Abstract TP197: Trends In Stroke Mortality due to Hypertension Among Older Adults In The United States From 1999-2020

• DOI: 10.1161/str.56.suppl_1.tp197
• Publication Date: 2025-01-30T10:26:41Z
• Authors: Ahmad Shahid; Fakhar Latif; Komail Meer; Abdul Wassay Shaikh; Ayesha Mubbashir; Taimur Faheem Usmani; Huda Ahmed; Muhammad Moiz Nasir; Naeemuddin Shaikh; MUKESH KUMAR
• Keywords: Stroke

Background: Hypertension (HTN)-induced stroke is a leading cause of mortality among older adults in the United States. Analyzing trends and disparities HTN-associated essential for guiding targeted interventions informing policy decisions. Objectives: This study aims to evaluate aged ≥65 years, with focus on demographic geographic variations, using comprehensive nationwide death certificate data. Methods: We analyzed data from CDC WONDER database spanning 1999 2020 assess HTN-related mortality. Stroke cases were identified as underlying (UCD) specific ICD-10 codes: I60.x, I61.x, I63.x, I64, I69.0, I69.1, I69.3, I69.4. HTN its subtypes contributing codes I10, I11.x, I12.x, I13.x, I15.x. AAMRs per 100,000 calculated, stratified by age, sex, region. Temporal assessed Joinpoint Regression Program determine annual percentage changes (APCs). Subgroup analysis based race/ethnicity was excluded due suppression CDC. Results: Between 2020, notable hypertension-related emerged. In analysis, demonstrated considerable fluctuation, beginning at 79.1 2000, declining 51.2 2019, then increasing 54.8 2020. The APC entire period -2.32, indicating general gradual decline rates. Gender-based revealed females experienced higher mean AAMR (62.9) than males (54.7). Despite AAMR, had more pronounced rate (APC female: -2.47 vs male: -1.84). Regional also pronounced, Western region exhibiting highest (73.4), followed Southern (60.9), Midwestern (58.6), Northeastern (47.7) regions. Additionally, urban-rural differences evident, non-metropolitan areas (66.1) metropolitan (59.1). Conclusion: highlights significant decrease over two decades, yet remain. Females, South region, rural continue face rates, emphasizing need healthcare interventions. COVID-19 pandemic further underscores importance strengthening systems address these disparities.