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目的了解北京市脑血管病住院病例的流行概况和医疗现状、如年龄,性别、疾病亚型分布等,预后、疾病负担及医疗质量等情况,为制定脑血管病防治策略、评价脑血管病防治效果提供依据。方法利用2007～2009年北京市二级及以上医院住院病例监测信息系统中的脑血管病住院病例的首页及附页信息,对人口统计学信息、疾病特征、治疗情况和卫生经济学指标等进行描述性分析,并对其年度间的变化进行统计学检验。结果 2007～2009年度北京市脑血管病住院病例分别为87729、99369和109829例,平均年龄分别为(65.29±13.56)岁、(65.29±13.47)岁,(65.26±13.68)岁,3年间差异无统计学意义(P=0.13,P=0.81),但46～60年龄组住院患者的构成比呈逐年上升趋势(Z=10.11,P<0.01),男性的构成比例分别为59.6%,58.6%和58.7%;疾病亚型构成比中,脑梗死约为50.0%、短暂性脑缺血发作和相关的综合征约为20.0%、脑内出血约为8.3%、脑血管病后遗症约为3.0%、蛛网膜下腔出血约为1.6%。2007～2009年度脑血管病的住院病死率分别为3.6%、3.2%和2.8%,呈逐年下降趋势(Z=11.10,P<0.01)。脑血管病平均住院日(中位数)为15～16d。人均总费用(中位数)由2007年的8848元上升到2009年的9824元。结论北京市脑血管病住院病例数量巨大,疾病负担沉重。其疾病亚型构成与发达国家相似,但发病年龄较早,平均住院日较长。住院病死率呈逐年下降趋势。本研究结果为制定北京市脑血管病防治策略、评价脑血管病防治效果提供了基础信息。
Objective To understand the prevalence and medical status of inpatients with cerebrovascular disease in Beijing, such as age, sex, distribution of disease subtypes, prognosis, disease burden and medical quality. To develop a strategy of prevention and treatment of cerebrovascular disease and evaluate the prevention and treatment of cerebrovascular disease Effect provides basis. Methods Using the first page of homepage and the appendix of in-patient cases of cerebrovascular disease in the inpatient case monitoring information system of secondary hospitals and higher in Beijing from 2007 to 2009, we conducted demographic information, disease characteristics, treatment and health economics indicators Descriptive analysis, and statistical analysis of the changes between the years. Results The hospitalized cases of cerebrovascular disease in Beijing from 2007 to 2009 were 87729, 99369 and 109 9829, respectively. The mean age were (65.29 ± 13.56) years old (65.29 ± 13.47) years old and (65.26 ± 13.68) years old, respectively. There was no significant difference in three years (P = 0.13, P = 0.81). However, the proportions of hospitalized patients in 46-60 age groups increased year by year (Z = 10.11, P <0.01), and the proportion of males was 59.6% and 58.6% respectively 58.7%; subtype of disease subtypes, cerebral infarction is about 50.0%, transient ischemic attack and related syndrome is about 20.0%, intracerebral hemorrhage is about 8.3%, cerebrovascular sequelae about 3.0%, cobweb Subdural hemorrhage is about 1.6%. The in-hospital mortality rates of cerebrovascular diseases in 2007-2009 were 3.6%, 3.2% and 2.8% respectively, showing a declining trend year by year (Z = 11.10, P <0.01). The average length of stay of cerebrovascular disease (median) 15 ~ 16d. The total per capita cost (median) increased from 8848 yuan in 2007 to 9824 yuan in 2009. Conclusion The number of hospitalized cases of cerebrovascular disease in Beijing is huge and the disease burden is heavy. Its disease subtypes are similar to those in developed countries, but the onset age is earlier and the average length of stay is longer. In-hospital mortality showed a downward trend year by year. The results of this study provide the basic information for the development of prevention and treatment of cerebrovascular disease in Beijing and evaluation of the prevention and treatment of cerebrovascular disease.