MMWR Morb Mortal Wkly Rep. 2003 Jun 27;52(25):586-9.
Stroke is the third leading cause of death in the United States and a major cause of serious, long-term disability among adults; the projected cost of stroke during 2003 is $51 billion, including $12 billion in nursing home costs. During 1988-1997, the rate of hospital admissions for stroke increased 18.6%, from approximately 560 per 100,000 population in 1988 to 664 in 1997. To assess the burden of stroke hospitalizations and discharge status after hospitalization among U.S. residents aged >/=65 years, CDC analyzed Medicare hospital claims for persons with stroke during 2000 for the 50 states and the District of Columbia (DC). This report summarizes the results of that analysis, which indicate that geographic variation exists in both rates of hospitalization for stroke and patient discharge status. Reducing the burden of stroke in the United States will require primary prevention and control of risk factors, public education, early evaluation and treatment of persons with acute stroke, and effective secondary prevention among persons living with stroke.
中风是美国第三大死因，也是成年人严重长期残疾的主要原因；2003年中风的预计费用为510亿美元，其中包括120亿美元的疗养院费用。在1988 - 1997年期间，中风的住院率上升了18.6%，从1988年每10万人中约560例增至1997年的664例。为评估年龄≥65岁的美国居民中风住院负担及住院后的出院状况，美国疾病控制与预防中心（CDC）分析了2000年50个州和哥伦比亚特区（DC）中风患者的医疗保险住院理赔数据。本报告总结了该分析结果，结果表明中风住院率和患者出院状况均存在地域差异。减轻美国的中风负担需要对危险因素进行一级预防和控制、开展公众教育、对急性中风患者进行早期评估和治疗，以及对中风患者进行有效的二级预防。
