Suzuki K, Sarti C, Tuomilehto J, Kutsuzowa T, Narva E V, Sivenius J, Salmi K, Kaarsalo E, Torppa J, Kuulasmaa K
Research Institute for Brain, Department of Epidemiology, Akita, Japan.
Neuroepidemiology. 1994;13(5):236-44. doi: 10.1159/000110385.
The incidence and case fatality of stroke from 1983 to 1985 from the community-based stroke register of the FINMONICA study in Finland were compared with the corresponding rates in the hospital-based register of Akita in Japan collected during 1984-1986. The comparability of the two registers was assessed, and case fatality was compared only in hospitalized cases. In Akita, the age-standardized incidence of cerebral haemorrhage in people aged 25-74 was twice that in FINMONICA, while the reverse was true for incidence of cerebral infarction. Case fatality from stroke within 48 h of onset was higher in FINMONICA than in Akita in each stroke subtype. The incidence and mortality of subarachnoid haemorrhage were similar in the two populations. The differences in early case fatality are probably due to dissimilarities in the severity of the stroke attacks rather than discrepancies in early treatment. Coding practices and also a more unlikely selection bias due to the differential use of computerized brain tomography in the two countries may play a role in differences in incidence and case fatality between these two countries.
将芬兰FINMONICA研究基于社区的卒中登记中1983年至1985年的卒中发病率和病死率，与日本秋田县1984年至1986年期间基于医院的登记中的相应发病率和病死率进行了比较。评估了两个登记系统的可比性，并且仅对住院病例的病死率进行了比较。在秋田县，25至74岁人群中脑出血的年龄标准化发病率是FINMONICA的两倍，而脑梗死发病率则相反。在每种卒中亚型中，FINMONICA中发病48小时内的卒中病死率高于秋田县。蛛网膜下腔出血的发病率和死亡率在两个人群中相似。早期病死率的差异可能是由于卒中发作严重程度不同，而非早期治疗的差异。编码方式以及两国在计算机断层扫描使用上的差异导致的不太可能的选择偏倚，可能在这两个国家的发病率和病死率差异中起作用。
