Skip to main content

Estimating Population Burden of Stroke with an Agent-Based Model

  • Conference paper
  • First Online:
Advances in Social Simulation (ESSA 2023)

Abstract

Stroke is one of the leading causes of death and disability worldwide but it is believed to be highly preventable. The majority of stroke prevention focuses on targeting high-risk individuals but its is important to understand how the targeting of high-risk individuals might impact the overall societal burden of stroke. We propose using an agent-based model that follows agents through their pre-stroke and stroke journey to assess the impacts of different interventions at the population level. We present a case study looking at the impacts of agents being informed of their stroke risk at certain ages and those agents taking measure to reduce their risk. The results of our study show that if agents are aware of their risk and act accordingly we see a significant reduction in strokes and population DALYs. The case study highlights the importance of individuals understanding their own stroke risk for stroke prevention and the usefulness of agent-based models in assessing the impact of stroke interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    The modified Rankin Scale is a clinical scale for assessing neurological disability. It ranges from 0 (no symptoms) to 6 (dead).

References

  1. Feigin, V.L., Brainin, M., Norrving, B., Martins, S., Sacco, R.L., Hacke, W., Fisher, M., Pandian, J., Lindsay, P.: World stroke organization (wso): global stroke fact sheet 2022. Int. J. Stroke 17(1), 18–29 (2022)

    Article  Google Scholar 

  2. Owolabi, M.O., Thrift, A.G., Mahal, A., Ishida, M., Martins, S., Johnson, W.D., Pandian, J., Abd-Allah, F., Yaria, J., Phan, H.T., et al.: Primary stroke prevention worldwide: translating evidence into action. Lancet Public Health 7(1), e74–e85 (2022)

    Article  Google Scholar 

  3. Piepoli, M.F.E.A.: 2016 European guidelines on cardiovascular disease prevention in clinical practice The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts)Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur. J. 37(29), 2315–2381 (2016)

    Google Scholar 

  4. Gilbert, N.: Agent-Based Models. Sage Publications (2019)

    Google Scholar 

  5. Tracy, M., Cerdá, M., Keyes, K.M.: Agent-based modeling in public health: current applications and future directions. Ann Rev. Publ. Health 39, 77–94 (2018)

    Article  Google Scholar 

  6. Nianogo, R.A., Arah, O.A.: Agent-based modeling of noncommunicable diseases: a systematic review. Am. J. Publ. Health 105(3), e20–e31 (2015)

    Article  Google Scholar 

  7. Al Fatah, J., Alshaban, A., Holmgren, J., Petersson, J.: An agent-based simulation model for assessment of prehospital triage policies concerning destination of stroke patients. Proced. Comput. Sci. 141, 405–412 (2018)

    Article  Google Scholar 

  8. Alassadi, A., Lorig, F., Holmgren, J.: An agent-based model for simulating travel patterns of stroke patients. In: DIGITAL 2021–Advances on Societal Digital Transformation, 14-18 November 2021, Athens, Greece. pp. 11–16. ThinkMind (2021)

    Google Scholar 

  9. Alassadi, A., Lorig, F., Holmgren, J.: Population generation for agent-based simulations of stroke logistics policies: a case study of stroke patient mobility. Int. J Adv. Life Sci. 14(1 &2), 12–21 (2022)

    Google Scholar 

  10. Hunter, E., McGarry, B.L., Kelleher, J.D.: Simulating delay in seeking treatment for stroke due to covid-19 concerns with a hybrid agent-based and equation-based model. In: Advances in Social Simulation: Proceedings of the 16th Social Simulation Conference, 20–24 September 2021. pp. 379–391. Springer (2022)

    Google Scholar 

  11. Garney, W.R., Panjwani, S., Garcia, K., Szucs, L.E., Primm, K., McLeroy, K., Li, Y.: Evaluating community-driven cardiovascular health policy changes in the united states using agent-based modeling. J. Public Health Pol. 43(1), 40–53 (2022)

    Article  Google Scholar 

  12. Li, Y., Kong, N., Lawley, M., Pagán, J.A.: Assessing lifestyle interventions to improve cardiovascular health using an agent-based model. In: Proceedings of the Winter Simulation Conference 2014, pp. 1221–1232. IEEE (2014)

    Google Scholar 

  13. TILDA: The Irish Longitudinal study on Ageing (TILDA) Harmonized TILDA,. Tech. rep., Irish Social Science Data Archive (2016). www.ucd.ie/issda/data/tilda/harmonized

