Hoffmann S, Henrichsen J, Schmidt K
Steptococcus Department, Copenhagen, Denmark.
Acta Med Scand. 1988;224(6):587-94. doi: 10.1111/j.0954-6820.1988.tb19631.x.
A review of 1547 official hospital record summaries concerning discharges during the period 1980 through 1983 of patients whose diagnoses had been coded as acute rheumatic fever revealed that in only 61% of the cases had this illness been diagnosed or suspected. A substantial proportion of the remaining patients had had acute non-rheumatic pericarditis diagnosed. The medical records were analyzed for 141 patients diagnosed in 1980 or 1983 by hospital departments as having acute rheumatic fever with regard to the revised Jones criteria. They were fulfilled in 47 patients, 23 of whom were considered unlikely cases of rheumatic fever. Eight patients were considered possible cases, although they did not fulfill the revised Jones criteria. The current annual incidence of acute rheumatic fever was estimated to be at most 0.3 per 100,000 inhabitants.
一项对1980年至1983年期间诊断编码为急性风湿热的患者出院时的1547份官方医院记录摘要进行的审查显示，只有61%的病例被诊断或怀疑患有这种疾病。其余患者中有很大一部分被诊断为急性非风湿性心包炎。根据修订后的琼斯标准，对1980年或1983年被医院科室诊断为患有急性风湿热的141名患者的病历进行了分析。47名患者符合标准，其中23名被认为不太可能是风湿热病例。8名患者虽不符合修订后的琼斯标准，但被认为可能是病例。据估计，急性风湿热目前的年发病率最高为每10万居民0.3例。
