Wicks C A
Can Med Assoc J. 1967 Feb 18;96(7):406-10.
A review of 665 discharges in 1965 from the Tuberculosis Unit of the Toronto Hospital at Weston revealed that 10% did not have tuberculosis; 8% had inactive tuberculosis at the time of last admission; and 82% had active tuberculous disease when admitted (66% were admitted for the first time and 16% were readmissions). Ninety-one per cent of those who did not have tuberculosis were discharged (alive) after a median stay in hospital of 68 days; the remaining 9% died from non-tuberculous diseases after a median stay of five days. Ninety-three per cent of those who were admitted with inactive tuberculosis were discharged (alive) after a median stay of 65 days; the remaining 7% died from non-tuberculous diseases after a median stay of three days. Of the 38 deaths among the 665 discharges, only 13 were due to tuberculosis; 19 had tuberculosis but died from various non-tuberculous diseases; and six had no evidence of tuberculosis.Suggestions are made for improving diagnostic accuracy before admission, and for facilitating the earlier discharge of certain patients following investigation in a tuberculosis hospital.
对1965年多伦多医院韦斯顿分院结核病科665例出院病例的回顾显示，10%的患者没有患结核病；8%的患者在最后一次入院时患有非活动性结核病；82%的患者入院时患有活动性结核病（66%为首次入院，16%为再次入院）。没有患结核病的患者中，91%在住院中位时长68天后出院（存活）；其余9%在住院中位时长5天后死于非结核性疾病。因非活动性结核病入院的患者中，93%在住院中位时长65天后出院（存活）；其余7%在住院中位时长3天后死于非结核性疾病。在665例出院病例中的38例死亡病例中，只有13例死于结核病；19例患有结核病但死于各种非结核性疾病；6例没有结核病迹象。文中针对入院前提高诊断准确性以及在结核病医院对某些患者进行检查后促进其早日出院提出了建议。
