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神经流行病学

Neuroepidemiology.

作者信息

Kurtzke J F

出版信息

Ann Neurol. 1984 Sep;16(3):265-77. doi: 10.1002/ana.410160302.

Abstract

Epidemiology is the study of the natural history of disease, which includes its frequency, severity, and course and the identification of "risk factors" that influence these aspects. Neuroepidemiology is that branch of epidemiology dealing with disorders that affect the nervous system. Frequency of disease is best measured by population-based rates, which are ratios of the number of cases to the population at risk, expressed as cases per unit of population. Incidence and mortality rates refer, respectively, to new cases of, and deaths caused by, a disease per unit of time and population. Prevalence rate is the cross-sectional count of cases of a disease present at a given time per unit of population. Comparison of rates often requires consideration of age-specific or age-adjusted rates rather than crude rates, all ages. Course of illness (survival, complications, recurrence) can be measured by life-table methods. The annual incidence for disease and injury of the nervous system is about 2.5% (2,500 per 100,000 population) and the prevalence is about 9.5%. Excluding all traumatic, pain, headache, alcohol, psychiatric, and special-sense disorders, neurological diseases have an annual incidence and prevalence rate, respectively, of 1.1 and 3.6% of the population.

摘要

流行病学是对疾病自然史的研究,包括疾病的发生频率、严重程度和病程,以及对影响这些方面的“危险因素”的识别。神经流行病学是流行病学的一个分支,主要研究影响神经系统的疾病。疾病的发生频率最好通过基于人群的发病率来衡量,发病率是病例数与危险人群数的比率,以每单位人群中的病例数表示。发病率和死亡率分别指每单位时间和人群中某种疾病的新病例数和死亡数。患病率是指在特定时间每单位人群中存在的某种疾病病例的横断面计数。比较发病率通常需要考虑年龄特异性或年龄调整后的发病率,而不是所有年龄的粗发病率。疾病病程(生存、并发症、复发)可以通过生命表方法来衡量。神经系统疾病和损伤的年发病率约为2.5%(每10万人中2500例),患病率约为9.5%。排除所有创伤性、疼痛、头痛、酒精、精神和特殊感觉障碍后,神经系统疾病的年发病率和患病率分别占人口的1.1%和3.6%。

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