脑卒中患者再入院及相关危险因素的研究现状_West China Medical Journal

Authors：

 赵俐红 ¹ ,  杨蓉 ² , 涂双燕 ² , 甘莉 ² , 何俐 ²

1. ;
2. ;

Corresponding author：

杨蓉, Email: hxyangrong2004@126.com

Keywords：

脑卒中; 危险因素; 再入院; 现状

DOI：

10.7507/1002-0179.20150563

Video：

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脑卒中具有高发病率、高死亡率、高致残率的特点，是危害中老年人健康的常见病、多发病，给社会、家庭、患者及家属带来极大的心理及经济负担。脑卒中后1年复发率为4%~14%，致残率、病死率均高于首次发病。国内外学者就导致脑卒中患者再入院的相关危险因素及预防措施进行了一些试验与研究。现将对国内外关于脑卒中患者再入院高危因素的研究现状进行综述，探讨影响脑卒中患者再入院的危险因素，为有针对性地进行护理干预、随访，降低其再入院率提供理论依据及指导。

Citation： 赵俐红, 杨蓉, 涂双燕, 甘莉, 何俐. 脑卒中患者再入院及相关危险因素的研究现状. West China Medical Journal, 2015, 30(10): 1971-1974. doi: 10.7507/1002-0179.20150563 Copy

