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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >A stroke study of an urban area of Iran: risk factors, length of stay, case fatality, and discharge destination.
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A stroke study of an urban area of Iran: risk factors, length of stay, case fatality, and discharge destination.

机译：对伊朗市区的中风研究：危险因素，住院时间，病死率和出院目的地。

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BACKGROUND: The Iranian population is aging rapidly, which causes huge medical concern for health care of this population. This trend will lead to an increase in stroke incidence in the future. The aim of this study was to investigate the epidemiologic patterns, risk factors, length of hospitalization, hospital discharge destination, and case fatality of patients with ischemic stroke from a city of Iran as well as analyses of interaction of these factors. METHODS: A cross-sectional, multihospital-based study was performed on all consecutively discharged and diagnosed patients with ischemic stroke in the city of Qom, Iran, between March 2006 and September 2008. RESULTS: A total of 953 patients, 48.9% men and 51.1% women, were included. The mean age was 68+/-13.82 years. Hypertension was found in 64% of patients, followed by diabetes mellitus (36%), heart disease (34%), hypercholesterolemia (32%), and smoking (20%). The average length of stay (LOS) was 7.7 days (95% confidence interval 7.2-8.2). Women had a significantly longer LOS compared with men (8.4 v 7 days, P = .0075) and patients with heart disease had a significantly longer LOS (9 days, 95% confidence interval 7.8-10, P = .004). Overall 1-month fatality rate was 15.3%. CONCLUSION: Hypertension and diabetes mellitus are more frequent here than average global findings. One-month case fatality was higher than in European countries but less than in developing countries. The most interesting difference comparing developed countries is the destination, which should be addressed. We strongly recommend establishing a stroke registry, establishing primary prevention, and promoting rehabilitation facilities in Iran.
机译：背景：伊朗人口正在迅速老龄化，这引起了对该人群医疗保健的巨大医疗关注。这种趋势将导致未来的中风发病率增加。这项研究的目的是调查伊朗城市缺血性中风患者的流行病学模式，危险因素，住院时间，出院目的地和病死率，以及这些因素之间的相互作用分析。方法：从2006年3月至2008年9月，在伊朗库姆市对所有连续出院并诊断为缺血性中风的患者进行了一项基于多院的横断面研究。结果：共有953例患者，其中48.9％的男性和包括51.1％的妇女。平均年龄为68 +/- 13.82岁。在64％的患者中发现高血压，其次是糖尿病（36％），心脏病（34％），高胆固醇血症（32％）和吸烟（20％）。平均住院时间（LOS）为7.7天（95％置信区间7.2-8.2）。与男性相比，女性的LOS显着更长（8.4 v 7天，P = .0075），心脏病患者的LOS显着更长（9天，95％置信区间7.8-10，P = .004）。 1个月总死亡率为15.3％。结论：高血压和糖尿病的发病率高于全球平均水平。一个月的病死率高于欧洲国家，但低于发展中国家。与发达国家相比，最有趣的区别是目的地，应该解决。我们强烈建议在伊朗建立中风注册表，建立初级预防措施，并改善康复设施。

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