Krishnaswami S, Joseph G, Richard J
Department of Cardiology, Christian Medical College Hospital, Vellore, India.
Bull World Health Organ. 1991;69(3):325-30.
Data on 43,544 consecutive patients with cardiac disorders admitted to one hospital were analysed under four etiological groups to study the changing trend in the demand for tertiary care between 1960 and 1989. While rheumatic fever went down in frequency, rheumatic valvular disease remained at an average of 40% of total cardiac admissions, coronary heart disease steadily increased from 4% in 1960 to about 33% in 1989, and congenital heart cases accounted for 24% of cardiac admissions. While other etiological groups have varied, coronary heart disease has shown an almost linear increase. The demand for cardiac surgery also has risen almost linearly. The implications of these findings on the health needs and health planning in the whole country pose a great challenge to planners.
对一家医院收治的43544例连续心脏病患者的数据，按照四个病因组进行了分析，以研究1960年至1989年间三级医疗需求的变化趋势。虽然风湿热的发病率下降了，但风湿性瓣膜病仍平均占心脏科入院总数的40%，冠心病从1960年的4%稳步上升至1989年的约33%，先天性心脏病病例占心脏科入院人数的24%。虽然其他病因组有所不同，但冠心病呈几乎直线上升趋势。心脏手术的需求也几乎呈直线上升。这些研究结果对全国卫生需求和卫生规划的影响给规划者带来了巨大挑战。
