慢性下皮质血瘤的发生率和死亡率:一个基于人口的研究
David Robinson1, Lili Ding2, Robert J Stanton1
1Department of Neurology and Rehabilitation Medicine, University of Cincinnati. Department of Neurology, University of Michigan. (D.R., R.J.S., E.M., D.K., B.K.).
Stroke
|November 25, 2025
概括
慢性腹膜下血腫 (cSDH) 在美國很常見,特別影響老年男性和脆弱的個人. 虽然短期生存率很好,但由于其他健康状况,长期死亡率仍然很高.
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:
- 慢性皮下血液瘤 (cSDH) 是一个严重的公共卫生问题.
- 有限的基于人口的数据存在于美国cSDH发病率和死亡率.
研究的目的:
- 为了估计cSDH的发病率和死亡率在一个大型的,代表性的美国人口.
- 描述cSDH患者的人口和临床特征.
主要方法:
- 一项以人口为基础的研究在俄俄州南部和肯塔基州北部的5个县进行.
- 在2019-2020年被诊断患有cSDH的成年患者被确定并被裁决.
- 发病率和死亡率被估计并对美国人口进行标准化.
主要成果:
- 总共有353个cSDH病例被确定,平均年龄为76岁.
- 美国估计的发病率为每年每10万人中17.3例.
- 30天死亡率为9.4%,一年死亡率为32.9%.
结论:
- cSDH在美国普遍存在,主要影响老年人和功能障碍者.
- 在cSDH之后的短期死亡率相对较低.
- 长期死亡率很高,通常与神经退行性疾病和心血管疾病等并发症有关.
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