Forecasting the future of stroke in the united states: A policy statement from the American heart association and American stroke association

Bruce Ovbiagele, Larry B. Goldstein, Randall T. Higashida, Virginia J. Howard, S. Claiborne Johnston, Olga A. Khavjou, Daniel T. Lackland, Judith H. Lichtman, Stephanie Mohl, Ralph L Sacco, Jeffrey L. Saver, Justin G. Trogdon

Research output: Contribution to journalArticle

260 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE-: Stroke is a leading cause of disability, cognitive impairment, and death in the United States and accounts for 1.7% of national health expenditures. Because the population is aging and the risk of stroke more than doubles for each successive decade after the age of 55 years, these costs are anticipated to rise dramatically. The objective of this report was to project future annual costs of care for stroke from 2012 to 2030 and discuss potential cost reduction strategies. METHODS AND RESULTS-: The American Heart Association/American Stroke Association developed methodology to project the future costs of stroke-related care. Estimates excluded costs associated with other cardiovascular diseases (hypertension, coronary heart disease, and congestive heart failure). By 2030, 3.88% of the US population >18 years of age is projected to have had a stroke. Between 2012 and 2030, real (2010$) total direct annual stroke-related medical costs are expected to increase from $71.55 billion to $183.13 billion. Real indirect annual costs (attributable to lost productivity) are projected to rise from $33.65 billion to $56.54 billion over the same period. Overall, total annual costs of stroke are projected to increase to $240.67 billion by 2030, an increase of 129%. CONCLUSIONS-: These projections suggest that the annual costs of stroke will increase substantially over the next 2 decades. Greater emphasis on implementing effective preventive, acute care, and rehabilitative services will have both medical and societal benefits.

Original languageEnglish
Pages (from-to)2361-2375
Number of pages15
JournalStroke
Volume44
Issue number8
DOIs
StatePublished - Aug 1 2013
Externally publishedYes

Fingerprint

American Heart Association
Stroke
Costs and Cost Analysis
Preventive Medicine
Health Expenditures
Population
Coronary Disease
Cardiovascular Diseases
Heart Failure
Hypertension

Keywords

  • AHA Scientific Statements
  • burden of illness
  • cost of illness
  • early medical intervention
  • epidemiology
  • ethnicity
  • healthcare reform
  • projections and predictions
  • race
  • sex
  • thrombolysis, therapeutic
  • treatment

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Clinical Neurology
  • Advanced and Specialized Nursing

Cite this

Ovbiagele, B., Goldstein, L. B., Higashida, R. T., Howard, V. J., Johnston, S. C., Khavjou, O. A., ... Trogdon, J. G. (2013). Forecasting the future of stroke in the united states: A policy statement from the American heart association and American stroke association. Stroke, 44(8), 2361-2375. https://doi.org/10.1161/STR.0b013e31829734f2

Forecasting the future of stroke in the united states : A policy statement from the American heart association and American stroke association. / Ovbiagele, Bruce; Goldstein, Larry B.; Higashida, Randall T.; Howard, Virginia J.; Johnston, S. Claiborne; Khavjou, Olga A.; Lackland, Daniel T.; Lichtman, Judith H.; Mohl, Stephanie; Sacco, Ralph L; Saver, Jeffrey L.; Trogdon, Justin G.

In: Stroke, Vol. 44, No. 8, 01.08.2013, p. 2361-2375.

Research output: Contribution to journalArticle

Ovbiagele, B, Goldstein, LB, Higashida, RT, Howard, VJ, Johnston, SC, Khavjou, OA, Lackland, DT, Lichtman, JH, Mohl, S, Sacco, RL, Saver, JL & Trogdon, JG 2013, 'Forecasting the future of stroke in the united states: A policy statement from the American heart association and American stroke association', Stroke, vol. 44, no. 8, pp. 2361-2375. https://doi.org/10.1161/STR.0b013e31829734f2
Ovbiagele, Bruce ; Goldstein, Larry B. ; Higashida, Randall T. ; Howard, Virginia J. ; Johnston, S. Claiborne ; Khavjou, Olga A. ; Lackland, Daniel T. ; Lichtman, Judith H. ; Mohl, Stephanie ; Sacco, Ralph L ; Saver, Jeffrey L. ; Trogdon, Justin G. / Forecasting the future of stroke in the united states : A policy statement from the American heart association and American stroke association. In: Stroke. 2013 ; Vol. 44, No. 8. pp. 2361-2375.
@article{2a1dabe35dfc4a558b4185777a46892e,
title = "Forecasting the future of stroke in the united states: A policy statement from the American heart association and American stroke association",
abstract = "BACKGROUND AND PURPOSE-: Stroke is a leading cause of disability, cognitive impairment, and death in the United States and accounts for 1.7{\%} of national health expenditures. Because the population is aging and the risk of stroke more than doubles for each successive decade after the age of 55 years, these costs are anticipated to rise dramatically. The objective of this report was to project future annual costs of care for stroke from 2012 to 2030 and discuss potential cost reduction strategies. METHODS AND RESULTS-: The American Heart Association/American Stroke Association developed methodology to project the future costs of stroke-related care. Estimates excluded costs associated with other cardiovascular diseases (hypertension, coronary heart disease, and congestive heart failure). By 2030, 3.88{\%} of the US population >18 years of age is projected to have had a stroke. Between 2012 and 2030, real (2010$) total direct annual stroke-related medical costs are expected to increase from $71.55 billion to $183.13 billion. Real indirect annual costs (attributable to lost productivity) are projected to rise from $33.65 billion to $56.54 billion over the same period. Overall, total annual costs of stroke are projected to increase to $240.67 billion by 2030, an increase of 129{\%}. CONCLUSIONS-: These projections suggest that the annual costs of stroke will increase substantially over the next 2 decades. Greater emphasis on implementing effective preventive, acute care, and rehabilitative services will have both medical and societal benefits.",
keywords = "AHA Scientific Statements, burden of illness, cost of illness, early medical intervention, epidemiology, ethnicity, healthcare reform, projections and predictions, race, sex, thrombolysis, therapeutic, treatment",
author = "Bruce Ovbiagele and Goldstein, {Larry B.} and Higashida, {Randall T.} and Howard, {Virginia J.} and Johnston, {S. Claiborne} and Khavjou, {Olga A.} and Lackland, {Daniel T.} and Lichtman, {Judith H.} and Stephanie Mohl and Sacco, {Ralph L} and Saver, {Jeffrey L.} and Trogdon, {Justin G.}",
year = "2013",
month = "8",
day = "1",
doi = "10.1161/STR.0b013e31829734f2",
language = "English",
volume = "44",
pages = "2361--2375",
journal = "Stroke",
issn = "0039-2499",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

