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Stroke statistics: Prevalence and risk factors

EXPLORE THE LATEST STROKE STATISTICS, INCLUDING PREVALENCE, COSTS, RISK FACTORS, AND WHY PREVENTION PLAYS A CRITICAL ROLE IN REDUCING STROKE RISK

Key takeaways

 
 
  • Stroke is one of the leading causes of death worldwide and in the U.S. While stroke can be life-threatening and disabling, many strokes may be preventable through managing risk factors and adopting healthier lifestyle habits.

  • Stroke can create a significant financial burden. In the U.S., the costs associated with stroke—including medical care, rehabilitation, medications, and long-term support—can reach nearly $60,000 per patient per year.

  • Some stroke risk factors cannot be changed, including age, sex, family history, genetics, and certain inherited conditions. However, many risk factors are influenced by daily habits and health management, such as:

    • High blood pressure
    • Smoking
    • Physical inactivity
    • Poor diet
    • High cholesterol
    • Diabetes
    • Excess alcohol consumption

Understanding these risk factors and taking preventive steps can play an important role in reducing stroke risk and protecting long-term health.

A stroke occurs frequently in the U.S., with someone experiencing a stroke approximately every 40 seconds. While stroke risk increases with age, it can happen to people of all ages, including children and, in rare cases, before birth.

Stroke can be life-threatening, and about 1 in 5 strokes is fatal. However, many strokes may be preventable by managing key risk factors and health conditions.

Steps that can help reduce stroke risk include:

  • Keeping blood pressure within a healthy range
  • Managing cholesterol levels
  • Controlling diabetes
  • Avoiding tobacco use
  • Staying physically active
  • Following a balanced eating pattern
  • Working with a healthcare provider to manage personal risk factors

Understanding stroke risks and prevention strategies can help people take proactive steps toward protecting their long-term health.

How common are strokes in the U.S.?

 

 
  • Stroke is a serious and common health emergency in the U.S. Someone experiences a stroke approximately every 40 seconds, highlighting the importance of recognizing risk factors and prevention strategies.

  • Americans experience more than 795,000 strokes each year, and about 77% are first-time strokes, meaning many people who have a stroke have no previous history of the condition.

  • About 87% of strokes are ischemic strokes, which happen when a blood clot blocks blood flow to the brain. Without enough oxygen and nutrients, brain cells can become damaged or die.

  • The remaining 13% are hemorrhagic strokes, which occur when a blood vessel in the brain breaks and causes bleeding that can damage surrounding brain tissue.

Understanding the different types of strokes and their risk factors can help people take steps toward prevention, including managing conditions such as high blood pressure, high cholesterol, and diabetes.

KEY U.S. STROKE STATISTICS AT A GLANCE

U.S. StatisticFigure
Annual strokes795,000
How often a stroke occursEvery 40 seconds
How often someone dies from strokeEvery 3 minutes and 14 seconds
Stroke’s rank as a cause of deathSecond among non-infectious diseases
Percentage of cardiovascular deaths from stroke17.5%
Annual economic costAt least $103.5 billion

These statistics highlight the significant impact of stroke on individuals, families, and the healthcare system. While some risk factors cannot be changed, many strokes may be prevented through early detection, lifestyle changes, and proper management of health conditions such as high blood pressure, high cholesterol, and diabetes.

Stroke mortality rates in the U.S.

Stroke remains a major cause of death in the U.S. and worldwide. According to the Centers for Disease Control and Prevention (CDC), someone in the U.S. dies from a stroke approximately every 3 minutes and 14 seconds.

Key stroke mortality statistics include:

  • About 7 million people worldwide die from stroke each year. (International Journal of Stroke, 2025)
  • Stroke is the second-leading cause of death globally when infectious diseases are excluded. (International Journal of Stroke, 2025)
  • Global stroke mortality has increased by about 44% over the past three decades. (International Journal of Stroke, 2025)
  • In 2024, the U.S. stroke death rate was approximately 37.7 deaths per 100,000 people. (National Center for Health Statistics, 2026)
  • Stroke mortality rates vary by state:
    • New York: 23.7 deaths per 100,000 people (lowest reported rate in the U.S. in 2024)
    • Delaware: 62.6 deaths per 100,000 people (highest reported rate in the U.S. in 2024)
  • Stroke accounts for approximately 17.5% of cardiovascular-related deaths in the U.S.
  • A stroke may reduce life expectancy by approximately 5.5 years. (Stroke, 2022)
  • Hemorrhagic strokes tend to have higher fatality rates than ischemic strokes, although ischemic strokes are more common.

