Zieliński J J, Kuran W, Lipczyńska-Lojkowska W, Piłkowska E, Wieczorkiewicz M, Witkowska K
Neurol Neurochir Pol. 1978 Jan-Feb;12(1):1-7.
On the basis of an analysis of documentation from hospital the annual rate of first admissions for cerebrovascular disturbances was assessed in the population of the city district of Warsaw. The total rate was 123/100 000, including 22 for subarachnoid and cerebral haemorrhage. The rate was highest in the age group over 70 years (1162/100 000). The annual average death rate caused by these disease was 94/100 000. In the first month after admission 41% of patients died (including 77% with the diagnosis of cerebral haemorrhage) and during 6 months 52% died. The diagnosis of cerebrovascular disturbances was mentioned in only about 75% of death certificates of patients dying within one month from admission. In the Wrasaw population the annual rate of first admission and average annual death rate were on the average 1.5 times higher than the mean values for the whole country. Difficulties with the use of medical documentation for epidemiological studies are discussed.
基于对医院文档的分析，评估了华沙市辖区人群中脑血管疾病首次入院的年发病率。总发病率为123/10万，其中蛛网膜下腔出血和脑出血为22/10万。发病率在70岁以上年龄组最高（1162/10万）。这些疾病导致的年平均死亡率为94/10万。入院后第一个月内41%的患者死亡（包括77%诊断为脑出血的患者），6个月内52%的患者死亡。在入院后一个月内死亡的患者死亡证明中，只有约75%提到了脑血管疾病的诊断。在华沙人群中，首次入院的年发病率和年平均死亡率平均比全国平均值高1.5倍。讨论了在流行病学研究中使用医疗文档的困难。
