The risk of hospitalization for ischemic stroke among older adults.
The risk of hospitalization for ischemic stroke among older adults.
复制标题
老年人因缺血性中风住院的风险。
DOI：
10.1097/00005650-199804000-00002
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发表时间：
1998
期刊：
影响因子：
3
通讯作者：
Bentley,DW
中科院分区：
文献类型：
--
作者：
Wolinsky,FD;Wan,GJ;Gurney,JG;Bentley,DW
目的。本研究的目的是确定中风的危险因素，并评估其在具有全国代表性的高龄男性和女性样本中的相对重要性。方法。该研究旨在作为老龄化纵向研究的二次分析。基线（1984 年）面对面访谈数据与 1984 年至 1991 年的 Medicare 住院记录相关联。参与者为基线时 70 岁或以上的 6,071 名非住院成年人。缺血性卒中住院定义为一次或多次发作，初次出院诊断包含 ICD-9-CM 代码 433.0-434.9、436 和 437.0-437.1。使用多变量比例风险回归来估计与先前确定的流行病学因素相关的风险。结果。503 人 (8.3%) 至少有一次初次出院诊断为缺血性中风。根据与调整后风险比 (AHR) 相关的部分 r 统计数据，按重要性降序排列，显着的危险因素包括有中风病史 (AHR= 2.86)、年龄 (AHR= 1.04 每年)、糖尿病 (AHR= 1.78)、男性 (AHR= 1.42)、下半身限制 (AHR= 1.09 每个限制)、关节炎 (AHR= 0.74)、 高血压（AHR= 1.29）和贫困（AHR= 1.33）。结论。具有本研究中确定的高危因素的患者应考虑进行进一步的评估和监测。应考虑目前对这些高风险患者的治疗管理方案，并鼓励依从性。
Objectives.The purpose of this study was to identify risk factors for stroke and to estimate their relative importance in a large, nationally representative sample of very old men and women.Methods.The study was designed as a secondary analysis of the Longitudinal Study on Aging. Baseline (1984) in-person interview data were linked to Medicare hospitalization records for 1984 to 1991. Participants were 6,071 noninstitutionalized adults 70 years old or older at baseline. Hospitalization for ischemic stroke was defined as having one or more episodes with a primary discharge diagnosis containing ICD-9-CM codes of 433.0-434.9, 436, and 437.0-437.1. Multivariable proportional hazards regression was used to estimate the risks associated with previously identified epidemiologic factors.Results.Five hundred and three persons (8.3%) had at least one primary discharge diagnosis of ischemic stroke. In descending order of importance based on the partial r statistics associated with their adjusted hazards ratios (AHRs), the salient risk factors were having a previous history of stroke (AHR= 2.86), age (AHR= 1.04 per year), diabetes (AHR= 1.78), male gender (AHR= 1.42), lower body limitations (AHR= 1.09 per limitation), arthritis (AHR= 0.74), hypertension (AHR= 1.29), and poverty (AHR= 1.33).Conclusion.Patients presenting with the high risk factors identified in this study should be considered for further evaluation and monitoring. Current protocols for the therapeutic management of these higher risk patients should be considered, and compliance should be encouraged.