These statistics highlight why stroke prevention is important. Managing major risk factors—such as high blood pressure, high cholesterol, diabetes, smoking, and physical inactivity—can help reduce the likelihood of stroke and its complications.

Who is most at risk for stroke? Racial and demographic disparities

Stroke risk in the U.S. varies across populations, with differences influenced by factors such as health conditions, genetics, socioeconomic factors, access to healthcare, and geographic location.

Key statistics include:

  • Non-Hispanic Black people experience a higher risk of stroke compared with other racial and ethnic groups in the U.S. Some studies report that Black adults have at least twice the stroke risk of white adults. (Brain and Behavior, 2025)

  • Hispanic populations also experience differences in stroke risk compared with non-Hispanic populations. (Brain and Behavior, 2025)

  • Stroke risk tends to decrease as household income increases, highlighting the role of socioeconomic factors in health outcomes. (Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2021)

  • Black and Hispanic adults are more likely to experience strokes at younger ages compared with some other groups. (Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2021)

  • Non-Hispanic Asian/Pacific Islander populations have reported higher risks of in-hospital death after stroke, while non-Hispanic Black patients have reported longer average hospital stays during stroke care. (Neuroepidemiology, 2024)

  • Hispanic patients have reported higher average hospital charges per stroke-related hospital stay. (Neuroepidemiology, 2024)

  • Sickle cell disease, which is more common among Black Americans, is associated with an increased risk of stroke. (Brain and Behavior, 2025)

  • Geography also plays a role: Stroke rates are generally higher in the Southern U.S. and lower in the Northeastern U.S. (National Center for Health Statistics, 2024)

These differences reflect a combination of factors, including medical risk factors such as high blood pressure and diabetes, genetic conditions, environmental influences, healthcare access, and broader social determinants of health. Understanding these patterns can help guide prevention efforts and improve stroke awareness across communities.

What are the most common risk factors for stroke?

According to the National Heart, Lung, and Blood Institute (NHLBI), up to 90% of strokes may be preventable by addressing certain risk factors. Many of these risks can be reduced through lifestyle changes, medical treatment, and regular health monitoring.

Top Preventable Stroke Risk Factors

  • High systolic blood pressure:
    High blood pressure is considered one of the most important risk factors for stroke. Nearly 60% of people who die from ischemic stroke have high systolic blood pressure. (Journal of the American Heart Association, 2025)

  • High LDL cholesterol:
    Elevated LDL (“bad”) cholesterol contributes to blood vessel disease and is linked to more than one in four ischemic stroke deaths. (JAHA, 2025)

  • High fasting blood sugar:
    Elevated blood sugar levels are associated with increased stroke risk, with more than 18% of ischemic stroke deaths linked to high fasting blood sugar. (JAHA, 2025)

  • Outdoor air pollution:
    Exposure to polluted air is associated with an increased risk of ischemic stroke death and contributes to approximately 17% of such deaths. (JAHA, 2025)

Other Stroke Risk Factors

Additional factors associated with ischemic stroke risk include:

  • Kidney dysfunction
  • Smoking
  • High salt intake
  • Indoor air pollution from burning solid fuels
  • Lead exposure
  • High alcohol consumption
  • High body mass index (BMI)
  • Low physical activity
  • Secondhand smoke exposure
  • Low intake of whole grains, fruits, and vegetables

Risk Factors Can Differ by Age and Sex

Some stroke risks appear more strongly associated with certain groups. For example, high blood pressure, high cholesterol, smoking, and heavy alcohol use have been linked more strongly with ischemic stroke deaths among men. (JAHA, 2025)

Among adults younger than 55 years old, studies have identified factors such as:

  • Low physical activity
  • High blood pressure
  • Heavy alcohol use
  • Smoking

as major contributors to stroke risk. (Stroke, 2017)

Non-Modifiable Stroke Risk Factors

Some stroke risk factors cannot be changed. These include:

  • Age
  • Sex
  • Genetics and family history
  • Previous stroke history

While these factors cannot be controlled, managing preventable risks—such as blood pressure, cholesterol, blood sugar, smoking, diet, and physical activity—can still play an important role in lowering overall stroke risk.

