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Katherine J Creeper1,2,3, Andrew C Stafford1, Allycia MacDonald4
1Curtin Medical School, Curtin University, Bentley, Western Australia, Australia.
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|October 6, 2025
概括
内出血 (ICrH) 是导致死亡的主要原因. 这项研究揭示了大多数住院病例的非创伤性ICrH,死亡率的性别差异.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 内出血 (ICrH) 是导致出血相关死亡的主要原因.
- 关于ICrH相关住院病例和死亡率的国家发病率的数据有限.
- 这项研究涉及ICrH住院和死亡率的全国负担和发病率.
研究的目的:
- 确定英格兰内出血 (ICrH) 住院病例和死亡率的国家发病率和负担.
- 分析ICrH的亚型,包括创伤和非创伤原因.
- 调查ICrH发病率和结果的基于性别的差异.
主要方法:
- 基于人口的英格兰急性住院和死亡情况的综述 (2014-2019).
- 利用电子数据库获取入院和死亡数据 (不包括创伤性死亡).
- 使用ICD-10代码识别的ICrH事件,并根据解剖部位和原因分类 (创伤/创伤).
主要成果:
- 超过468,000 ICrH住院发生,其中59.7%是无创性.
- 记录了50004例与ICrH相关的无创伤性死亡.
- 住院病例的年发病率为141.0/100,000,非创伤性死亡率为15.0/100,000;男性住院病例发生率较高,女性死亡率较高.
结论:
- 大多数急性内出血 (ICrH) 的住院是无创性的.
- 在ICrH结果中存在显著的基于性别的差异,男性的住院率更高,女性的死亡率更高.
- 显著的比例 (23.4%) 的ICrH住院发生在85岁及以上的患者.
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