[br]] ---- updated BR per kim corrections 12-19-18 updated BR 10-15-2019 Updated 11/16/2021 CJasumback 1 x 11/10/2022 Status changed by: vlund@utah.gov 11/10/2022 HDS-3 HDS HDS-3 Reduce stroke deaths 34.8 deaths per 100,000 population 28.2 deaths per 100,000 population 593 08/15/2011 x PopChar In 2018, almost three quarters (74%) of Utah stroke deaths occurred among adults aged 75 and older. AgeDistPop AgeDistPop.Ut_US RacEthPop RacEthPop.RaceYear StrSignSymp StrSignSymp.UT_US SystemFactors Health care system factors that can continue to improve stroke mortality include: # the identification and management of high blood pressure # the establishment of stroke transport protocols for emergency medical services (EMS) agencies # the certification of hospitals as Primary Stroke Centers, the designation of other stroke-ready hospitals as Stroke Receiving Facilities, and the use of telestroke to help hospitals provide prompt assessment and care of stroke patients # the implementation of stroke treatment guidelines, such as the American Heart Association Get with the Guidelines--Stroke program, in hospitals throughout Utah EMSResTim EMSResTim.CntyType HlthIns HlthIns.UT_US_ACS RiskFactors Risk factors for stroke include high blood pressure, increasing age, family history of stroke, personal history of stroke, cigarette smoking, diabetes, heart disease, carotid artery disease, transient ischemic attacks, and a high red blood cell count. Elevated cholesterol level, obesity, and lack of physical activity increase the risk of stroke. Many of these risk factors can be modified successfully by adopting lifestyle changes.[[br]] [[br]] ---- American Heart Association. ''What are the risk factors of stroke?'' Accessed at [http://www.strokeassociation.org/STROKEORG/AboutStroke/UnderstandingRisk/Understanding-Stroke-Risk_UCM_308539_SubHomePage.jsp].[[br]] BloCholDrDiag BloCholDrDiag.UT_US CigSmokAdlt CigSmokAdlt.Ut_US DiabPrev DiabPrev.LHD HeaAttHosp HeaAttHosp.NumYr HypAwa HypAwa.UT_US Obe Obe.UT_US OvrwtObe OvrwtObe.UT_US PhysAct PhysAct.UT_US HealthStatus Stroke is a major cause of long-term disability in the U.S. LimAct LimAct.UT_US StrDth.UT_US Utah and U.S., 1980-2020 Age-adjusted Rate per 100,000 Population StrDth.AgeSex by Age and Sex, Utah, 2020 Rate per 100,000 Population StrDth.Eth by Ethnicity, Utah, 2020 Age-adjusted Rate per 100,000 Population StrDth.Race by Race, Utah, 2018-2020 Age-adjusted Rate per 100,000 Population StrDth.LHD by Local Health District, Utah, 2019-2020 Age-adjusted Rate per 100,000 Population StrDth.Cnty by County, Utah, 2016-2020 Age-adjusted Rate per 100,000 Population StrDth.SA by Utah Small Area, 2016-2020 Age-adjusted Rate per 100,000 Population