Giroud M, Lemesle M, Quantin C, Vourch M, Becker F, Milan C, Brunet-Lecomte P, Dumas R
Dijon Stroke Registry, Neurology Department, University of Burgundy, France.
Neuroepidemiology. 1997;16(1):15-21. doi: 10.1159/000109666.
The aim of this study was to demonstrate the different results obtained from a population-based and a hospital-based stroke study in the same city.
Between January 1 and December 31, 1993, we collected information on all of the first strokes in the population of the city of Dijon, in conjunction with the Dijon Stroke Registry, collecting the first-ever strokes from patients living in Dijon as well as on all the first strokes in residents and nonresidents of Dijon who were treated at Dijon University Hospital. Demographic details, medical history, vascular risk factors, stroke subtype, as diagnosed by CT scan, and mortality rates were compared between the strokes observed in the population of the city of Dijon among residents as well as nonresidents in Dijon who were treated at Dijon University Hospital.
We collected information on 210 strokes observed in the population of Dijon city, 171 Dijon residents and 395 non-Dijon city residents hospitalized at the University Hospital of Dijon. These three groups were quite different. The residents of Dijon treated for stroke at the University Hospital were younger and their incidence of cerebral hemorrhage, cardiac arrhythmia, ischemic heart disease and case fatality rate were higher than those from the Dijon Stroke Registry.
Type of stroke data bank is very important in order to describe cerebrovascular disease. Hospital-based studies tend to include more severe strokes, those occurring in a younger population, and those having a higher mortality. Population-based studies, on the other hand, give a somewhat different picture of stroke.
本研究旨在展示在同一城市进行的基于人群和基于医院的卒中研究所得出的不同结果。
1993年1月1日至12月31日期间，我们与第戎卒中登记处合作，收集了第戎市所有首次卒中的信息，包括第戎市居民首次发生的卒中以及在第戎大学医院接受治疗的第戎市居民和非居民的所有首次卒中。比较了第戎市居民以及在第戎大学医院接受治疗的第戎非居民中观察到的卒中患者的人口统计学细节、病史、血管危险因素、CT扫描诊断的卒中亚型和死亡率。
我们收集了第戎市人群中观察到的210例卒中信息，以及在第戎大学医院住院的171名第戎居民和395名非第戎市居民的信息。这三组差异很大。在大学医院接受卒中治疗的第戎居民年龄较轻，其脑出血、心律失常、缺血性心脏病发病率和病死率高于第戎卒中登记处的患者。
为了描述脑血管疾病，卒中数据库的类型非常重要。基于医院的研究倾向于纳入更严重的卒中、发生在较年轻人群中的卒中以及死亡率较高的卒中。另一方面，基于人群的研究对卒中的描述有所不同。