1.	Mclean R, Mendis K, Canalese J. A ten-year retrospective study of unplanned hospital readmissions to a regional Australian hospital[J]. Aust Health Rev, 2008, 32(3):537-547.
2.	唐爱丰, 祝东林, 谢薇, 等. 脑卒中再入院的原因及其危险因素分析[J/CD]. 中华脑血管病杂志:电子版, 2013, 7(1):376-381.
3.	Westert GP, Lagoe RJ, Keskimäki I, et al. An international study of hospital readmissions and related utilization in Europe and the USA[J]. Health Policy, 2002, 61(3):269-278.
4.	Anderson GF, Steinberg EP. Hospital readmissions in Medicare populations[J]. N Engl J Med, 1984, 311(21):1349-1353.
5.	周念松, 张俊, 马谢民, 等. 北京市某三甲医院31天内非计划性再入院研究[J]. 中国医院管理, 2010, 30(4):18-20.
6.	杨辉, Thomas S. 再入院:概念、测量和政策意义[J]. 中国卫生质量管理, 2009, 16(5):113-115.
7.	王忠诚, 程学铭, 李世绰, 等. 中国六城市居民神经系统疾病的流行病学调查[J]. 中华神经外科杂志, 1985(1):4-10.
8.	李振三, 杨期东, 苏启庚, 等. 中国农村脑血管病流行病学调查[J]. 中华神经外科杂志, 1989, 5(S1):9-13.
9.	张薇, 范宇威, 高静, 等. 脑卒中流行病学调查相关文献复习[J]. 中国临床神经科学, 2014, 22(6):699-703.
10.	王晓明. 脑卒中防控任重道远[J]. 川北医学院学报, 2012, 27(4): 303-304.
11.	Cousineau N, Mcdowell I, Hotz S, et al. Measuring chronic patients' feelings of being a burden to their caregivers[J]. Med Care, 2003, 41(1):110-118.
12.	周东. 神经病学[M]. 北京:高等教育出版社, 2011:89-102.
13.	Kowal J, Wilson KG, Mcwilliams LA, et al. Self-perceived burden in chronic pain:relevance, prevalence, and predictors[J]. Pain, 2012, 153(8):1735-1741.
14.	李云鹏, 哈楠, 柳胜生. 上海市945例脑卒中患者三年复发及死亡情况[J]. 中国慢性病预防与控制, 2008, 6(5):512-513.
15.	贾建平. 神经病学[M]. 6版. 北京:人民卫生出版社, 2008:171-199.
16.	Organisation ES, Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008[J]. Cerebrovasc Dis, 2008, 25(5):457-507.
17.	Oeki M, Mogami T, Hagino H. Self-perceived burden in patients with cancer:scale development and descriptive study[J]. Eur J Oncol Nurs, 2012, 16(2):145-152.
18.	Norrving B, Kissela B. The global burden of stroke and need for a continuum of care[J]. Neurology, 2013, 80(2):S5-S12.
19.	王菊. 缺血性卒中复发相关因素分析[J]. 中外医疗, 2010, 29(22): 84-85.
20.	赵红梅, 刘文华, 王筱萌, 等. 复发性脑梗死的危险因素及病因学分析[J]. 中华老年心脑血管病杂志, 2013, 15(1):42-45.
21.	Röther J, Alberts MJ, Touzé E, et al. Risk factor profile and management of cerebrovascular patients in the REACH Registry[J]. Cerebrovasc Dis, 2008, 25(4):366-374.
22.	Leoo T, Lindgren A, Petersson J, et al. Risk factors and treatment at recurrent stroke onset:results from the Recurrent Stroke Quality and Epidemiology (RESQUE) Study[J]. Cerebrovasc Dis, 2008, 25(3):254-260.
23.	黄载文. 缺血性脑卒中的危险因素研究进展[J]. 中国医药指南, 2013, 11(11):60-61.
24.	Gretarsdottir S, Thorleifsson G, Reynisdottir ST, et al. The gene encoding phosphodiesterase 4D confers risk of ischemic stroke[J]. Nat Genet, 2003, 35(2):131-138.
25.	栗桂萍. 再入院统计评价及其影响因素分析[J]. 中国卫生统计, 2007, 24(2):174-176.
26.	Katzan IL, Spertus J, Bettger JP, et al. Risk adjustment of ischemic stroke outcomes for comparing hospital performance:a statement for healthcare professionals from the American Heart Association/ American Stroke Association[J]. Stroke, 2014, 45(3):918-944.
27.	Tseng MC, Lin HJ. Readmission after hospitalization for stroke in Taiwan:results from a National sample[J]. J Neurol Sci, 2009, 284(1/2):52-55.
28.	Lin HJ, Chang WL, Tseng MC. Readmission after stroke in a hospital-based registry risk, etiologies, and risk factors[J]. Neurology, 2011, 76(5):438-443.
29.	Lakshminarayan K, Schissel C, Anderson DC, et al. Five-year rehospitalization outcomes in a cohort of patients with acute ischemic stroke:medicare linkage study[J]. Stroke, 2011, 42(6): 1556-1562.
30.	Adams RJ, Albers G, Alberts MJ, et al. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack[J]. Stroke, 2008, 39(5):1647-1652.
31.	刘娟, 杨栋, 李系仁, 等. 某院31天内再入院现状与影响因素分析[J]. 中国卫生质量管理, 2011, 18(6):22-25.
32.	Moskowitz MA, Lo EH, Iadecola C. The science of stroke:mechanisms in search of treatments[J]. Neuron, 2010, 67(2):181-198.
33.	安雅臣, 王玉浔, 张江, 等. 缺血性脑卒中复发预测模型的构建及应用[J]. 实用医学杂志, 2013, 29(7):1095-1097.
34.	明星辰, 方孝梅, 杭富云, 等. 住院患者出院31天内再入院影响因素分析[J]. 中国病案, 2013, 14(3):35-36.
35.	刘军, 赵冬, 王薇, 等. 北京地区1984-2000年35-74岁人群复发性脑卒中事件发病变化趋势[J]. 中华流行病学杂志, 2007, 28(5): 437-440.
36.	冯社军, 赵现, 刘运平, 等. 脑卒中复发影响因素的Cox回归分析[J]. 西部医学, 2013, 25(6):857-859.
37.	陈辉, 陈实丽. 脑卒中患者复发影响因素的统计学分析[J]. 中外医疗, 2010, 29(4):52, 54.
38.	Karsito, Soeatmadji DW. Diabetes and stroke[J]. Acta Med Indones, 2008, 40(3):151-158.
39.	罗纪琼, 尤素绢. 医疗总额支付制度对住院医疗品质的初步影响[J]. 台湾公共卫生杂志, 2010, 29(4):360-368.
40.	Bauer M, Fitzgerald L, Haesler E, et al. Hospital discharge planning for frail older People and their family. Are we delivering best practice? A review of the evidence[J]. J Clin Nurs, 2009, 18(18): 2539-2546.
41.	刘雪梅. 出院计划模式对162例老年脑卒中患者遵医行为的影响[J]. 中国医疗前沿, 2013, 8(9):112.
42.	张小燕, 许继晗, 苏永静, 等. 初发脑卒中患者延续性护理需求的调查研究[J]. 中华护理教育, 2012, 9(7):294-296.
43.	陈璐, 陈湘玉. 国内外居家护理概况及对我国居家护理发展方向的思考[J]. 中国护理管理, 2012, 12(7):94-96.
44.	傅荣, 陈湘玉, 沈小芳. 脑卒中患者居家护理模式的设计与应用[J]. 中国护理管理, 2013, 13(6):67-69.
45.	Boling PA. Care transitions and home health care[J]. Clin Geriatr Med, 2009, 25(1):135-148, viii.

