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January 10, 2026Brain and BehaviorOpen Access

Ischemic stroke mortality fell ~87% overall but recently increased among older adults.

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Why the study?

Despite advances in diagnosis, treatment, and prevention of ischemic stroke, significant disparities and geographic variability persist in the United States, highlighting the need for targeted strategies.

Population

1,363,668 ischemic stroke deaths from US death certificate data

Comparison

Mortality trends compared across age, sex, and race/ethnicity

Design

Retrospective epidemiological study using joinpoint regression

Key result

Ischemic stroke mortality declined from 76.2 to 10.0 per 100,000 from 1968 to 2023, but recent increases were observed post-2014, particularly in older adults.

Authors

RQRameez QasimAllama Iqbal Medical CollegeLMLaiba MuzammilBahawal Victoria HospitalBQBilal QammarShalamar Hospital

Discussion

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Overview

Recent post-2014 rises warrant monitoring in older adults; extends long-term trends but leaves reversal drivers open.

Key Points

  • To analyze mortality trends in ischemic stroke over five decades in the United States, focusing on disparities among demographics.
  • Analyzed US death certificate data from CDC WONDER from 1968 to 2023
  • Utilized ICD codes for ischemic stroke classification
  • Calculated crude and age-adjusted mortality rates
  • Employed joinpoint regression for statistical analysis
  • Total ischemic stroke deaths from 1968 to 2023 reached 1,363,668
  • Age-adjusted mortality rate declined from 76.2 to 10.0 per 100,000
  • Men consistently had higher mortality rates than women
  • Racial disparities persisted, with Black adults showing a decline but recent increases after 2014
  • Older adults (≥65 years) exhibited the greatest mortality burden

Structured PICO

P
Population
US individuals with ischemic stroke mortality recorded in the CDC WONDER database between 1968 and 2023 (n=1,363,668 deaths).
O
Outcome
Ischemic stroke mortality (crude and age-adjusted mortality rates, annual percent change, and average annual percent changes)hard clinical

Despite a long-term decline over five decades, ischemic stroke mortality in the US has recently increased since 2014, highlighting the need for renewed targeted prevention strategies.

Cite This Study

Qasim et al. (2025) studied this question. Ischemic stroke mortality declined from 76.2 to 10.0 per 100,000 from 1968 to 2023, but recent increases were observed post-2014, particularly in older adults.

synapsesocial.com/papers/6963220a91e05aa366cb875fhttps://doi.org/10.1002/brb3.71177
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 19871992 · 6 citations
  2. 2Impact of early MRI in ischemic strokes beyond hyper-acute stage to improve patient outcomes, enable early discharge, and realize cost savings2024 · 5 citations
  3. 3Stroke mortality in the United States from 1968 to 2023: A CDC WONDER analysis2025 · 8 citations
  4. 4Temporal Trends in Mortality Related to Stroke and Atrial Fibrillation in the United States: A 21‐Year Retrospective Analysis of CDC‐WONDER Database2024 · 18 citations
  5. 5Decades of Shifting Trends: Arrhythmia‐Related Mortalities in the United States (1968–2021) With 2040 Projections2025 · 9 citations