Stroke statistics by age

Although stroke risk increases with age, a stroke can occur at any stage of life, including before birth, during infancy, childhood, and adulthood.

Key statistics on stroke across different ages include:

  • Strokes can occur before birth. Fetal or perinatal strokes may happen as early as around the 20th week of pregnancy.

  • Perinatal stroke affects approximately 1 in every 4,000 newborns. (Stroke, 2019)

  • Childhood stroke—defined as a stroke occurring between 1 month and 18 years of age—affects an estimated 3 to 25 children per 100,000. (Stroke, 2019)

  • Stroke is not only an older adult condition. More than half of all strokes occur in people younger than age 70. (International Journal of Stroke, 2025)

While aging is an important risk factor, stroke prevention and awareness are important for people of all ages. Managing health conditions, recognizing warning signs early, and seeking emergency care quickly can make a significant difference in outcomes.

Stroke statistics by gender

  • Strokes occur more often in men, but women face a higher lifetime risk of stroke because they live longer, and the risk of stroke increases with age. (NHLBI)
  • Men ages 45 to 64 are more likely to die from stroke compared to women of the same age. (NCHS, 2024)
  • About 53% of strokes occur in men. (International Journal of Stroke, 2025)
  • Women have more strokes than men in the 75-and-up age group. (Journal of Stroke, 2023)
  • Being pregnant significantly increases a woman’s risk of stroke. (Circulation, 2021)
  • Nearly 8% of pregnancy-related deaths are caused by stroke in the U.S. (Circulation, 2021)
  • Men and women can show different stroke symptoms. Women commonly experience nausea, vomiting, shortness of breath, agitation, confusion, fainting, and sudden weakness. (AMA, 2026)
  • About 6% of all female deaths and 4% of all male deaths are attributed to stroke. (Journal of Stroke, 2023)
  • Compared to men, women tend to be in worse health overall when they have their first stroke. (Journal of Stroke, 2023)

Stroke recurrence statistics

Most people who experience a stroke have never had one before. However, when someone has another stroke after a previous one, it is known as a recurrent stroke.

Key statistics on recurrent stroke include:

  • Nearly 25% of all strokes occur in people who have already experienced a stroke. (CDC, 2024)

  • Hemorrhagic strokes (caused by bleeding in the brain) are more likely to recur compared with ischemic strokes (caused by a blocked blood vessel). (Stroke, 2022)

  • The risk of having another stroke increases over time:

    • Nearly 10% of people experience a recurrent stroke within 3 months after their first stroke.
    • About 11% experience another stroke within 1 year.
    • Around 20% experience recurrence within 5 years.
    • Approximately 27% experience recurrence within 10 years.
      (Stroke, 2022)
  • Medication can help lower the risk of recurrent stroke, but taking medications consistently remains a challenge. Some people miss doses or forget to take prescribed medications, which can affect prevention efforts. (Frontiers in Neurology, 2021)

  • A second stroke may be more likely to cause disability compared with a first stroke, making prevention and ongoing medical care especially important. (The Egyptian Journal of Neurology, Psychiatry, and Neurosurgery, 2021)

After a stroke, working with healthcare providers to manage risk factors—such as blood pressure, cholesterol, diabetes, and medication routines—can help reduce the chance of another stroke.

Economic cost of stroke

Stroke is not only a major health challenge—it also creates a significant financial burden for patients, families, and healthcare systems. Costs can include emergency care, hospitalization, rehabilitation, long-term support, lost income, and unpaid caregiving.

Stroke Care Costs: Key Statistics

  • The global economic cost of stroke is estimated at about $890 billion per year and continues to rise. (International Journal of Stroke, 2025)

  • In the United States, stroke costs exceed $103 billion annually, including healthcare expenses and productivity losses. (Journal of Medicine and Life, 2021)

  • A stroke hospitalization can be lengthy, with the average stroke patient spending approximately 11 to 27 days in the hospital. (International Journal of Environmental Research and Public Health, 2021)

  • Up to 66% of stroke-related costs in the U.S. are linked to lost productivity and premature death, showing the broader economic impact beyond medical bills. (Journal of Medicine and Life, 2021)

