Trends in validated cases of fatal and nonfatal stroke, stroke classification, and risk factors in southeastern New England, 1980 to 1991 - Data from the Pawtucket Heart Health Program
Trends in validated cases of fatal and nonfatal stroke, stroke classification, and risk factors in southeastern New England, 1980 to 1991 - Data from the Pawtucket Heart Health Program
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DOI：
10.1161/01.str.31.4.875
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发表时间：
2000-04-01
期刊：
影响因子：
8.3
通讯作者：
Carleton, RA
中科院分区：
文献类型：
--
作者：
Derby, CA;Lapane, KL;Carleton, RA
背景和目的--最近的美国数据表明，卒中死亡率下降的速度正在减缓，伴随着发病率的稳定。脑卒中患者的出院率受多种因素影响，基于社区的有效病例监测数据很少。因此，所观察到的趋势的原因仍然不清楚。在本研究中，我们检查了1980年至1991年在Pawtucket心脏健康计划研究社区的合并人群中确认的中风病例的趋势，并检查了分类、诊断程序的使用和危险因素水平的伴随趋势。通过回顾性监测确定了434 ~ 437例。一名医生审查的医疗记录，以验证案件status.Results-Between 1980年和1991年，2269放电被确认为代表明确或可能的中风（59.5%的3811例审查）。致死性卒中发生率下降（P
Background and Purpose-Recent US data suggest there is a slowing of the decline in stroke mortality rates, accompanied by a constant morbidity rate. Hospital discharge rates for patients with stroke are influenced by numerous factors, and community-based surveillance data for validated cases are rare. Thus, reasons for the observed trends remain unclear. In the present study, we examined trends in validated cases of stroke for 1980 to 1991 in the combined populations of the Pawtucket Heart Health Program study communities and examined concomitant trends in classification, use of diagnostic procedures, and levels of risk factors.Methods-Discharges for residents aged 35 to 74 years with International Classification of Diseases, Ninth Revision codes 431, 432, and 434 to 437 were identified through retrospective surveillance. A physician reviewed the medical records to validate case status.Results-Between 1980 and 1991, 2269 discharges were confirmed as representing definite or probable strokes (59.5% of 3811 cases reviewed). The fatal stroke rate declined (P