1. Mclean R, Mendis K, Canalese J. A ten-year retrospective study of unplanned hospital readmissions to a regional Australian hospital[J]. Aust Health Rev, 2008, 32(3):537-547.
2. 唐爱丰, 祝东林, 谢薇, 等. 脑卒中再入院的原因及其危险因素分析[J/CD]. 中华脑血管病杂志:电子版, 2013, 7(1):376-381.
3. Westert GP, Lagoe RJ, Keskimäki I, et al. An international study of hospital readmissions and related utilization in Europe and the USA[J]. Health Policy, 2002, 61(3):269-278.
4. Anderson GF, Steinberg EP. Hospital readmissions in Medicare populations[J]. N Engl J Med, 1984, 311(21):1349-1353.
5. 周念松, 张俊, 马谢民, 等. 北京市某三甲医院31天内非计划性再入院研究[J]. 中国医院管理, 2010, 30(4):18-20.
6. 杨辉, Thomas S. 再入院:概念、测量和政策意义[J]. 中国卫生质量管理, 2009, 16(5):113-115.
7. 王忠诚, 程学铭, 李世绰, 等. 中国六城市居民神经系统疾病的流行病学调查[J]. 中华神经外科杂志, 1985(1):4-10.
8. 李振三, 杨期东, 苏启庚, 等. 中国农村脑血管病流行病学调查[J]. 中华神经外科杂志, 1989, 5(S1):9-13.
9. 张薇, 范宇威, 高静, 等. 脑卒中流行病学调查相关文献复习[J]. 中国临床神经科学, 2014, 22(6):699-703.
10. 王晓明. 脑卒中防控任重道远[J]. 川北医学院学报, 2012, 27(4): 303-304.
11. Cousineau N, Mcdowell I, Hotz S, et al. Measuring chronic patients' feelings of being a burden to their caregivers[J]. Med Care, 2003, 41(1):110-118.
12. 周东. 神经病学[M]. 北京:高等教育出版社, 2011:89-102.
13. Kowal J, Wilson KG, Mcwilliams LA, et al. Self-perceived burden in chronic pain:relevance, prevalence, and predictors[J]. Pain, 2012, 153(8):1735-1741.
14. 李云鹏, 哈楠, 柳胜生. 上海市945例脑卒中患者三年复发及死亡情况[J]. 中国慢性病预防与控制, 2008, 6(5):512-513.
15. 贾建平. 神经病学[M]. 6版. 北京:人民卫生出版社, 2008:171-199.
16. Organisation ES, Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008[J]. Cerebrovasc Dis, 2008, 25(5):457-507.
17. Oeki M, Mogami T, Hagino H. Self-perceived burden in patients with cancer:scale development and descriptive study[J]. Eur J Oncol Nurs, 2012, 16(2):145-152.
18. Norrving B, Kissela B. The global burden of stroke and need for a continuum of care[J]. Neurology, 2013, 80(2):S5-S12.
19. 王菊. 缺血性卒中复发相关因素分析[J]. 中外医疗, 2010, 29(22): 84-85.
20. 赵红梅, 刘文华, 王筱萌, 等. 复发性脑梗死的危险因素及病因学分析[J]. 中华老年心脑血管病杂志, 2013, 15(1):42-45.
21. Röther J, Alberts MJ, Touzé E, et al. Risk factor profile and management of cerebrovascular patients in the REACH Registry[J]. Cerebrovasc Dis, 2008, 25(4):366-374.
22. Leoo T, Lindgren A, Petersson J, et al. Risk factors and treatment at recurrent stroke onset:results from the Recurrent Stroke Quality and Epidemiology (RESQUE) Study[J]. Cerebrovasc Dis, 2008, 25(3):254-260.
23. 黄载文. 缺血性脑卒中的危险因素研究进展[J]. 中国医药指南, 2013, 11(11):60-61.
24. Gretarsdottir S, Thorleifsson G, Reynisdottir ST, et al. The gene encoding phosphodiesterase 4D confers risk of ischemic stroke[J]. Nat Genet, 2003, 35(2):131-138.
