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[中风的医院死亡率和总死亡率指标]

[Indices of hospital and total mortality from stroke].

作者信息

Iasinskiĭ Ts V, Norets T M, Miriuka P A, Gornostal' O V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(5):658-62.

PMID:899464
Abstract

The indices of hospital lethality in cerebral strokes to a great extent depend upon the percentage of hospitalized patients and the contingent of admitted patients by their severity. For this reason the indices of hospital lethality cannot serve as a criteria for the quality of hospital services in this form of disorder. The coefficient of general lethality is also inadequate for the characteristics of changes in the therapeutic effectiveness of patients with acute changes of cerebral circulation, inasmuch as it does not take into consideration the decisive significance of the duration, character of disorders of cerebral circulation and the main vascular disease. The most complete characteristics of changes and therapeutic effectiveness in patients with cerebral strokes may be received only from survival coefficient of patients, homogenous according to the main vascular disease, character of disturbed cerebral circulation, age and sex of the patients.

摘要

脑卒中患者的医院死亡率指标在很大程度上取决于住院患者的比例以及按病情严重程度划分的收治患者队伍。因此,以这种形式的疾病而言,医院死亡率指标不能作为医院服务质量的标准。总体死亡率系数对于脑循环急性改变患者治疗效果变化的特征描述也不够充分,因为它没有考虑到脑循环紊乱的持续时间、特征以及主要血管疾病的决定性意义。只有根据主要血管疾病、脑循环紊乱特征、患者年龄和性别进行同质化处理后的患者生存系数,才能最全面地反映脑卒中患者的病情变化和治疗效果。

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