1998 年至 2015 年捷克共和国一个月和一年的出血性脑卒中病死率趋势。
Trends in One Month and One Year Hemorrhagic Stroke Case Fatality Rates in the Czech Republic between 1998 and 2015.
机构信息
Department of Neurology, University of Tennessee Health Science Center, Memphis, Tennessee; International Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic; Faculty of Medicine, Masaryk University, Brno, Czech Republic.
International Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic; Faculty of Medicine, Masaryk University, Brno, Czech Republic; Department of Neurology, St. Anne's University Hospital, Brno, Czech Republic; Department of Internal Medicine, Hematology and Oncology, University Hospital Brno, Brno, Czech Republic; Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
J Stroke Cerebrovasc Dis. 2020 Jun;29(6):104762. doi: 10.1016/j.jstrokecerebrovasdis.2020.104762. Epub 2020 Apr 5.
BACKGROUND
This retrospective cross-sectional study reports 1 month and 1 year intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH) case fatality rates and their temporal trends in the Czech Republic between 1998 and 2015.
METHODS
Utilizing the National Register of Hospitalized Patients, we randomly selected 600 patients hospitalized for ICH and 600 patients hospitalized for SAH for each year from 1998 to 2015, and identified those who died, regardless of cause, using the Czech National Mortality Registry. We calculated crude and age-adjusted 1 month and 1 year case fatality rates for ICH and SAH. Long-term trends of the crude rates were analyzed using a one-sided Cochran Armitage test.
RESULTS
A total of 21,600 cases hospitalized for SAH and ICH (10,800 for each) between 1998 and 2015 were randomly selected for analysis. One month case fatality of SAH overall and in women has decreased by 0.2% (P = .006) and 0.3% per year (P = .04), respectively. Overall 1 year case fatality of SAH has decreased by 0.2% per year (P = .03). One month case fatality rate of ICH overall and in men has decreased by 0.2% (p=0.01) and 0.4% (P = .0007), respectively. One year case fatality of ICH in men has decreased by 0.2% per year (P = .047).
CONCLUSIONS
One month and 1 year case fatality rates for SAH and ICH have been decreasing in the Czech Republic between 1998 and 2015, and are similar or lower than those reported from other developed European countries.
背景
本回顾性横断面研究报告了捷克共和国 1998 年至 2015 年期间颅内出血（ICH）和蛛网膜下腔出血（SAH）1 个月和 1 年的病死率及其时间趋势。
方法
利用国家住院患者登记处，我们随机选择了 1998 年至 2015 年每年 600 例因 ICH 住院和 600 例因 SAH 住院的患者，并使用捷克国家死亡率登记处确定了无论病因如何死亡的患者。我们计算了 ICH 和 SAH 的粗病死率和年龄调整后 1 个月和 1 年的病死率。使用单边 Cochran-Armitage 检验分析粗病死率的长期趋势。
结果
共分析了 1998 年至 2015 年间随机选择的 21600 例因 SAH 和 ICH 住院的患者（各 10800 例）。SAH 的整体和女性的 1 个月病死率分别下降了 0.2%（P=0.006）和 0.3%/年（P=0.04）。SAH 的整体 1 年病死率每年下降 0.2%（P=0.03）。ICH 的整体和男性的 1 个月病死率分别下降了 0.2%（P=0.01）和 0.4%（P=0.0007）。男性 ICH 的 1 年病死率每年下降 0.2%（P=0.047）。
结论
1998 年至 2015 年期间，捷克共和国的 SAH 和 ICH 的 1 个月和 1 年病死率呈下降趋势，且与其他发达国家报告的病死率相似或更低。
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