  14. BioLINCC: Framingham Heart Study-Cohort (FHS-Cohort) (2015). https://biolincc.nhlbi.nih.gov/studies/framcohort/

  15. Hunter, E., Kelleher, J.D.: Age specific models to capture the change in risk factor contribution by age to short term primary ischemic stroke risk. Front. Neurol. 13 (2022). https://www.frontiersin.org/articles/10.3389/fneur.2022.803749

  16. Herrgårdh, T., Hunter, E., Tunedal, K., Örman, H., Amann, J., Navarro, F.A., Martinez-Costa, C., Kelleher, J.D., Cedersund, G.: Digital twins and hybrid modelling for simulation of physiological variables and stroke risk. bioRxiv pp. 2022–03 (2022)

    Google Scholar 

  17. Hunter, E., Kelleher, J.D.: Determining the proportionality of ischemic stroke risk factors to age. J. Cardiovasc. Dev. Disease 10(2), 42 (2023)

    Article  Google Scholar 

  18. McGurgan, I.J., et al.: Acute intracerebral haemorrhage: diagnosis and management. Practical Neurol. 21(2) (2021). https://doi.org/10.1136/practneurol-2020-002763

  19. Parry-Jones, A.R., et al.: An intracerebral hemorrhage care bundle is associated with lower case fatality. Ann. Neurol. 86(4), 495–503 (2019). https://doi.org/10.1002/ana.25546

    Article  Google Scholar 

  20. National Office of Clinical Audit: Irish national audit of stroke national report 2019. Tech. rep., Dublin: National Office of Clinical Audit. (2020). http://s3-eu-west-1.amazonaws.com/noca-uploads/general/Irish_National_Audit_of_Stroke_Report_2019_Final_16_Dec_2020.pdf

  21. Naganuma, M., Toyoda, K., Nonogi, H., Yokota, C., Koga, M., Yokoyama, H., Okayama, A., Naritomi, H., Minematsu, K.: Early hospital arrival improves outcome at discharge in ischemic but not hemorrhagic stroke: a prospective multicenter study. Cerebrovasc. Dis. 28(1), 33–38 (2009). https://doi.org/10.1159/000215941, https://www.karger.com/Article/FullText/215941

  22. Stouthard, M.E.A., Essink-Bot, M.L., Bonsel, G.J.: Disability weights for diseases 10(1), 7 (2000)

    Google Scholar 

  23. Murray, C.J.L., Acharya, A.K.: Understanding DALYs. J. Health Econom. 16(6), 703–730 (Dec1997) https://doi.org/10.1016/S0167-6296(97)00004-0. https://www.sciencedirect.com/science/article/pii/S0167629697000040

  24. Devleesschauwer, B., Havelaar, A.H., Maertens de Noordhout, C., Haagsma, J.A., Praet, N., Dorny, P., Duchateau, L., Torgerson, P.R., Van Oyen, H., Speybroeck, N.: Calculating disability-adjusted life years to quantify burden of disease. Int. J. Public Health 59(3), 565–569 (2014). https://doi.org/10.1007/s00038-014-0552-z

  25. Central Statistics Office: Irish life tables (Nov 2017). https://www.cso.ie/en/releasesandpublications/er/ilt/irishlifetablesno162010-2012/

  26. Hunter, E., Kelleher, J.D.: A framework for validating and testing agent-based models: a case study from infectious diseases modelling. (October 2020). https://doi.org/10.21427/2xjb-cq79

Download references

Acknowledgements

This manuscript was prepared using FRAMCOHORT, GEN3, and FRAMOFFSPRING research materials obtained from the NHLBI Biologic Specimen and Data Repository Information Coordinating Center and does not necessarily reflect the opinions or views of the FRAMCOHORT, GEN3, FRAMOFFSPRING, or the NHLBI.

The Irish Longitudinal study on Ageing (TILDA)” and also ISSDA, in the following way: “Accessed via the Irish Social Science Data Archive—www.ucd.ie/issda.

Funding

This work was partly supported by the PRECISE4Q project funded by the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 777107, the STRATIF-AI project funded by EU’s Horizon Europe research and innovation programme under grant agreement No. 101080875 and by the ADAPT Centre for Digital Content Technology funded under the SFI Research Centres Programme (Grant 13/RC/2106_P2) and was co-funded under the European Regional Development Funds.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elizabeth Hunter .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Hunter, E., Kelleher, J.D. (2024). Estimating Population Burden of Stroke with an Agent-Based Model. In: Elsenbroich, C., Verhagen, H. (eds) Advances in Social Simulation. ESSA 2023. Springer Proceedings in Complexity. Springer, Cham. https://doi.org/10.1007/978-3-031-57785-7_2

Download citation

Publish with us

Policies and ethics