TY - JOUR

T1 - Forecasting the future of stroke in the united states

T2 - A policy statement from the American heart association and American stroke association

AU - Ovbiagele, Bruce

AU - Goldstein, Larry B.

AU - Higashida, Randall T.

AU - Howard, Virginia J.

AU - Johnston, S. Claiborne

AU - Khavjou, Olga A.

AU - Lackland, Daniel T.

AU - Lichtman, Judith H.

AU - Mohl, Stephanie

AU - Sacco, Ralph L

AU - Saver, Jeffrey L.

AU - Trogdon, Justin G.

PY - 2013/8/1

Y1 - 2013/8/1

N2 - BACKGROUND AND PURPOSE-: Stroke is a leading cause of disability, cognitive impairment, and death in the United States and accounts for 1.7% of national health expenditures. Because the population is aging and the risk of stroke more than doubles for each successive decade after the age of 55 years, these costs are anticipated to rise dramatically. The objective of this report was to project future annual costs of care for stroke from 2012 to 2030 and discuss potential cost reduction strategies. METHODS AND RESULTS-: The American Heart Association/American Stroke Association developed methodology to project the future costs of stroke-related care. Estimates excluded costs associated with other cardiovascular diseases (hypertension, coronary heart disease, and congestive heart failure). By 2030, 3.88% of the US population >18 years of age is projected to have had a stroke. Between 2012 and 2030, real (2010$) total direct annual stroke-related medical costs are expected to increase from $71.55 billion to $183.13 billion. Real indirect annual costs (attributable to lost productivity) are projected to rise from $33.65 billion to $56.54 billion over the same period. Overall, total annual costs of stroke are projected to increase to $240.67 billion by 2030, an increase of 129%. CONCLUSIONS-: These projections suggest that the annual costs of stroke will increase substantially over the next 2 decades. Greater emphasis on implementing effective preventive, acute care, and rehabilitative services will have both medical and societal benefits.

AB - BACKGROUND AND PURPOSE-: Stroke is a leading cause of disability, cognitive impairment, and death in the United States and accounts for 1.7% of national health expenditures. Because the population is aging and the risk of stroke more than doubles for each successive decade after the age of 55 years, these costs are anticipated to rise dramatically. The objective of this report was to project future annual costs of care for stroke from 2012 to 2030 and discuss potential cost reduction strategies. METHODS AND RESULTS-: The American Heart Association/American Stroke Association developed methodology to project the future costs of stroke-related care. Estimates excluded costs associated with other cardiovascular diseases (hypertension, coronary heart disease, and congestive heart failure). By 2030, 3.88% of the US population >18 years of age is projected to have had a stroke. Between 2012 and 2030, real (2010$) total direct annual stroke-related medical costs are expected to increase from $71.55 billion to $183.13 billion. Real indirect annual costs (attributable to lost productivity) are projected to rise from $33.65 billion to $56.54 billion over the same period. Overall, total annual costs of stroke are projected to increase to $240.67 billion by 2030, an increase of 129%. CONCLUSIONS-: These projections suggest that the annual costs of stroke will increase substantially over the next 2 decades. Greater emphasis on implementing effective preventive, acute care, and rehabilitative services will have both medical and societal benefits.

KW - AHA Scientific Statements

KW - burden of illness

KW - cost of illness

KW - early medical intervention

KW - epidemiology

KW - ethnicity

KW - healthcare reform

KW - projections and predictions

KW - race

KW - sex

KW - thrombolysis, therapeutic

KW - treatment

UR - http://www.scopus.com/inward/record.url?scp=84880812047&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880812047&partnerID=8YFLogxK

U2 - 10.1161/STR.0b013e31829734f2

DO - 10.1161/STR.0b013e31829734f2

M3 - Article

C2 - 23697546

AN - SCOPUS:84880812047

VL - 44

SP - 2361

EP - 2375

JO - Stroke

JF - Stroke

SN - 0039-2499

IS - 8

ER -