MINNESOTA STROKE SURVEY

描述（改编自申请人的摘要）：人口模式和 中风的趋势正在改变。经过多年的稳定和实质性的 中风死亡率下降，死亡率现在已经持平，甚至可能 在区域和全国范围内不断增加。这种不利趋势可能与 对高血压或其他因素的检测和控制较差。我们也 进入中风医疗护理的变革时期， 治疗方法和新的卫生保健提供系统， 卒中结局。 在这个中风动态变化的时期，很少有中心致力于 记录长期趋势并提供数据，以告知临床医生和公共卫生 我们国家中风的负担。明尼苏达中风 过去，人口统计调查（MSS）试图提供基于人口的信息， 现在寻求继续并加强这一努力。我们建议调查 明尼阿波利斯市30-84岁居民中的住院卒中。保罗 2000年大都市地区（人口245万，1995年估计数） 和2001年。具有目标ICD卒中代码的放电的5037 O随机样本将 从调查区域内的每家医院中选择， 经过培训的护士，中风病例将得到系统的验证， 机密中风的发病率、严重程度、病死率和急性护理 2000-2001年的数据将与以前确定的队列的类似数据进行比较 的住院卒中患者，包括一个充分表征的队列， 1995.研究影响卒中后长期预后的因素， 描述当代中风的门诊护理，我们建议遵循新的 在最大的健康维护组织之一诊断出的中风病例 (HMO)在调查区域。从2001年1月1日开始到12月31日， 2002年，HMO人群中新的中风病例将在一项持续的 基础上，随访12个月（估计N= 850）。与以下人员的面对面访谈 患者（或代理人）和护理人员将在2个月和12个月时进行 事件发生后的几个月，以确定影响功能变化的因素 中风恢复期的状态和生活质量。

DESCRIPTION (Adapted from the Applicant's Abstract): Population patterns and trends for stroke are changing. After many years of steady and substantial decline in stroke mortality, the mortality rates have now leveled and may even be increasing regionally and nationally. This unfavorable trend may be related to poorer detection and control of hypertension or other factors. We are also entering a period of change in the medical care of stroke including new treatment methods and new systems of health care delivery which may change stroke outcomes. At this time of dynamic change in stroke, there are few centers working to document secular trends and provide data to inform clinicians and public health authorities about the burden of stroke in our nation. The Minnesota Stroke Survey (MSS) has sought to provide population-based information in the past and now seeks to continue and enhance that effort. We propose to survey hospitalized stroke among 30-84 year old residents of the Minneapolis-t. Paul metropolitan area (population 2.45 million, 1995 estimate) in the years 2000 and 2001. A 5037O random sample of discharges with target ICD stroke codes will be selected from each hospital in the survey area, records will be abstracted by trained nurses, and stroke cases will be systematically validated and classified. Stroke incidence, severity, case-fatality, and acute care in 2000-2001 will be compared to similar data from previously identified cohorts of hospitalized stroke patients, including a well-characterized cohort from 1995. To study factors influencing long-term outcomes after stroke and to characterize contemporary outpatient care of stroke, we propose to follow newly diagnosed stroke cases in one of the largest Health Maintenance Organizations (HMO) in the survey area. Beginning in January 1, 2001 and through December 31, 2002, new stroke cases in the HMO population will be identified on an ongoing basis and followed for 12 months (estimated N= 850). In-person interviews with the patient (or a proxy) and a care-giver will be conducted at 2 months and 12 months after the event to identify factors that influence changes in functional status and quality of life during recovery from stroke.