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Show Chronic Diseases Cerebrovascular Disease (ICD-9 Codes: 430-438; ICD-10 Codes: 160-169) Compiled by Kasey Poon 2000 Utah Stroke Deaths: 975 Cerebrovascular disease refers to a group of problems with the blood vessels in the brain that lead to stroke, otherwise known as a '"brain attack." There are two types of stroke: ischemic and hemorrhagic. An ischemic stroke is caused by a blockage of the blood vessels that supply the brain with blood. Hemorrhagic strokes result when cerebral blood vessels rupture, causing bleeding in the brain. Approximately seventy-five percent of strokes are ischemic. Stroke was the third leading cause of death in the United States in 2000. Only heart disease and cancer resulted in more deaths that year. Advances in diagnosis and treatment of ischemic stroke have helped to sharply reduce death rates due to this type of stroke. These declines, in turn, are responsible for the downward trend in overall mortality rates. The crude death rate from cerebrovascular disease in Utah has consistently and significantly remained below that of the U.S. (Figure 1 Table 1). In fact, Utah is behind only Alaska and New York for having the lowest mortality rate from stroke. This may be a reflection of the relatively younger age of the population of Utah compared to the rest of the United States as well as other factors. Some major risk factors for stroke include hypertension, diabetes, elevated hemoglobin levels, and heart disease. Other risk factors are age, gender, race, family history, cigarette smoking, obesity, elevated cholesterol, alcohol abuse, oral contraceptive use, history of transient ischemic attacks, and physical inactivity. Table 1. Total Deaths and Crude Mortality Rate per 100,000 Population from Cerebrovascular Diseases, Utah and the United States, 1985-2000. Utah U.S Year Deaths Mortality Deaths Mortality 1985 646 39.3 153,050 64.3 1986 650 39.3 149,643 62.2 1987 662 39.5 149,835 61.8 1988 690 40.8 150,517 61.5 1989 638 37.4 145,551 58.9 1990 675 39.2 144,088 57.9 1991 684 38.6 143,481 56.9 1992 701 38.5 143,769 56.4 1993 718 38.3 150,108 58.2 1994 717 36.9 153,306 58.9 1995 778 39.1 157,991 60.1 1996 844 41.7 159,942 60.3 1997 875 42.4 159,791 59.6 1998 796 37.9 158.448 58.6 1999 869 40.8 167,366 61.4 2000 975 45.0 167,661 60.9 a Age-adjusted to 2000 standard population. Figure 1. Crude Death Rates from Cerebrovascular Disease, Utah and the United States, 1985-2000. -----Utah-----U.S. 5O -4O - _«----------- 3O - ---------------------"-----" 2O - 1O - 1935 1986 1987 1988 1989 199O 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Y«ar Sources: Centers for Disease Control and Prevention, National Center for Health Statistics. [Online] http://www.cdc.gov/nchs/ Retrieved 3/17/03. Centers for Disease Control and Prevention. CDC Wonder [Online] http://wonder.cdc.gov. Retrieved 3/17/03. Utah's Health: An Annual Review Volume DC 95 |
