Purchas S H, Wabitsch K R, Taikato M R, Miles M
N Z Med J. 1984 Oct 10;97(765):675-8.
The case notes of all patients less than 30 years who had a discharge diagnosis of rheumatic fever or rheumatic heart disease and were admitted to Rotorua Hospital between January 1972 and April 1983 were examined. Information was analysed by computer and a register was begun locally on a card index system which may be computerised in future. There were 237 admissions involving 188 individuals with an average stay of 37 days. At least 63% of the 188 individual patients are known to have rheumatic heart disease. The average annual incidence for rheumatic fever was 20.1/100 000 with a Maori incidence in the 5-19 age group of 153.0/100 000. The incidence was significantly higher in areas where males had a lower income. The recurrence rate for rheumatic fever during the study period was 12.4%. It is recommended that the register should be continued to gather epidemiological data and to conduct an effective secondary prophylaxis programme using long acting intramuscular penicillin.
对1972年1月至1983年4月间因风湿热或风湿性心脏病出院诊断而入住罗托鲁瓦医院的所有30岁以下患者的病历进行了检查。信息通过计算机进行分析，并在当地开始使用卡片索引系统建立登记册，该系统未来可能会实现计算机化。共有237例入院病例，涉及188人，平均住院时间为37天。已知188例个体患者中至少63%患有风湿性心脏病。风湿热的年平均发病率为20.1/10万，5-19岁毛利人群体的发病率为153.0/10万。在男性收入较低的地区，发病率明显更高。研究期间风湿热的复发率为12.4%。建议继续使用该登记册收集流行病学数据，并使用长效肌肉注射青霉素开展有效的二级预防计划。
