Neurological disease in a defined population: The results of a pilot study in two general practices

Neurological disease in a defined population: The results of a pilot study in two general practices
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DOI:
10.1159/000109892
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发表时间:
1996-03-01
期刊:
影响因子:
5.7
通讯作者:
Shorvon, SD
Shorvon, SD
中科院分区:
医学3区
文献类型:
--
作者:
Cockerell, OC;Goodridge, DMG;Shorvon, SD

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开展了一项试点研究,以确定25,000人参加为期1年的两次普通外科手术时发生的神经系统疾病。为了实现完整的确定和诊断的有效性带来了相当大的后勤和理论上的困难,这些进行了讨论。最常见的疾病(括号中的发病率)是头痛(210/100,000)、背部综合征(319/100,000)、急性脑血管疾病(128/100,000)和偏头痛(64/100,000),非特异性症状是总体上最常见的问题(514/100,000)。帕金森病的发病率为26/10万,癫痫的发病率为23/10万。试点研究将为伦敦国家神经病学和神经外科医院与周围总人口为100 000人的全科诊所之间更全面的联系计划奠定基础。
A pilot study was set up to ascertain incident neurological disorders occurring in 25,000 people attending two general-practice surgeries for a period of 1 year. To achieve completeness of ascertainment and diagnostic validity poses considerable logistical and theoretical difficulties, and these are discussed. The commonest disorders (incidence in parentheses) were headaches (210/100,000), back syndromes (319/100,000), acute cerebrovascular disease (128/100,000), and migraine (64/100,000), with non-specific symptoms the most common problem overall (514/100,000). The incidence of Parkinson's disease was 26/100,000 and that of epilepsy 23/100,000. The pilot study will form the basis for a more comprehensive linkage scheme between the National Hospital for Neurology and Neurosurgery in London and surrounding general practices with a total base population of 100,000.