  • Investing in stroke prevention can have a major financial benefit: every dollar invested in stroke prevention may return about $10 in savings. (International Journal of Stroke, 2025)

Stroke Costs by Country and Patient

  • The U.S. has among the highest stroke care costs, averaging about $59,900 per patient per year. (Journal of Medicine and Life, 2021)

  • Some estimates place the total cost of stroke care per person in the U.S. above $120,000, with projections exceeding $287,000 per person by 2030. (Neuroepidemiology, 2024)

  • Stroke care in Australia averages about $17,520 per patient per year, significantly lower than U.S. costs. (Journal of Medicine and Life, 2021)

  • Hemorrhagic strokes tend to be more expensive to treat than other stroke types because they often require more intensive medical care. (Journal of Medicine and Life, 2021)

  • Treating stroke in younger patients generally costs less than treating stroke in older adults. (Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2021)

Healthcare System Impact

  • Medicaid beneficiaries often have longer hospital stays and higher hospital bills compared with stroke patients covered by other insurance types. (Neuroepidemiology, 2024)

  • Hospital charges for stroke care are often four to five times higher than the actual cost of providing care, reflecting differences between billed charges and healthcare expenses. (Neuroepidemiology, 2024)

These costs highlight why stroke prevention, early detection, and effective management of risk factors are critical—not only for improving health outcomes but also for reducing the long-term financial impact of stroke.

How to reduce stroke risk

“The good news is that many strokes are preventable,” says Sirisha Vadali, MD, a board-certified cardiologist. Preventing stroke often starts with managing the health factors that have the biggest impact on blood vessel health.

Key steps for reducing stroke risk include:

  • Controlling blood pressure
  • Managing cholesterol levels
  • Keeping blood sugar within a healthy range
  • Staying physically active
  • Avoiding tobacco use
  • Prioritizing quality sleep

A healthy diet also plays an important role in stroke prevention by helping support healthy blood pressure, cholesterol, and blood sugar levels. According to Dr. Vadali, small, consistent lifestyle changes over time can significantly reduce stroke risk.

For some people, preventing another stroke may also involve taking prescribed medications. If medication costs become a barrier, prescription savings programs such as a SingleCare prescription discount card may help reduce out-of-pocket expenses.

Recognizing Stroke Signs: Remember B.E.F.A.S.T.

A stroke is a medical emergency. If you notice possible stroke symptoms, call 911 immediately. Fast treatment can improve outcomes.

Use the B.E.F.A.S.T. warning signs:

  • B — Balance: Sudden loss of balance or coordination
  • E — Eyes: Sudden vision changes
  • F — Face: Facial drooping or uneven smile
  • A — Arm: Weakness or numbness in one arm
  • S — Speech: Trouble speaking or understanding speech
  • T — Time: Call 911 immediately

Recognizing symptoms early and acting quickly can make a critical difference during a stroke emergency.

Expert takeaway

“If you are concerned that you or someone near you is having a stroke, call 911 immediately,” says Leslie Greenberg, MD, associate professor of Community and Family Medicine at the University of Nevada, Reno School of Medicine, and member of the SingleCare Medical Review Board.

Calling emergency services activates the emergency medical system, allowing care to begin as soon as trained responders arrive. Emergency medical personnel can assess the situation, provide initial treatment, and notify the emergency department and stroke care team before arrival.

This early notification helps healthcare providers prepare for rapid evaluation and treatment, which is especially important because stroke is a time-sensitive medical emergency. The sooner treatment begins, the better the chance of reducing complications and improving recovery outcomes.

Frequently asked questions

How Many People Have Strokes Each Year?

More than 795,000 people in the U.S. experience a stroke each year, making stroke one of the most common and serious cardiovascular health conditions.

What Percentage of Strokes Are Fatal?

According to National Center for Health Statistics (NCHS) cause-of-death data, 166,852 people died from stroke in 2024. Based on these figures, approximately 21% of strokes are fatal in the U.S.

 

What Is the Most Common Type of Stroke?

The most common type of stroke is an ischemic stroke. It occurs when a blood clot or buildup of atherosclerotic plaque blocks blood flow to the brain, preventing brain tissue from receiving enough oxygen and nutrients.

Ischemic strokes account for the majority of stroke cases, while hemorrhagic strokes occur when a blood vessel in the brain ruptures and causes bleeding.

Source: SingleCare