Hirtz D, Thurman D J, Gwinn-Hardy K, Mohamed M, Chaudhuri A R, Zalutsky R
National Institutes of Neurological Disorders and Stroke/National Institutes of Health, Bethesda, MD 20892, USA.
Neurology. 2007 Jan 30;68(5):326-37. doi: 10.1212/01.wnl.0000252807.38124.a3.
OBJECTIVE: To estimate the current incidence and prevalence in the United States of 12 neurologic disorders. METHODS: We summarize the strongest evidence available, using data from the United States or from other developed countries when US data were insufficient. RESULTS: For some disorders, prevalence is a better descriptor of impact; for others, incidence is preferable. Per 1,000 children, estimated prevalence was 5.8 for autism spectrum disorder and 2.4 for cerebral palsy; for Tourette syndrome, the data were insufficient. In the general population, per 1,000, the 1-year prevalence for migraine was 121, 7.1 for epilepsy, and 0.9 for multiple sclerosis. Among the elderly, the prevalence of Alzheimer disease was 67 and that of Parkinson disease was 9.5. For diseases best described by annual incidence per 100,000, the rate for stroke was 183, 101 for major traumatic brain injury, 4.5 for spinal cord injury, and 1.6 for ALS. CONCLUSIONS: Using the best available data, our survey of a limited number of disorders shows that the burden of neurologic illness affects many millions of people in the United States.
目的:评估美国12种神经系统疾病的当前发病率和患病率。 方法:我们汇总现有最有力的证据,在美国数据不足时使用来自美国或其他发达国家的数据。 结果:对于某些疾病,患病率能更好地描述其影响;对于其他疾病,发病率更合适。每1000名儿童中,自闭症谱系障碍的估计患病率为5.8,脑瘫为2.4;抽动秽语综合征的数据不足。在普通人群中,每1000人中偏头痛的1年患病率为121,癫痫为7.1,多发性硬化症为0.9。在老年人中,阿尔茨海默病的患病率为67,帕金森病为9.5。对于以每10万人年发病率来描述的疾病,中风的发病率为183,重度创伤性脑损伤为101,脊髓损伤为4.5,肌萎缩侧索硬化症为1.6。 结论:利用现有最佳数据,我们对有限数量疾病的调查表明,神经系统疾病负担影响着美国数百万民众。
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