诊断标准在心肌梗死诊断中的应用。

Application of diagnostic criteria in the diagnosis of myocardial infarction.

作者信息

Ahlbom A, Nordlander R

出版信息

Scand J Soc Med. 1979;7(2):67-72. doi: 10.1177/140349487900700204.

Abstract

A random sample of all patients with a registered diagnosis of acute myocardial infarction (AMI) was selected from the hospitalisation register of Stockholm County in 1973. The sample consisted of 269 patients. The medical records of these patients were scrutinized concerning the fulfilment of criteria of a diagnosis of AMI. The criteria of AMI chosen were those established in a Sweden cooperative study (6). 33 patients did not fulfil the diagnosis of AMI, corresponding to an estimated proportion of 10%. In 4% this was due to more technical reasons such as the use of incorrect code numbers, and in 6% the diagnosis had been made without the criteria being fulfilled.

摘要

1973年，从斯德哥尔摩县住院登记册中随机抽取了所有登记诊断为急性心肌梗死（AMI）的患者样本。该样本包括269名患者。对这些患者的病历进行了审查，以确定是否符合AMI诊断标准。所采用的AMI标准是瑞典一项合作研究中确立的标准（6）。33名患者不符合AMI诊断，估计比例为10%。其中4%是由于技术原因，如使用了错误的编码，6%是在未满足标准的情况下做出了诊断。