INTERNATIONAL DIAGNOSTIC-CRITERIA FOR ACUTE MYOCARDIAL-INFARCTION AND ACUTE STROKE
INTERNATIONAL DIAGNOSTIC-CRITERIA FOR ACUTE MYOCARDIAL-INFARCTION AND ACUTE STROKE
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DOI：
10.1016/0002-8703(84)90558-1
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发表时间：
1984-01-01
影响因子：
4.8
通讯作者：
KOTTKE, TE
中科院分区：
文献类型：
--
作者：
GILLUM, RF;FORTMANN, SP;KOTTKE, TE
几乎每个研究心肌梗死或中风的发生、原因、治疗或预防的研究人员都会在某个时候需要一套明确的诊断标准，以根据回顾收集的数据对潜在病例进行分类。这些数据可能来自医院记录、临床记录、尸检或验尸官报告、亲属访谈和死亡证明。直接与病人面谈或检查往往是不切实际的或不可能的，而且无法获得基线心电图和神经学检查。研究近期缺血性心脏病和中风死亡率急剧下降趋势的决定因素的愿望，以及在社区试验或心血管疾病预防中评估病态结果的需要，导致了社区心血管发病率住院监测的广泛应用。最近对这种方法、它的问题和应用进行了综述。2在过去，每项研究都制定了自己的诊断标准，这使得研究间比较变得困难。目前，通过检查世界各地许多中心的发病率和病死率来解释国家死亡率趋势的兴趣要求我们共同努力，以实现InterStudy方法的标准化。这将使单一标准适用于在所有中心收集的数据，即使各中心可能希望将其他标准用于特定目的。为纵向使用而开发的诊断标准
Almost every investigator studying the occurrence, causes, treatment, or prevention of myocardial infarction or stroke will at some time require an explicit set of diagnostic criteria to classify potential cases on the basis of retrospectively collected data.’These data may come from hospital records, clinic records, autopsy or coroner’s reports, next-of-kin interviews, and death certificates. Direct patient interview or examination often will be impractical or impossible, and baseline ECGs and neurologic examinations unavailable. The desire to study the determinants of the recent sharp downward trends in ischemic heart disease and stroke death rates as well as the need to evaluate morbid outcomes in community trials or cardiovascular disease prevention have led to the widespread application of community surveillance of hospitalizations for cardiovascular morbidity. This methodology, its problems, and applications have been reviewed recently. 2 In the past, each study developed its own diagnostic criteria, making interstudy comparisons difficult. The current interest in explaining national mortality trends by examining morbidity and case fatality rates in many centers around the world calls for a concerted effort toward interstudy standardization of methods. This would enable the application of a single set of criteria to data collected in all centers, even though centers may wish to use other criteria for specific purposes. Diagnostic criteria developed for use in longitudinal