Fan W H, Dai R H
Shanghai Hua Shan Hospital.
Zhonghua Nei Ke Za Zhi. 1993 Mar;32(3):155-60.
The hospital mortality rates of patients with acute myocardial infarction admitted to 10 main hospitals in Shanghai during the period of 1970-1989 were compared with those of different time periods (year 1970-1974, 1975-1979, 1980-1984 and 1985-1989) and the results disclosed a decreasing trend in mortality in later years. The distribution of major prognostic factors were compared among patients admitted in different time periods and no trend to naturally reduced infarct severity on admission was found. On the contrary, the predicted hospital mortality derived from the prognostic function tends to increase in 1980s. It is, therefore, concluded that the recent decline in hospital mortality of acute myocardial infarction observed is the result of progress and improvement in medical care. The way through which mortality was decreased was discussed.
对1970 - 1989年期间上海市10家主要医院收治的急性心肌梗死患者的医院死亡率与不同时间段（1970 - 1974年、1975 - 1979年、1980 - 1984年和1985 - 1989年）的死亡率进行了比较，结果显示后期死亡率呈下降趋势。比较了不同时间段入院患者主要预后因素的分布情况，未发现入院时梗死严重程度自然降低的趋势。相反，20世纪80年代源自预后功能的预测医院死亡率趋于上升。因此，得出结论，观察到的近期急性心肌梗死医院死亡率下降是医疗护理进步和改善的结果。并讨论了死亡率下降的方式。
