南达科他州明尼哈哈县的肌心炎,1880-1939年
Emily Petersen1, Lillian Schulte1, Hunter O'Connor1
1University of South Dakota Sanford School of Medicine.
概括
从1920年到1940年,明尼哈哈县肌心炎病例明显增加并非真实. 医生的诊断术语选择,而不是疾病发病率的增加,解释了观察到的致命和慢性心肌炎的趋势.
科学领域:
- 心血管病理学心血管病理学
- 医学史 医学史 医学史
- 流行病学 流行病学
背景情况:
- 在明尼哈哈县,在1920年至1940年间,心肌炎诊断的增加发生了.
- 这一趋势包括致命和慢性心肌炎病例.
研究的目的:
- 调查明尼哈哈县在指定的期间肌心炎发病率明显增加的原因.
- 为了确定观察到的增加是否反映了实际的疾病流行或诊断实践.
主要方法:
- 从山上的埋葬记录的分析. 愉快的墓地.愉快的墓地.
- 在两个主要的美国医学期刊上的单词频率研究.
- 从那个时代的相关医学出版物的审查.
主要成果:
- 没有证据表明明尼哈哈县的炎症性心肌疾病的真正增加.
- 观察到心肌炎诊断的增加似乎源于医生的诊断选择.
- 当地诊断术语与当代临床和病理生理学文献不一致.
结论:
- 肌心炎发病率明显上升是诊断术语的工件,而不是流行病学事件.
- 医生在应用诊断术语方面的自由裁量权影响了心肌炎的记录频率.
- 历史医疗记录需要对诊断趋势进行仔细解释.
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