Organization of stroke care: Education, referral, emergency management and imaging, stroke units and rehabilitation
Organization of stroke care: Education, referral, emergency management and imaging, stroke units and rehabilitation
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DOI：
10.1159/000074816
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发表时间：
2004-01-01
影响因子：
2.9
通讯作者：
Sivenius, J
中科院分区：
文献类型：
--
作者：
Brainin, M;Olsen, TS;Sivenius, J
急性中风是世界范围内发病率和死亡率的主要因素之一。在工业化国家，中风是仅次于心血管疾病的第二或第三大常见死因。在欧洲，粗死亡率从63.5/10万（男性，瑞士，1992年）到273.4/10万（女性，俄罗斯，1991年）不等。已经注意到东欧和西欧之间如此巨大的死亡率差异[Stegmayr et al., 2000]，并将其归因于风险因素表达的差异，东欧国家的高血压和其他风险水平高于西方，因此导致东欧的中风更严重[rygllewicz et al., 2000；Brainin等人，2000]。在欧洲，中风严重程度[Wolfe et al.， 2000]和中风治疗[Thomassen et al.， 2003]的显著区域差异已被报道。中风作为欧洲发病和长期残疾的最重要原因，造成了巨大的经济负担。对几个欧洲国家从首次中风到死亡的平均成本进行了计算[Kaste等人，1998年]，例如瑞典的平均成本约为79,000欧元[Asplund等人，1993年]。
Acute stroke is one of the leading factors of morbidity and mortality worldwide. After cardiovascular disease, stroke ranks as either second or third most common cause of death in industrialized countries. In Europe, the crude death rate ranges from 63.5/100,000 (males, Switzerland, 1992) to 273.4/100,000 (females, Russia, 1991). Such large differences in mortality between east and west in Europe have been noted [Stegmayr et al., 2000] and attributed to differences in risk factor expressions, with higher levels of hypertension and other risks in eastern countries as compared with the west, thus resulting in more severe strokes in Eastern Europe [Ryglewicz et al., 2000; Brainin et al., 2000]. Within Europe, notable regional variations of stroke severity [Wolfe et al., 2000] and stroke treatment [Thomassen et al., 2003] have been reported. Stroke as the most important cause of morbidity and long-term disability in Europe imposes an enormous economic burden. The average cost from first stroke to death has been calculated for several European countries [Kaste et al., 1998] and has for example in Sweden been shown to amount to approximately 79,000 EUR [Asplund et al., 1993].