25. 栗桂萍. 再入院统计评价及其影响因素分析[J]. 中国卫生统计, 2007, 24(2):174-176.
26. Katzan IL, Spertus J, Bettger JP, et al. Risk adjustment of ischemic stroke outcomes for comparing hospital performance:a statement for healthcare professionals from the American Heart Association/ American Stroke Association[J]. Stroke, 2014, 45(3):918-944.
27. Tseng MC, Lin HJ. Readmission after hospitalization for stroke in Taiwan:results from a National sample[J]. J Neurol Sci, 2009, 284(1/2):52-55.
28. Lin HJ, Chang WL, Tseng MC. Readmission after stroke in a hospital-based registry risk, etiologies, and risk factors[J]. Neurology, 2011, 76(5):438-443.
29. Lakshminarayan K, Schissel C, Anderson DC, et al. Five-year rehospitalization outcomes in a cohort of patients with acute ischemic stroke:medicare linkage study[J]. Stroke, 2011, 42(6): 1556-1562.
30. Adams RJ, Albers G, Alberts MJ, et al. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack[J]. Stroke, 2008, 39(5):1647-1652.
31. 刘娟, 杨栋, 李系仁, 等. 某院31天内再入院现状与影响因素分析[J]. 中国卫生质量管理, 2011, 18(6):22-25.
32. Moskowitz MA, Lo EH, Iadecola C. The science of stroke:mechanisms in search of treatments[J]. Neuron, 2010, 67(2):181-198.
33. 安雅臣, 王玉浔, 张江, 等. 缺血性脑卒中复发预测模型的构建及应用[J]. 实用医学杂志, 2013, 29(7):1095-1097.
34. 明星辰, 方孝梅, 杭富云, 等. 住院患者出院31天内再入院影响因素分析[J]. 中国病案, 2013, 14(3):35-36.
35. 刘军, 赵冬, 王薇, 等. 北京地区1984-2000年35-74岁人群复发性脑卒中事件发病变化趋势[J]. 中华流行病学杂志, 2007, 28(5): 437-440.
36. 冯社军, 赵现, 刘运平, 等. 脑卒中复发影响因素的Cox回归分析[J]. 西部医学, 2013, 25(6):857-859.
37. 陈辉, 陈实丽. 脑卒中患者复发影响因素的统计学分析[J]. 中外医疗, 2010, 29(4):52, 54.
38. Karsito, Soeatmadji DW. Diabetes and stroke[J]. Acta Med Indones, 2008, 40(3):151-158.
39. 罗纪琼, 尤素绢. 医疗总额支付制度对住院医疗品质的初步影响[J]. 台湾公共卫生杂志, 2010, 29(4):360-368.
40. Bauer M, Fitzgerald L, Haesler E, et al. Hospital discharge planning for frail older People and their family. Are we delivering best practice? A review of the evidence[J]. J Clin Nurs, 2009, 18(18): 2539-2546.
41. 刘雪梅. 出院计划模式对162例老年脑卒中患者遵医行为的影响[J]. 中国医疗前沿, 2013, 8(9):112.
42. 张小燕, 许继晗, 苏永静, 等. 初发脑卒中患者延续性护理需求的调查研究[J]. 中华护理教育, 2012, 9(7):294-296.
43. 陈璐, 陈湘玉. 国内外居家护理概况及对我国居家护理发展方向的思考[J]. 中国护理管理, 2012, 12(7):94-96.
44. 傅荣, 陈湘玉, 沈小芳. 脑卒中患者居家护理模式的设计与应用[J]. 中国护理管理, 2013, 13(6):67-69.
45. Boling PA. Care transitions and home health care[J]. Clin Geriatr Med, 2009, 25(1):135-148, viii.

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脑卒中患者再入院及相关危险因素的研究现状

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