Hospitalizations for Stroke as First-Listed Diagnosis in Adults with Diabetes, United States

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Sex Age-adjusted Rate
(per 1,000)
Overall 7.3
Males 7.6
Females 7.0
Sex Age Group
(in years)
Stroke as First-Listed Diagnosis
Total Events Crude Rate
(per 1,000)
95% Confidence Interval
Lower Limit Upper Limit
Overall 18-44 73,891 2.7 2.7 2.8
45-64 242,342 9.1 9.1 9.4
65-74 182,628 14.2 14.2 14.8
75+ 209,990 23.4 23.4 24.5
Total 935,363 12.3 12.3 12.6
Males 18-44 35,849 2.5 2.5 2.7
45-64 132,815 9.9 9.9 10.3
65-74 95,929 15.3 15.3 16.1
75+ 93,886 23.3 23.3 24.7
Total 480,764 12.7 12.7 13.1
Females 18-44 38,156 2.8 2.8 3.1
45-64 108,439 8.2 8.2 8.6
65-74 86,034 13.1 13.1 13.8
75+ 116,176 23.5 23.5 25.1
Total 453,381 11.8 11.8 12.2

Data Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases.

Note: Although the national estimates are reported at the annual level, the years of data vary across states (2019-2021).

The number of diabetes-attributable stroke events is not reported due to data unreliability.

Race-Ethnicity Stroke as First-Listed Diagnosis
Total Events Crude Rate
(per 1,000)
95% Confidence Interval
Lower Limit Upper Limit
Non-Hispanic White 171,345 9.90 9.72 10.08
Non-Hispanic Black 56,885 15.25 14.71 15.84
Hispanic 24,780 8.02 7.62 8.46
Non-Hispanic Other Races 17,422 9.86 9.29 10.50

The non-Hispanic Other Races group includes races other than White and Black and people of more than one race.

Data Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases.

Data from Alabama, California, Connecticut, Idaho, Louisiana, New Hampshire, and Ohio are not included in the national estimates because State Inpatient Databases for these states were not available.

Note: Although the national estimates are reported at the annual level, the years of data vary across states (2019-2021).

The number of diabetes-attributable stroke events is not reported due to data unreliability.

Rural and Urban Areas Stroke as First-Listed Diagnosis
Total Events Crude Rate
(per 1,000)
95% Confidence Interval
Lower Limit Upper Limit
Rural 22,790 10.13 9.76 10.54
Urban 261,353 11.02 10.84 11.21

Data Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases.

Data from Alabama, California, Connecticut, Idaho, Louisiana, New Hampshire, and Ohio are not included in the national estimates because State Inpatient Databases for these states were not available.

Note: Although the national estimates are reported at the annual level, the years of data vary across states (2019-2021).

The number of diabetes-attributable stroke events is not reported due to data unreliability.

Counties were categorized as rural or urban following the 2013 National Center for Health Statistics Urban-Rural Classification Scheme. Urban counties include large central metropolitan, large fringe metropolitan, medium metropolitan, small metropolitan, and micropolitan counties. Rural counties include noncore counties (i.e., nonmetropolitan counties that do not qualify as micropolitan).

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