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20年来中风风险因素和死亡率的纵向趋势来自巴基斯坦中央中风转诊中心,使用临床数字化数据
Namrah Aziz1, Shafaq Saleem2, Saadia Sattar3
1Deans Clinical Research Fellow, Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.
eNeurologicalSci
|December 11, 2025
概括
巴基斯坦的中风病例和风险因素正在增加,年轻人中风的增加令人担忧. 尽管如此,由于更好地管理诸如脑内出血等中风亚型,住院死亡率有所下降.
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:
- 关于低收入和中等收入国家中风的长期趋势的数据有限.
- 脑卒中在巴基斯坦是一个越来越大的负担.
- 了解中风趋势对于医疗保健规划至关重要.
研究的目的:
- 为了检查中风特征的20年趋势.
- 分析中风风险因素和死亡率.
- 为巴基斯坦的医疗保健战略提供信息.
主要方法:
- 对数字化医院记录 (1999-2018) 的回顾性分析.
- 包括年龄≥18岁,中风住院的患者.
- 使用ICD-9 CM代码进行中风分类,经神经成像验证.
主要成果:
- 卒中病例增加,在年轻 (18-40岁) 和年长 (>80岁) 的年龄组中患病率上升.
- 关键的风险因素,如高血压,糖尿病和心房明显增加.
- 住院死亡率下降 (9.1%),尤其是脑内出血 (ICH).
结论:
- 脑卒中模式正在转向年轻人群和增加风险因素聚类.
- 住院死亡率有所下降,特别是在ICH.
- 持续的监测和有针对性的干预措施对于中风管理至关重要.
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