Our primary goal is to study temporal trends in the incidence rate, causes, treatment, and
outcome of stroke among a large biracial metropolitan population of 1,349,351, of whom
215,611 (15%) are black (2000 Census). Such data are critical for the planning,
intervention, and evaluation of public health efforts to decrease the mortality and
morbidity due to stroke in the United States.
We have completed this goal for 1993-94, 1999, 2005, and 2010. We ware in the process of
collecting this data for 2015. In the 2015 study period we will also be ascertaining 3 year
recurrence rates for all incident stroke events.
For calendar years 1993-94, 1999, 2005, 2010, and 2015 we will identify every hospitalized
or autopsied stroke and transient ischemic attack (TIA) at all regional hospitals in our
region. We will also estimate the number of non-hospitalized strokes and TIAs by screening
for potential cases at more than 100 outpatient sites throughout five counties in Greater
Cincinnati/Northern Kentucky. We plan to identify and abstract detailed information from the
medical record for every potential case. These results will be compared with data from all
stroke patients identified by similar methodology in all study periods.
In addition, we have interviewed 1500 ischemic stroke patients and/or their families in the
study periods 1999-2010 to obtain detailed information including demographic information,
functional outcome and quality of life, access to and type of rehabilitation therapy, social
support, caregiver availability and health status, access to post-hospital care, health
insurance status, current health status, medications, prior risk factors, and knowledge
about stroke signs and symptoms. We also obtained genetic material via a blood sample for
most of this cohort.
- ischemic stroke
- occurred in 1999/2005/2010
- >18 years old
- resides in 5 county region
- <18 years old
- resides outside 5 county region
- inability to consent or have legal proxy consent