华盛顿州金县死亡证明上糖尿病报告不足的情况。
Underreporting of diabetes on death certificates, King County, Washington.
作者信息
Andresen E M, Lee J A, Pecoraro R E, Koepsell T D, Hallstrom A P, Siscovick D S
机构信息
School of Medicine, University of Washington, Seattle.
出版信息
Am J Public Health. 1993 Jul;83(7):1021-4. doi: 10.2105/ajph.83.7.1021.
Abstract
We estimated the reporting of diabetes on death certificates for persons known to have diabetes. Surveillance of 19 hospitals and two paramedic emergency medical services during 12 months in Seattle and King County, Washington, ascertained acute ischemic heart disease events for persons with diabetes and yielded 1235 persons with suspected ischemic heart disease. Mortality was 23.6%, and 41% of death certificates listed diabetes. The reporting of diabetes on the death certificate was not random, and it varied by patient and physician characteristics. Diabetes is strongly linked to fatal ischemic heart disease, but its importance is underrepresented by death certificates for some subgroups.
摘要
我们对已知患有糖尿病的人群在死亡证明上的糖尿病报告情况进行了评估。在华盛顿州西雅图市和金县，对19家医院和两个护理人员急救医疗服务机构进行了为期12个月的监测，确定了糖尿病患者的急性缺血性心脏病事件，共产生了1235名疑似缺血性心脏病患者。死亡率为23.6%，41%的死亡证明列出了糖尿病。死亡证明上糖尿病的报告并非随机，且因患者和医生特征而异。糖尿病与致命性缺血性心脏病密切相关，但在某些亚组中，其重要性在死亡证明中未得到充分体现。
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