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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >National sex-specific trends in hospital-based stroke rates.
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National sex-specific trends in hospital-based stroke rates.

机译：全国性特定趋势的医院卒中发生率。

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Mounting regional and national evidence suggests a decline in primary in-hospital stroke diagnoses. However, these data do not include secondary diagnoses of stroke, and little is known about whether this decline varies significantly by sex. Compared with men, women are less likely to have optimal control of stroke risk factors, which may be leading to less impressive declines in stroke incidence in women. This study evaluated sex trends in hospital-based stroke diagnoses in the United States. The study was a time-trend analysis by sex of national age-adjusted rates of primary or secondary hospital-based stroke diagnosis per 100,000 persons (identified by ICD-9 procedure codes) among patients for 1997-2006 using data from all US states contributing to the Nationwide Inpatient Sample. Adjustments were made to correct for some inaccuracies in diagnostic codes. Between 1997 and 2006, total hospital-based stroke diagnoses decreased from 680,607 to 609,359. The age-adjusted hospital-based stroke diagnosis rate per 100,000 persons decreased in a roughly linear pattern from 282.7 to 210.4 in men (26%; P < .001) and from 240.5 to 184.7 in women (23%; P < .05). The average rate of decrease (slope) in hospital-based stroke diagnosis rates was greater in men than in women (-8.7 vs -7.5 per 100,000 persons; P = .003). Age-adjusted rates of hospital-based stroke diagnoses have decreased substantially in the United States during the last decade, but slightly less so in women. These results are generally encouraging, but nonetheless indicate that more intensive preventive efforts are warranted to completely eliminate sex disparities in stroke occurrence.
机译：越来越多的地区和国家证据表明，原发性住院中风诊断的下降。但是，这些数据不包括中风的继发性诊断，对于这种下降是否随性别而变化的知之甚少。与男性相比，女性不太可能对中风危险因素进行最佳控制，这可能导致女性中风发生率的下降幅度不那么显着。这项研究评估了美国基于医院的中风诊断的性别趋势。这项研究是根据美国所有州的数据，按性别对1997-2006年患者中每100,000人（按ICD-9程序代码确定）的全国初次或二级医院卒中诊断的年龄校正率的性别进行趋势分析。全国住院样本。进行了调整以纠正诊断代码中的某些错误。在1997年至2006年之间，基于医院的中风诊断总数从680,607下降至609,359。每10万人的按年龄调整的医院卒中诊断率大致呈线性变化，男性从282.7降低到210.4（26％; P <.001），女性从240.5降低到184.7（23％; P <.05） 。男性在医院卒中诊断率的平均降低率（斜率）大于女性（每100,000人中-8.7对-7.5; P = .003）。在过去十年中，按年龄调整的医院中风诊断率在美国已大幅下降，但在女性中则略有下降。这些结果总体上令人鼓舞，但仍表明需要进行更深入的预防，以完全消除中风发生中的性别差异。

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