Why This Matters
Cardiovascular diseases, such as heart attack and stroke, are the leading causes of death globally, and represent a third of all deaths in Winnipeg in any given year. These diseases are also a leading cause of hospitalization and adult disability. Heart attacks and strokes are associated with social and economic disadvantage. Opportunities for employment, income, education, and housing have enormous potential to reduce the unequal burden of heart disease and stroke.
Measurement and Limitations
The stroke indicator measures the number of hospitalizations or deaths due to stroke per 1,000 residents aged 40 and older. A stroke was defined by either: “At least one hospitalization with an ICD-9-CM code of 431, 434, 436 or an ICD-10—CA code of 161, 163, 164, or a cause of death in Vital Statistics files of stroke” (Fransoo, Martens, The Need To Know Team, Prior, Burchill, Bailly & Allegro, 2013). Rates are sex- and age- adjusted.
In MCHP data, stroke rate is expressed by an annual rate as one person could experience more than one event in a given period. Stroke prevalence is based partly on data from physician fee-for-service claims and “shadow” billing claims for salaried physicians.
It should be noted that patients who were attended by nurses, misdiagnosed, or did not seek treatment are not recorded in official statistics in the database.
Fransoo R, Martens P, The Need To Know Team, Prior H, Burchill C, Koseva I, Bailly A, Allegro E. The 2013 RHA Indicators Atlas. Winnipeg, MB. Manitoba Centre for Health Policy, October 2013.http://mchp-appserv.cpe.umanitoba.ca/reference/RHA_2013_web_version.pdf
Fransoo, R., Martens, P., The Need to Know Team, Prior, H., Burchill, C., Bailly, A. & Allegro, E. (2013). The 2013 RHA Indicators Atlas. Manitoba Centre for Health Policy, Winnipeg, MB.
Public Health Agency of Canada (PHAC). 2009. 2009 Tracking Heart Disease and Stroke in Canada. Retrieved from: http://www.phac-aspc.gc.ca/publicat/2009/cvd-avc/summary-resume-eng.php
Stroke Rate Sustainable Development Goals
3. Ensure healthy lives and promote well-being for all at all ages
Ensuring healthy lives and promoting the well-being for all at all ages is essential to sustainable development. Significant strides have been made in increasing life expectancy and reducing some of the common killers associated with child and maternal mortality. Major progress has been made on increasing access to clean water and sanitation, reducing malaria, tuberculosis, polio and the spread of HIV/AIDS. However, many more efforts are needed to fully eradicate a wide range of diseases and address many different persistent and emerging health issues.