U.S. stroke survival is improving, but race still plays role

U.S. News & World Report, HealthDay and Real Health covered new research from the University of Cincinnati that found overall rates of long-term survival following stroke are improving, but Black individuals experience worse long-term outcomes compared to white individuals.

UC's David Robinson, MD, led the study recently published in the journal Neurology that looked at five-year survival rates following a stroke.

Among patients with acute ischemic stroke, the most common type of stroke, five-year mortality after stroke improved from 53% in 1993-94 to 48.3% in 2015, an absolute decline nearly double what would be expected in the general population. There were no changes in five-year survival for patients following an intracerebral hemorrhage, the most severe type of stroke.

“For the first time, we saw that there clearly has been an improvement in five-year mortality after stroke, and it probably is at least partially driven by the stroke systems of care that have been set up here in Cincinnati,” Robinson said. “The data suggests that we have specific interventions in the care of stroke that are disproportionately improving mortality for that particular group of people.”

While the overall numbers are improving, Black individuals were found to be 20% more likely to die within five years after an ischemic stroke than white individuals. Previous research confirmed that strokes are more common in Black individuals, but this research found for the first time that long-term outcomes are worse for Black patients. 

Read more about the research.

Read the U.S. News & World Report article, originally published on HealthDay.

Read the Real Health article.

Featured photo at top of brain scans. Photo courtesy of Joseph Broderick.