Ryglewicz D, Polakowska M, Lechowicz W, Broda G, Rószkiewicz M, Jasiñski B, Hier D B
Institute of Psychiatry and Neurology, National Institute of Cardiology, Warsaw, Poland.
Stroke. 1997 Apr;28(4):752-7. doi: 10.1161/01.str.28.4.752.
Stroke mortality has decreased in most industrialized countries in recent decades. In Poland, as in other eastern European countries, mortality rates for stroke remain high.
The Warsaw Stroke Registry (WSR) registered patients in the Mokotów district of Warsaw from 1991 through 1992. The Warsaw Pol-MONICA study registered stroke patients in the North and South Praga regions of Warsaw from 1984 through 1992. Stroke incidence rates, case-fatality rates, and stroke mortality rates were computed based on both studies and compared with published mortality rates based on death certificates. Eight-year trends of stroke incidence, case-fatality rate, and mortality were derived from the Warsaw Pol-MONICA study.
The WSR and Warsaw Pol-MONICA studies showed similar incidence rates, mortality rates, and 28-day case-fatality rates for stroke. Mortality rates from the WSR and the Warsaw Pol-MONICA study were similar to rates from death certificate data. Mortality rates in the group aged 35 to 64 years were higher in men (47.5 to 50/100000 per year) than in women (30/100000 per year).
Two different population-based studies suggest that stroke mortality is high in Poland because of high 28-day case-fatality rates. Stroke mortality failed to decline in Poland in the period 1984 through 1992 because neither case fatality nor stroke incidence declined in this period.
近几十年来，多数工业化国家的卒中死亡率有所下降。与其他东欧国家一样，波兰的卒中死亡率依然很高。
华沙卒中登记处（WSR）于1991年至1992年登记了华沙莫科托夫区的患者。华沙波兰MONICA研究于1984年至1992年登记了华沙南北普拉加地区的卒中患者。基于这两项研究计算卒中发病率、病死率和卒中死亡率，并与基于死亡证明公布的死亡率进行比较。华沙波兰MONICA研究得出了卒中发病率、病死率和死亡率的八年趋势。
WSR和华沙波兰MONICA研究显示卒中的发病率、死亡率和28天病死率相似。WSR和华沙波兰MONICA研究的死亡率与死亡证明数据的死亡率相似。35至64岁年龄组男性的死亡率（每年47.5至50/10万）高于女性（每年30/10万）。
两项不同的基于人群的研究表明，由于28天病死率高，波兰的卒中死亡率很高。在1984年至1992年期间，波兰的卒中死亡率未能下降，因为在此期间病死率和卒中发病率均未下降。
