Deans' stroke musings: Burden of stroke in the United States of America, 1990–2021: a systematic analysis for the US burden of disease study 2021

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, August 27, 2025

Burden of stroke in the United States of America, 1990–2021: a systematic analysis for the US burden of disease study 2021

But you don't bother to tell us that our fucking failures of stroke associations ARE DOING NOING TO SOLVE STROKE TO 100% RECOVERY!

Burden of stroke in the United States of America, 1990–2021: a systematic analysis for the US burden of disease study 2021

Authors:

Tae-Jin Song

Ewha Womans University

Abstract and Figures

Objectives Accurate and updated stroke burden estimates are essential to inform public health interventions and resource allocation in the United States (US). We aimed to evaluate the burden of ischemic and hemorrhagic stroke in the US in 2021 and analyze trends from 1990 to 2021 by age, sex, and geographic location. Methods This was a comprehensive analysis based on the 2021 Global Burden of Disease (GBD) study encompassing ischemic stroke, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). The stroke incidence, prevalence, mortality, and disability-adjusted life-years (DALYs), including absolute numbers and age-standardized rates per 100,000 population, were stratified by stroke subtype, sex, age, and geographic region. Results In 2021, there were 0.41 million incident strokes (95% uncertainty interval (UI), 0.36–0.47 million), predominantly ischemic (0.31 million, 75.6%). The prevalence was 6.3 million, with ischemic stroke accounting for 78% (3.07 million, 48.7% men). Hemorrhagic strokes included 0.75 million ICH and 0.45 million SAH. Stroke deaths totaled 0.19 million, with DALYs of 3.91 million. From 1990 to 2021, the crude stroke prevalence markedly increased for ischemic stroke (65.7%), ICH (78.3%), and SAH (70.6%). Although age-standardized incidence and mortality rates generally decreased over this period, the incidence of SAH has increased recently, and hemorrhagic stroke mortality peaked around 2000. Younger populations (aged 15–49 years) experienced an increasing stroke burden, especially in Alaska and Arkansas, highlighting demographic and regional disparities. Conclusion Despite improvements in age-standardized stroke incidence, mortality, and DALYs, the overall burden of stroke continues to increase owing to demographic shifts and the increasing prevalence of risk factors. There is a critical need for tailored and targeted interventions to address the evolving demographic and regional disparities and effectively reduce the US stroke burden.