Lund Stroke Register: hospitalization pattern and yield of different screening methods for first-ever stroke
Lund Stroke Register: hospitalization pattern and yield of different screening methods for first-ever stroke
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DOI：
10.1111/j.1600-0404.2006.00738.x
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发表时间：
2007-01-01
影响因子：
3.5
通讯作者：
Lindgren, A.
中科院分区：
文献类型：
--
作者：
Hallstrom, B.;Jonsson, A. -C.;Lindgren, A.
目的探讨以人群为基础的脑卒中患者的病例确定、住院、住院和非住院患者的特点。材料和方法在Lund-Orup地区使用多种前瞻性和回顾性方法对首次中风进行为期一年的筛查。结果共456例首次卒中患者（前瞻性筛查方法412例，初级保健17例，医院登记12例，死亡登记10例，尸检登记2例，其他3例）。14天内住院比例为84%。从急诊科送回家的患者（36例）通常是男性（75%），28天病死率低（0%），中风程度较轻（美国国立卫生研究院卒中量表评分中位数为2比4）。仅由初级保健机构管理的患者（n = 18）是老年人（中位年龄89对77岁），住在养老院（86%对8%），28天病死率高（61%）。结论住院率低于预期。两大类患者未住院：病死率高的养老院老年患者和轻度中风患者。
Objectives To explore case ascertainment, hospitalization, characteristics of both hospitalized and non-hospitalized patients in a population-based group of stroke patients. Materials and methods One-year screening in Lund-Orup district for first-ever strokes using multiple prospective and retrospective methods. Results A total of 456 patients with first-ever stroke (n = 412 prospective screening methods, n = 17 primary care, n = 12 hospital registers, n = 10 death register, n = 2 autopsy registers, n = 3 other). Hospitalization proportion within 14 days was 84%. Patients sent home from emergency unit (n = 36) were often males (75%), had low 28-day case-fatality (0%), and less severe strokes (median National Institute of Health Stroke Scale score 2 vs 4 for all). Patients managed solely within primary care (n = 18) were elderly (median age 89 vs 77 years for all), resided in nursing homes (86% vs 8% for all) and had high 28-day-case-fatality (61%). Conclusions Hospitalization was lower than expected. Two main categories of patients were not hospitalized: elderly patients at nursing homes with high case-fatality and patients with mild stroke.