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Stroke Is Becoming More Common Among Younger Adults. What Experts Want Them to Know
Researchers found 2,000 first-time strokes in adults ages 20 to 54, and the rate nearly doubled from 34 to 62 cases per 100,000 person-years.
On Wednesday, a study from the University of Cincinnati published in Neurology revealed stroke rates among adults aged 20 to 54 nearly doubled between 1993 and 2020, identifying about 2,000 first-time strokes during the period.
Ischemic strokes—where blood flow to the brain is blocked—primarily drove the increase, rising from 23.8 to 47.3 cases per 100,000 person-years; study co-author David Robinson, a neurologist at the University of Cincinnati, noted traditional risk factors like hypertension and diabetes also increased.
Substance use among younger stroke patients jumped from 4.6% in 1993-1994 to 40.2% in 2020, with much of the increase linked to marijuana; Robinson cautioned the link remains unclear as a sole cause.
Although the 30-day death rate declined from 11.7% to 9.4% over the period, survivors often face long-term disability; researchers warned that "more younger adults may be living with the long-term effects of stroke."
Robinson pointed to the American Heart Association's "Essential 8" checklist to reduce risks, noting "it's important to start thinking about cardiovascular health when you're younger" because early intervention offers the best chance to prevent bad outcomes.