Increase in Child/Young Adult Stroke Hospitalization Rate

Increase seen from 1995 to 2008 for 5 to 44 year olds, except females aged 5 to 14 years

TUESDAY, Sept. 6 (HealthDay News) -- The rates of hospitalization due to acute ischemic stroke increased in children and young adults of all age and gender groups from 1995 to 2008, except females aged 5 to 14 years, according to a study published online Sept. 2 in the Annals of Neurology.

Mary G. George, M.D., M.S.P.H., from the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues determined the acute stroke hospitalization rates for children and young adults, and the prevalence of stroke risk factors among them. The primary International Classification of Diseases, ninth edition, Clinical Modification (ICD-9-CM) code identified subarachnoid hemorrhage, intracerebral hemorrhage, and ischemic stroke hospitalization in individuals in seven consecutive two-year intervals from 1995 to 2008. Three age groups were analyzed: 5 to 14 years, 15 to 34 years, and 35 to 44 years. Secondary ICD-9-CM codes were used to identify stroke risk factors and comorbidities among those hospitalized with acute stroke.

The investigators identified an increase in prevalence of hospitalizations for acute ischemic stroke among all age and gender groups, except females aged 5 to 14 years. The prevalence of hospitalization for subarachnoid hemorrhage decreased in females aged 15 to 34 years, and males and females aged 35 to 44 years, but increased for females aged 5 to 14 years. The most common coexisting conditions included hypertension, diabetes, obesity, lipid disorders, and tobacco use, and their prevalence increased in children and young adults aged 15 to 44 years hospitalized with acute ischemic stroke.

"Increases in the prevalence of ischemic stroke hospitalizations and coexisting traditional stroke risk factors and health risk behaviors were identified among acute ischemic stroke hospitalizations in young adults," the authors write.

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