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Incidence of spontaneous intracerebral hemorrhage among Hispanics and non-Hispanic whites in New Mexico

From The Department of Neurology (Dr. Bruno), Indiana University School of Medicine; Department of Neurology (S. Carter) and Office of the Medical Investigator (Dr. Nolte), University of New Mexico School of Medicine; and Department of Mathematics and Statistics (Dr. Qualls), University of New Mexico, Albuquerque.
Supported by the General Clinical Research Center at the University of New Mexico School of Medicine, grant M01RR00997.
Received December 14, 1995. Accepted in final form January 24, 1996.
Address correspondence and reprint requests to Dr. Askiel Bruno, Neurology Department, Indiana University School of Medicine, 541 Clinical Drive, R. 365, Indianapolis, IN 46202-5111.

Objective: To compare the incidence of spontaneous intracerebral hemorrhage (ICH) among Hispanics and non-Hispanic whites living in Bernalillo County, NM. Background: There are differences in cerebrovascular disease incidence between racial and ethnic groups. Knowing these differences is likely to optimize stroke prevention and evaluation. Methods: Medical records review of all possible cases of ICH occurring between January 1, 1993 and December 31, 1993 among residents of Bernalillo County, NM, in all local hospitals. Hospital records were identified by ICD-9-CM codes. Also, State Medical Examiner records review for additional ICH cases occurring during the same time interval. The 1990 U.S. census provided the population base. Results: There were 47 spontaneous ICHs among 267,965 non-Hispanic whites and 39 spontaneous ICHs among 178,310 Hispanics. Incidence of ICH rises exponentially with age in both groups. The age- and sex-adjusted total annual incidence of ICH per 100,000 people is 16.6 among non-Hispanic whites and 34.9 among Hispanics (relative risk for Hispanics 2.10, 95% confidence interval 1.35 to 3.26, p = 0.001). The age-adjusted incidence rates among men and women are not significantly different in either ethnic group. Conclusion: The incidence of spontaneous ICH among Hispanic residents of Bernalillo County, NM, is approximately twice that among non-Hispanic whites. The reasons for this difference require further investigation.

NEUROLOGY 1996;47: 405-408

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