关于第一次中风影响的不同定义 发病率估计不仅仅是趋势:一项使用链接行政数据的研究
David Youens1,2, Judith Katzenellenbogen1, Rathina Srinivasa Ragavan3
1Cardiovascular Epidemiology Research Centre, School of Population and Global Health, The University of Western Australia, Crawley, Washington, Australia.
Neuroepidemiology
|September 26, 2023
概括
西澳大利亚的中风发病率有所下降. 然而,如何定义中风显著影响发病率估计,而不是趋势估计.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 研究人员对中风发病率的行政数据定义各不相同.
- 准确的中风发病率测量对于公共卫生规划至关重要.
研究的目的:
- 调查不同的中风定义和回顾期如何影响发病率估计.
- 为西澳大利亚 (WA) 提供最新的中风发病率和趋势.
主要方法:
- 利用了1985-2017年间全州医院和死亡记录的链接.
- 应用了对事件中风 (2005-2017年) 的标准定义,使用了10年的回顾期.
- 将替代定义和回顾期与标准进行比较,计算年龄标准化发病率和趋势.
主要成果:
- 标准定义确定了31,274次意外中风.
- 不同的定义显著改变了病例数量 (例如,二次诊断的+19.3%,不包括死亡记录的-11.1%).
- 卒中发病率每年下降0.6%,趋势在各个定义中基本一致,除非排除死亡记录.
结论:
- 西澳大利亚的中风发病率有所下降.
- 识别中风病例的方法选择对发病率估计有很大影响.
- 中风发病率的下降主要是由于致命性中风的减少.
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