Importance Stroke is the fifth-highest cause of death in the US and a leading cause of
serious long-term disability with particularly high risk in Black individuals. Quality risk
prediction algorithms, free of bias, are key for comprehensive prevention strategies.
Objective To compare the performance of stroke-specific algorithms with pooled cohort
equations developed for atherosclerotic cardiovascular disease for the prediction of new-
onset stroke across different subgroups (race, sex, and age) and to determine the added …