Community Hospital-based Stroke Programs: North Carolina, Oregon, and New York. I: Goals, objectives, and data collection procedures.
Community Hospital-based Stroke Programs: North Carolina, Oregon, and New York. I: Goals, objectives, and data collection procedures.
复制标题
基于社区医院的中风计划：北卡罗来纳州、俄勒冈州和纽约。
DOI：
10.1161/01.str.17.2.276
复制
发表时间：
1986
期刊：
影响因子：
8.3
通讯作者：
Walker,MD
中科院分区：
文献类型：
--
作者：
Yatsu,FM;Becker,C;McLeroy,KR;Coull,B;Feibel,J;Howard,G;Toole,JF;Walker,MD
为了评估中风治疗的差异对结果的影响，并进行地域比较，北卡罗来纳州、俄勒冈州和纽约州的三个社区医院中风项目汇总了4132名住院中风患者的数据。4132例脑卒中患者中有2390例（57.8%）获得了完整的人口统计数据或“主要概况”。这包括在住院期间获得患者和医生知情同意的患者。在主要病例中，1490例（62.3%）患者随访时间长达1年，502例（21.0%）患者失去随访，398例（16.6%）患者在1年随访期间死亡。在4132例患者中，有1742例（42.1%）观察到不完整的人口统计数据或“次要资料”。未成年人档案包括在全面访谈完成前死亡的人或无法获得访谈知情同意的人。在轻度组中，813例（46.7%）在医院死亡，929例（53.3%）出院时存活。本文介绍了项目、数据收集程序和研究案例，并强调了中风诊断、中风相关危险因素以及干预措施对中风结果的影响等具体问题。我们得出结论：1)合并不同地理区域的城乡医院住院脑卒中病例数据可用于脑卒中诊断、诊断测试的使用以及干预措施对脑卒中结局的影响的研究；2)这些数据与全国中风死亡率下降的部分原因是中风严重程度下降的假设是一致的。
In order to assess the impact of variations in stroke care on outcomes, and to make geographic comparisons, the three Community Hospital-Based Stroke Programs in North Carolina, Oregon, and New York, aggregated their data on 4,132 hospitalized stroke patients. Complete demographic data or "Major Profile" were obtained on 2,390 (57.8%) of the 4,132 stroke patients. This includes those patients on whom informed patient and physician consents were obtained during the hospitalization. Of the major profile patients, 1,490 (62.3%) were followed for periods up to one year, 502 (21.0%) were lost to followup and 398 (16.6%) died within the one year followup period. Incomplete demographic data or "Minor Profile" were observed on 1,742 (42.1%) of the 4,132 patients. Minor profile includes those who died before comprehensive interviews were completed or those for whom informed consent for an interview could not be obtained. Of the minor profile group, 813 (46.7%) died in hospital, and 929 (53.3%) were alive when discharged from the hospital. This paper, which describes the programs, data collection procedures, and study cases, also highlights specific issues on stroke diagnosis, risk factors associated with stroke, and the influence of interventions on stroke outcomes. We conclude that: 1) the merging of data on hospitalized stroke cases from rural and urban hospitals in geographically distinct regions can be used in the study of stroke diagnosis, the use of diagnostic tests, and the effect of interventions on stroke outcomes; and 2) these data are consistent with the hypothesis that part of the national decline in mortality from stroke is due to a decline in stroke severity.