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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Time Trends and Characteristics of Prevalent Dementia among Patients Hospitalized for Stroke in the United States
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Time Trends and Characteristics of Prevalent Dementia among Patients Hospitalized for Stroke in the United States

机译：美国卒中患者患者普遍痴呆的时间趋势和特征

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Background: Little is known about how prevalent dementia rates among patients with stroke have evolved over the last decade or how this relationship varies by gender, race ethnicity, stroke type, or dementia type. We assessed time trends and demographic predictors of coexisting dementia in a large cohort of patients hospitalized for stroke. Materials and Methods: Patient admission data between 1999 and 2012 were sourced from the National Inpatient Sample. Patient admission records were included in the retrospective analysis if they were diagnosed with ischemic or hemorrhagic stroke during admission. Predictors of dementia subtype were analyzed using unadjusted and adjusted multinomial logistic regression. Results: Of 1,170,051 patients hospitalized for stroke between 1999 and 2012, 66,703 (5.7%) had a coexisting diagnosis of dementia. Female gender was associated with increased odds of Alzheimer's dementia (AD) (adjusted odds ratio [aOR] 1.15, 95% confidence interval [CI] 1.11-1.19) but decreased odds of both vascular dementia (VaD) (aOR.50, 95% CI.44-.58) and non-Alzheimer's-nonvascular dementia (aOR.79, 95% CI.79, 95% CI.74-.83). Relative to whites, African-Americans had higher odds of AD (aOR 1.25, 95% CI 1.18-1.32) and VaD (aOR 1.51, 95% CI 1.40-1.64). Similarly, Hispanics had increased odds of AD (aOR 1.40, 95% CI 1.30-1.50). Conclusions: Rates of coexisting dementia among patients hospitalized for stroke in the United States have risen over the last decade. Prevalence of dementia among these patients varies by gender and race-ethnicity. Key demographic groups may need to be targeted to reduce disparities in dementia occurrence.
机译：背景：关于在过去十年中，卒中患者在患者中发育出来的普遍存在痴呆率如何或者这种关系如何因性别，种族种族，卒中类型或痴呆症类型而异。我们评估了在住院中卒中的大型患者中共存痴呆的时间趋势和人口统计预测因素。材料和方法：1999年至2012年之间的患者入学数据来自国家住院样本。如果在入院期间被诊断出患有缺血性或出血性中风，则患者入院记录包括在回顾性分析中。使用不调整的多项式逻辑回归分析痴呆症亚型的预测因素。结果：1999年至2012年间中风住院的1,170,051名患者，66,703（5.7％）共存诊断痴呆症。女性性别与阿尔茨海默痴呆症（AD）的几率增加（调整后的赔率比[AOR] 1.15,95％，置信区间[CI] 1.11-1.19），但血管痴呆（VAD）（AOR.50，95％）降低CI.44-.58）和非阿尔茨海默氏症 - 非血管痴呆（AOR.79,95％CI.79,95％CI.74-.83）。相对于白人，非洲裔美国人的广告少量较高（AOR 1.25,95％CI 1.18-1.32）和VAD（AOR 1.51,95％CI 1.40-1.64）。同样，西班牙裔美国人的广告赔率增加了（AOR 1.40,95％CI 1.30-1.50）。结论：在过去十年中，在美国住院中风的患者的共存痴呆率的速率已经上升。这些患者中痴呆症的患病率因性别和种族而异。关键人口统计组可能需要靶向以减少痴呆症发生的差异。

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