Acheson R M, Fairbairn A S
Br Med J. 1970 Jun 13;2(5710):621-6. doi: 10.1136/bmj.2.5710.621.
The only available information on the magnitude of the problem of cerebrovascular disease in England and Wales is to be found in the mortality data of the Registrar General and in the Hospital Inpatient Enquiry, which enumerates spells of illness but not the people suffering from those spells. There are no representative morbidity statistics. Data collected by the Oxford Record Linkage Study show that in 1963 from a population of 340,000 there were 427 hospital admissions among 391 patients. Of these, 34.5% were aged less than 65 years, and when patients who died at home without having entered hospital were added this figure fell to 26.7%.The survival rates at one month and one year for all strokes in the community were 43 and 30%, respectively. Married men were found to spend an average of 37 days in hospital, compared with 55 for married women; single women stayed in hospital an average of 10 days longer than single men. It is hoped that in addition to any value the overall findings may have in the planning of health services they will serve as a useful baseline in the evaluation of new methods of prophylaxis and treatment for cerebrovascular disease.
有关英格兰和威尔士脑血管疾病问题严重程度的唯一可用信息,可在总登记官的死亡率数据以及医院住院病人调查中找到,该调查列举了疾病发作情况,但未统计患有这些疾病发作的人群。没有具有代表性的发病率统计数据。牛津记录链接研究收集的数据显示,1963年在34万人口中,391名患者中有427人次住院。其中,34.5%的患者年龄小于65岁,若将未住院而在家中死亡的患者计算在内,这一数字降至26.7%。社区中所有中风患者的1个月和1年生存率分别为43%和30%。已婚男性平均住院37天,已婚女性为55天;单身女性平均住院时间比单身男性长10天。希望除了总体研究结果在卫生服务规划中可能具有的任何价值外,这些结果还将作为评估脑血管疾病预防和治疗新方法的有用基线。