Stroke A Leading Cause Of Long Term Disability

2134 words - 9 pages

Stroke it’s one of the leading causes of serious long-term disability, and on average the cause of an Americans death every 4 minutes as well as the cause of “1 out of every 19 deaths” overall. (CDC stroke info) About “610,000” of the more than “795,000” strokes in the U.S. are first time occurrences while nearly “one of four” being previous strokes with 87% of all of them being ischemic strokes. (CDC stroke info) Stroke occurrences are increasing more frequent in developed and developing countries with roughly “15 MILLION people worldwide experience stroke annually” with “five million” being left “permanently disabled”. (O'Shea) “$38.6 billion” is the estimated annual stroke cost in for the United States alone(CDC stroke info) and this doesn’t take into account for the burdens, financial and emotional, it places on families and communities. .(O'Shea) With the current trends of our society, the ageing populaces, the continued developing epidemic of diabetes and obesity, and the pervasiveness of heart failure, stroke incidences are sure to increase. (Palm) Over the last 4 decades however, there has been a 42% decline of stroke prevalence in high-income countries yet there has been a “100% increase in stroke incidence in low-to-middle income countries” (Di Legge) while the severity of these strokes remained unchanged.
When we think stroke commonly the aging population comes to mind and indeed this is not without reason considering “65% of all patients are >75 years and 89% are > 65 years old”. (Palm) Even though the risk of stroke does in fact increase with age a stroke may strike at any age. “34%”of stroke related hospitalizations where for individuals <65 years, in 2009. However, as Americas fourth leading cause of death, race and ethnicity should also to be considerations along with the other factors. American Indians, Alaska Natives and blacks are more likely to suffer strokes than any other groups while the “country's highest death rates from stroke are in the southeastern United States” (CDC) These unfortunately are not the only items to observe however, gender will play a role as well. Females, < 49 are often misdiagnosed because the other usual precursors for stroke such as high blood pressure, hyperlipidemia, or coronary vascular disease are found much less frequently. These facts alone are causing the etiological identification in young stroke patients to be challenging. (Nakagawa) While it is known that females have hormonal factors that lend themselves uniquely to stroke predisposition with young women, there are also factors such as preeclampsia, which has been shown to be associated with non-pregnancy related ischemic stroke by “60%”, and even history of migraines, with “20- 40% having strokes that developed directly from their migraine attack”. (Nakagawa) Nonetheless, even though these cases are present the fact still remains that any individual with atrial fibrillation coupled with another risk factor that have been diagnoses have...

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