Greater stroke rate during hospitalization for acute heart disease among Mexican Americans than non-Hispanic whites.
Greater stroke rate during hospitalization for acute heart disease among Mexican Americans than non-Hispanic whites.
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墨西哥裔美国人因急性心脏病住院期间中风的发生率高于非西班牙裔白人。
DOI：
10.1159/000026218
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发表时间：
1999
影响因子：
5.7
通讯作者：
Nichaman,MZ
中科院分区：
文献类型：
--
作者：
Morgenstern,LB;Pandey,DK;Smith,MA;Ramsey,D;Labarthe,DR;Nichaman,MZ
背景和目的：本研究比较了墨西哥裔美国人（MAs）和非西班牙裔白人在急性心肌梗死（AMI）、经皮腔内冠状动脉成形术（PTCA）和冠状动脉旁路移植术（CABG）期间发生卒中的风险。通过检索心脏监测数据中的ICD-9卒中代码（430-437）。结果：在5,697例AMI、CABG和PTCA住院患者中，220例发现了卒中代码。在45- 59岁年龄组中，MA相对于非西班牙裔白人的RR为2.66（95% CI 1.36-5.23）。在60- 74岁年龄组中，RR为1.52（95% CI 1.11-2.08）。在25至44岁年龄组中没有显著差异。这些种族关系在非糖尿病患者中发现，但在糖尿病患者中没有发现。与男性相比，45- 59岁年龄组女性的RR为1.88（95%CI 1.09-3.25），但在25- 44岁或59- 74岁年龄组中没有显著的性别差异。卒中ICD-9编码对急性卒中的阳性预测值较差，范围为10 - 76%。中风的错误分类是无差别的种族或sex.Conclusions：MAs有较高的中风率并发急性心脏病在科珀斯克里斯蒂。需要一个严格的中风监测项目来研究美国最大的西班牙裔人口MA的中风负担。
Background and Purpose:This study compared the risk for stroke during acute myocardial infarction (AMI), percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) between Mexican Americans (MAs) and non-Hispanic whites.Methods:We examined the age-specific rate ratios (RR) of acute stroke during hospitalization for AMI, CABG and PTCA in a population-based study in Corpus Christi, Tex. by searching the cardiac surveillance data for ICD-9 codes for stroke (430–437). ICD-9 stroke codes were validated by comparing medical chart abstraction with ICD-9 discharge diagnoses.Results:Stroke codes were found in 220 of the 5,697 admissions for AMI, CABG and PTCA. In the 45- to 59-year age-group MAs had a RR of 2.66 (95% CI 1.36–5.23) relative to non-Hispanic whites. In the 60- to 74-year age-group the RR was 1.52 (95% CI 1.11–2.08). There were no significant differences in the 25- to 44-year age-group. These ethnic relationships were found in nondiabetics but not in diabetics. Women in the 45- to 59-year age-group had a RR of 1.88 (95% CI 1.09–3.25) compared with men, but there were no significant sex differences in the 25- to 44- or 59- to 74-year age-groups. Stroke ICD-9 codes have a poor positive predictive value for acute stroke ranging from 10 to 76%. The stroke misclassifications were nondifferential with respect to ethnicity or sex.Conclusions:MAs have a higher stroke rate complicating acute heart disease in Corpus Christi. A rigorous stroke surveillance project is needed to study the burden of stroke in MAs, the United States’ largest Hispanic population.