Nunes B, Branco M C, Loureiro L, Lopes S
Serviço de Neurologia, Hospital S. Pedro, Vila Real.
Acta Med Port. 1998 Jan;11(1):17-23.
Hospital-based stroke data banks can contribute to a better management of stroke patients with consequent reduction of associated morbidity and mortality.
The characterisation of stroke patients and validation of the hospital stroke registry.
Hospital S.Pedro, Vila Real, a secondary neurological referral centre for 450.000 inhabitants of interior north Portugal.
Analysis of data collected over one year of a prospective computerised stroke registry. Evaluation of completeness of the registry by independent analysis from emergency room data files and percentage of items entirely filled up.
in a one year period were registered 349 patients (186 F; 163 M) with a mean age at stroke of 69 years. The majority (73.3%) lived in the hospital district. Most patients went directly to the hospital from their homes, and in the first 24 hours of symptoms onset. Cerebral infarction was diagnosed in 35.2% of patients, followed from lacunas in 24.6% and hypertensive haemorrhages in 22.3%. Arterial hypertension was found in 60.1% of cases, there were 11.4% of deaths and a Rankin score > 3 was present at hospital discharge in 39.5% of patients. There was a decrease in the register during the one-year period, evaluated comparing two months of emergency room files; we found a missing rate of protocols items varying from 0.8% and 8.8%.
Hospital-based stroke data banks can provide the best available information on stroke patients characteristics and the presence of stroke risk factors. Registry protocols must be kept simple, easy to fill and periodically surveyed in order to lessen the number of missing items.
基于医院的中风数据库有助于更好地管理中风患者，从而降低相关的发病率和死亡率。
对中风患者进行特征描述并验证医院中风登记系统。
位于维拉雷亚尔的圣佩德罗医院，是葡萄牙北部内陆地区45万居民的二级神经科转诊中心。
对前瞻性计算机化中风登记系统一年收集的数据进行分析。通过急诊室数据文件的独立分析以及完全填写项目的百分比来评估登记系统的完整性。
在一年时间里登记了349例患者（186例女性；163例男性），中风时的平均年龄为69岁。大多数患者（73.3%）居住在医院所在地区。大多数患者在症状出现的头24小时内直接从家中前往医院。35.2%的患者被诊断为脑梗死，其次是腔隙性脑梗死占24.6%，高血压性脑出血占22.3%。60.1%的病例发现有动脉高血压，11.4%的患者死亡，39.5%的患者出院时Rankin评分>3。在一年期间，通过比较两个月的急诊室文件评估发现登记系统有所减少；我们发现方案项目的缺失率在0.8%至8.8%之间。
基于医院的中风数据库可以提供有关中风患者特征和中风危险因素存在情况的最佳可用信息。登记方案必须保持简单、易于填写并定期进行调查，以减少缺失项目的数量。
