Understanding Stroke Disparities
Stroke remains one of the leading causes of long-term disability and premature death, especially for adults aged 45–64. A recent study highlighted persistent disparities in stroke death rates, showing differences across regions and racial and ethnic groups.
As we continue to strive for better healthcare outcomes, this data offers an opportunity to reflect on how our healthcare systems can address these inequities and improve care.
Key Findings: Stroke Death Trends from 2002 to 2022
From 2002 to 2012, stroke death rates decreased for both men and women in this age group, but an alarming upward trend emerged between 2013 and 2020. For men, stroke death rates peaked in 2020 before showing a slight decline in 2022.
However, for women, the rates continued to rise, showing that while progress has been made, significant challenges remain. The data also revealed that the South consistently had the highest stroke death rates, while the Northeast had the lowest.
Key Findings: Data from the National Vital Statistics System
- After a period of decline between 2002 and 2012, the stroke death rate for adults ages 45–64 increased 7% between 2012 (20.2 per 100,000) and 2019 (21.7) and an additional 12% through 2021 (24.4).
- For men, stroke death rates increased in each region from 2012 to 2020, and then rates declined or did not change significantly through 2022.
- For women, stroke death rates increased for all regions from 2012 to 2020 and continued to increase through 2022 in the Northeast.
- Black non-Hispanic (subsequently, Black) men had the highest stroke death rates among men in each region, with the highest rate in the South (65.7).
- Black women had the highest stroke death rates in each region, with rates higher in the Midwest (41.0), South (41.6), and West (45.0) compared with the Northeast (26.9).
Regional Variations and Racial Disparities
The study highlighted stark differences in stroke mortality across regions, with the South consistently having the highest rates. This region-specific variation underscores the role of socioeconomic factors, access to care, and health literacy in stroke outcomes.
Racial disparities were equally notable. Black men and women had significantly higher stroke death rates compared to all other groups. In some regions, Black men had rates 2–3 times higher than other groups, signaling a profound healthcare gap that requires immediate attention.
The Impact of COVID-19
Interestingly, the most significant spike in stroke death rates occurred between 2019 and 2020, coinciding with the onset of the COVID-19 pandemic. Although the exact reasons remain unclear, it’s plausible that the strain on healthcare systems, delayed care, and complications from COVID-19 played a role in this increase.
The pandemic has exacerbated existing challenges in healthcare delivery, particularly for vulnerable populations, and stroke care has not been immune to these effects.
Addressing the Disparities: A Call to Action
This study provides crucial insights into how disparities in stroke care continue to affect patient outcomes. Addressing these disparities requires a multifaceted approach that includes improving access to care, increasing public health education, and addressing the social determinants of health that contribute to these regional and racial disparities.
For hospitals, a focus on telestroke services can help bridge the gap, particularly in underserved areas where neurologists are scarce.
How Sevaro’s Virtual Neurology Services Can Help
At Sevaro, we recognize the urgent need for equitable stroke care. Our virtual neurology services, including our state-of-the-art Synapse 2.0 platform, are designed to provide high-quality, timely stroke care, regardless of location.
Through Synapse 2.0, hospitals can integrate virtual neurology teams with their on-site staff, ensuring that no matter where a patient is, they receive the care they need when they need it.
With Sevaro’s OneCall™ feature, hospitals can connect to a virtual neurologist in 45 seconds or less, expediting care when every second counts. This is particularly beneficial for regions with limited access to neurologists or those facing staffing shortages.
Additionally, the AI-driven platform streamlines communication and documentation, reducing the administrative burden on healthcare providers.
Final Thoughts from a Neurologist’s Perspective
“The findings from this study serve as a reminder that while we’ve made progress in stroke care, there’s still much work to be done to address these disparities.
As a neurologist, it’s clear to me that access to timely, quality care is the most significant factor in improving stroke outcomes. With the advancements in telemedicine, we now have the tools to provide equitable care, even in the most underserved areas.
By leveraging technologies like Synapse 2.0, we can ensure that every patient, regardless of where they live, has access to the best possible stroke care.”
As we continue to learn from these studies, Sevaro is committed to being part of the solution.
Contact us today to learn more about how our virtual neurology services and Synapse 2.0 can help your hospital deliver better, faster stroke care, no matter where your patients are located.