Mandel N S, Mandel G S
Research Service, Clement J. Zablocki Veterans Administration Medical Center, Milwaukee, Wisconsin.
J Urol. 1989 Dec;142(6):1513-5. doi: 10.1016/s0022-5347(17)39144-9.
The geographical distribution of hospitalization for urinary tract stone disease in the continental United States has been studied in the United States veteran population. The current study has been facilitated by the availability of a centralized computer data base containing the International Classification of Disease Codes for all hospital discharges at all Veterans Administration medical facilities. These data have allowed for an accurate mapping of the hospital discharge rate for urinary tract stone disease (stone discharge rate) in a population at risk for urolithiasis. Stone discharge rate data have been compared to those from the 2 previous studies conducted in general hospitals in 1952 and 1974. The stone discharge rate was 7.9 +/- 3.4 in 1952, 9.97 +/- 2.82 in 1974 and 7.58 +/- 2.01 in our study. These data indicate that the urinary tract stone discharge rate has not markedly varied during the last 34 years and also that the southeastern states still evidence the highest hospital discharge rate for urinary tract stone disease.
在美国退伍军人人群中，对美国大陆地区尿路结石病住院治疗的地理分布情况进行了研究。当前这项研究因有一个集中的计算机数据库而得以开展，该数据库包含所有退伍军人管理局医疗机构所有出院病例的国际疾病分类代码。这些数据使得能够准确绘制出尿路结石病的出院率（结石出院率），针对的是有患尿石症风险的人群。已将结石出院率数据与之前1952年和1974年在综合医院开展的两项研究的数据进行了比较。1952年结石出院率为7.9±3.4，1974年为9.97±2.82，在我们的研究中为7.58±2.01。这些数据表明，在过去34年中尿路结石出院率没有明显变化，而且东南部各州尿路结石病的医院出院率仍然最高。
