瑞士中风事件,死亡率和病例死亡率的当前趋势:流行病学更新
Martin Hänsel1, Emanuel Mauch2, Charlotte Micheloud2
1Department of Neurology and Clinical Neuroscience Center, University Hospital Zurich and University of Zurich, Zurich,Switzerland.
International journal of epidemiology
|June 12, 2025
概括
在2004年至2017年期间,在瑞士,中风发病率和出院人数增加. 然而,中风死亡率和病例死亡率大约下降了一半,这表明中风的识别和治疗得到了改善.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生监督是对公共卫生的监督.
- 神经学 神经学
背景情况:
- 在全球和瑞士,中风仍然是一个重要的心血管疾病.
- 瑞士中风事件,死亡率和病例死亡率 (CF) 之前的流行病学数据来自2004年.
- 风险因素的变化,预期寿命的增加以及中风护理的进步需要更新的流行病学见解.
研究的目的:
- 提供瑞士中风的最新流行病学分析.
- 为了比较2004年至2017年间的中风发病率,死亡率和病例死亡率.
- 评估不断变化的风险因素和医疗保健干预措施对中风结果的影响.
主要方法:
- 利用了2017年联邦医院出院统计 (HOST) 和死亡原因 (CoD) 数据库中的数据.
- 分析了1,470,259例医院出院和66,971例死亡的中风诊断 (ICD 10: I60-I64).
- 计算出出院率,事件率,医院内外病例死亡率和死亡率.
主要成果:
- 瑞士的中风排放量从2004年的13,996个增加到2017年的26,032个.
- 每10万人中年龄标准化中风发病率在女性和男性中显著增加.
- 尽管中风发病率增加,但绝对中风死亡人数下降,整体死亡率和病例死亡率自2004年以来大约下降了一半.
结论:
- 在瑞士,中风事件发生率和医院出院率有所增加.
- 观察到整体中风死亡率和病例死亡率的显著降低.
- 这些改进可能源于加强中风识别,先进的治疗方法,以及潜在地更好地管理心血管风险因素.
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