The Impact and Effectivity of an Inventory Survey for a Stroke Registry in Iwate Prefecture
The Impact and Effectivity of an Inventory Survey for a Stroke Registry in Iwate Prefecture
复制标题
岩手县卒中登记处库存调查的影响和有效性
DOI：
10.1016/j.jstrokecerebrovasdis.2017.04.039
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发表时间：
2017
影响因子：
2.5
通讯作者：
Sakata Kiyomi
中科院分区：
文献类型：
--
作者：
Omama Shinichi;Ogasawara Kuniaki;Ishibashi Yasuhiro;Nakamura Motoyuki;Tanno Kozo;Sakata Kiyomi
研究背景岩手县中风登记项目的准确性在很大程度上受到医疗机构和现场医生合作的影响。非核心医院的登记病例数较少，但登记的准确性未知。这份报告提出的影响和有效性的库存调查的中风registration.Subjects和MethodsDetails的主题生活在沿海和北方地区的岩手县谁开发了脑血管病发作在2012年和2014年之间，从岩手中风登记处通过库存调查。比较核心医院和非核心医院的年发病率。为了评估从非核心医院登记的因素，进行多因素分析，性别，年龄，居住区，中风的类型，和过去的脑血管病history of cardiovascular diseases.ResultsAnnual crude incidence rate for 100，000 residual populations were 428.8在男性和351.2在女性从核心医院和38.5在男性和43.7在女性从非核心医院。非核心医院占所有医院的比例为：男子8.3%，妇女11.1%。年龄、缺血性卒中类型、既往脑血管病史、居住地区无中心医院等多因素分析有显著性意义;然而，性别不是一个重要因素。结论岩手县中风登记项目的库存调查有助于防止非核心医院中风病例的数据缺失，包括老年缺血性中风发作患者，有中风史或居住在没有核心医院的地区。
BackgroundThe accuracy of a stroke registration program in Iwate prefecture was greatly affected by cooperation from medical facilities and doctors in the field. The number of registered cases from noncore hospitals was less, but the accuracy of registration was unknown. This report presents the impact and effectivity of an inventory survey of the stroke registry.Subjects and MethodsDetails of subjects living in coastal and northern regions of Iwate Prefecture who developed a cerebrovascular attack between 2012 and 2014 were obtained from the Iwate Stroke Registry through an inventory survey. Annual incidence rate from core hospitals and noncore hospitals were compared. To evaluate factors registered from noncore hospitals, multivariate analyses were performed for sex, age, living area, type of stroke, and past history of cerebrovascular diseases.ResultsAnnual crude incidence rate for 100,000 residual populations were 428.8 in men and 351.2 in women from core hospitals and 38.5 in men and 43.7 in women from noncore hospitals. Ratios of noncore hospitals against all the hospitals were 8.3% for men and 11.1% for women. Multivariate analyses for age, ischemic type of stroke, past history of cerebrovascular diseases, and living in areas without a core hospital were significant; however, sex was not a significant factor.ConclusionThe inventory survey of the stroke registry program in the Iwate prefecture was useful to prevent missing data of stroke cases from noncore hospitals, including patients who are elderly, with ischemic stroke onset, with a past history of stroke, or living in areas without core hospitals.