Lago A, Geffner D, Belda V, Andrés M, Lanuza A, Cerdá J, Vilar V
Sección de Neurología, Hospital General de Castellón.
Rev Neurol. 1995 Mar-Apr;23(120):293-6.
To analyse the hospital death rate caused by acute cardiovascular disorder and their factors conducted.
We made a retrospective review of all patients suffering from this pathology who had gone into the Casualty Ward of the Castellón General Hospital in the course of 1991: we also looked for all patients with acute cardiovascular disorder who had died in the hospital. We studied the risk factors for the patients referred using a univariant analysis, comparing those still living with those who had died.
We find 514 patients diagnosed as having acute cardiovascular disorder, with an stroke/TIA incidence rate of 188 cases per 100,000 inhabitants. The proportion of referred patients was 52%. Among these, the death rate was 27.8%. Factors affecting the death rate were the age of the patients, the reduction in the level of consciousness, and lateral gaze at the start of the stroke.
We believe that the high death rate in our selection was due to the severity of the strokes and the advanced age of the patients, as was in accordance with the methodology used in the gathering of data, which made it possible to include patients who died early.
分析急性心血管疾病导致的医院死亡率及其相关因素。
我们对1991年期间入住卡斯特利翁总医院急诊病房的所有患有该疾病的患者进行了回顾性研究;我们还查找了所有在医院死亡的急性心血管疾病患者。我们使用单变量分析研究了转诊患者的危险因素,比较了存活患者和死亡患者。
我们发现514例被诊断为急性心血管疾病的患者,中风/短暂性脑缺血发作发病率为每10万居民188例。转诊患者比例为52%。其中,死亡率为27.8%。影响死亡率的因素是患者年龄、意识水平下降以及中风开始时的侧视。
我们认为,我们所选病例的高死亡率是由于中风的严重性和患者的高龄,这与数据收集所采用的方法一致,该方法使得纳入早期死亡的患者成为可能。