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在欧洲,卒中发病率高,是常见的死亡原因,也是主要的保健费支出项目。本文旨在探讨欧洲各国在给予卒中病人服务方面的差异。 作者对欧洲6国(英国、法国、意大利、葡萄牙、西班牙、德国)9所医院自1993年9月以来为期1年收住院的2390例首次卒中病人所接受的医院服务作了调查。项目包括:病人的基础特征(如年龄、性别、卒中前的不利因素);病情最重时的临床表现(如意识水平);瘫痪部位;言语或吞咽障碍;所接受的服务(如病房类型、住院日);主要诊断方法及治疗方法;康复医疗(如理疗、职业或言语治疗)。 结果 各医院病人病初住进的病房类型大部分是
In Europe, the high incidence of stroke is a common cause of death, and it is also a major health care expenditure item. This article aims to explore the differences in the services of European countries in providing stroke patients. The authors investigated the hospital services received by 2390 first stroke patients who were hospitalized for 1 year since September 1993 in 9 hospitals in 6 European countries (UK, France, Italy, Portugal, Spain, and Germany). Items include: basic characteristics of the patient (such as age, gender, pre-stroke unfavorable factors); clinical manifestations (eg, level of consciousness) when the condition is most severe; part of the hernia; speech or swallowing disorders; received services (such as the type of room, Day of hospitalization; major diagnostic methods and treatment methods; rehabilitation medical treatment (such as physiotherapy, occupational or speech therapy). Results Most of the types of wards admitted to hospital at the beginning of each hospital were