Sex, Age, and Socioeconomic Differences in Nonfatal Stroke Incidence and Subsequent Major Adverse Outcomes

Akyea, Ralph K.; Vinogradova, Yana; Qureshi, Nadeem; Patel, Riyaz S.; Kontopantelis, Evangelos; Ntaios, George; Asselbergs, Folkert W.; Kai, Joe; Weng, Stephen F.

Abstract

Background and Purpose:
Data about variations in stroke incidence and subsequent major adverse outcomes are essential to inform secondary prevention and prioritizing resources to those at the greatest risk of major adverse end points. We aimed to describe the age, sex, and socioeconomic differences in the rates of first nonfatal stroke and subsequent major adverse outcomes.

Methods:
The cohort study used linked Clinical Practice Research Datalink and Hospital Episode Statistics data from the United Kingdom. The incidence rate (IR) ratio of first nonfatal stroke and subsequent major adverse outcomes (composite major adverse cardiovascular events, recurrent stroke, cardiovascular disease-related, and all-cause mortality) were calculated and presented by year, sex, age group, and socioeconomic status based on an individual’s location of residence, in adults with incident nonfatal stroke diagnosis between 1998 and 2017.

Results:
A total of 82 774 first nonfatal stroke events were recorded in either primary care or hospital data—an IR of 109.20 per 100 000 person-years (95% CI, 108.46–109.95). Incidence was significantly higher in women compared with men (IR ratio, 1.13 [95% CI, 1.12–1.15]; P

Citation

Akyea, R. K., Vinogradova, Y., Qureshi, N., Patel, R. S., Kontopantelis, E., Ntaios, G., Asselbergs, F. W., Kai, J., & Weng, S. F. (2021). Sex, Age, and Socioeconomic Differences in Nonfatal Stroke Incidence and Subsequent Major Adverse Outcomes. Stroke, 52(2), 396-405. https://doi.org/10.1161/strokeaha.120.031659

• Journal Article Type: Article
• Acceptance Date: Dec 8, 2020
• Online Publication Date: Jan 25, 2021
• Publication Date: Feb 1, 2021
• Deposit Date: Dec 18, 2020
• Publicly Available Date: Jul 26, 2021
• Journal: Stroke
• Print ISSN: 0039-2499
• Electronic ISSN: 1524-4628
• Publisher: American Heart Association
• Peer Reviewed: Peer Reviewed
• Volume: 52
• Issue: 2
• Pages: 396-405
• DOI: https://doi.org/10.1161/strokeaha.120.031659
• Keywords: Advanced and Specialised Nursing; Clinical Neurology; Cardiology and Cardiovascular Medicine
• Public URL: https://nottingham-repository.worktribe.com/output/5156252
• Publisher URL: https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.031659