Nowak S, Zieliński J J
Neurol Neurochir Pol. 1979 Nov-Dec;13(6):601-7.
During 1973 and 1974 in the urban population of Kielce 528 verified new cases of cerebro-vascular disorders (CVD) were found. The average annual incidence rates reached 203 for males, 176--for females, and 189 for both sexes per (100,000) 181, 167 and 174 respectively when cases of transient ischaemic attack were excluded. The mortality rates in those cases were estimated to be 103, 82 and 92 respectively. Nearly 70 percent of all cases were admitted to neurological departments, and 14 percent remained at home. Age-adjusted incidence rates for subarachnoidal haemorrhage and cerebral embolism were three times higher, and the total incidence rate--twice higher than the rates estimated previously for the Warsaw population. It can be concluded that the incidence rates for CVD based exclusively on data from neurological departments are underestimated by at least 30 percent, and this bias varies according to the type of CVD. Prospective studies aimed toward evaluation of factors which can influence risk of development or death of CVD should be initiated.
1973年至1974年间，在凯尔采的城市人口中发现了528例经核实的新发脑血管疾病（CVD）病例。男性的年平均发病率达到每10万人203例，女性为176例，排除短暂性脑缺血发作病例后，两性的年平均发病率为每10万人189例，分别为181例、167例和174例。这些病例的死亡率估计分别为103、82和92。几乎所有病例的70%被收治到神经科，14%留在家中。蛛网膜下腔出血和脑栓塞的年龄调整发病率高出三倍，总发病率比之前估计的华沙人口发病率高出两倍。可以得出结论，仅基于神经科数据的CVD发病率至少被低估了30%，并且这种偏差因CVD类型而异。应开展前瞻性研究，以评估可能影响CVD发生风险或死亡风险的因素。
