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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Stroke Rehabilitation and Risk of Mortality: A Population-Based Cohort Study Stratified by Age and Gender
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Stroke Rehabilitation and Risk of Mortality: A Population-Based Cohort Study Stratified by Age and Gender

机译：脑卒中康复和死亡风险：一项基于年龄和性别分层的基于人群的队列研究

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Background: To determine the survival of patients with stroke for up to 10 years after a first-time stroke and to investigate whether stroke rehabilitation within the first 3 months reduced long-term mortality in these patients. Methods: We used the medical claims data for a random sample of 1 million insured Taiwanese registered in the year 2000. A total of 7767 patients admitted for a first-time stroke between 2000 and 2005; 1285 (16.7%) received rehabilitation within the first 3 months after stroke admission. The other 83.3% of patients served as a comparison cohort. A Cox proportional hazards model was used to estimate the relative risk of mortality in relation to the rehabilitation intervention. Results: In all, 181 patients with rehabilitation and 1123 controls died, representing respective mortality rates of 25.0 and 32.7 per 1000 person-years. Rehabilitation was significantly associated with a lower risk of mortality (hazard ratio.68, 95% confidence interval.58-.79). Such a beneficial effect tended to be more obvious as the frequency of rehabilitation increased (P for the trend,. 0001) and was more evident in female patients. Conclusions: Stroke rehabilitation initiated in the first 3 months after a stroke admission may significantly reduce the risk of mortality for 10 years after the stroke.
机译：背景：确定首次中风后长达10年的中风患者的存活率，并调查前3个月内中风的康复是否降低了这些患者的长期死亡率。方法：我们使用医疗索赔数据随机抽取了2000年登记的100万台湾受保人。2000年至2005年，共有7767例首次中风的患者入选;在中风后的前三个月内，有1285人（16.7％）得到了康复。其余83.3％的患者作为比较队列。使用Cox比例风险模型来估计与康复干预有关的相对死亡风险。结果：总共有181例康复患者和1123例对照死亡，分别代表每千人年25.0和32.7的死亡率。康复与较低的死亡风险显着相关（危险比68，95％置信区间58-.79）。随着康复频率的增加，这种有益效果趋于更加明显（趋势P，.0001），女性患者更为明显。结论：中风入院后的前三个月开始中风康复可显着降低中风后10年的死亡风险。

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