TY - T1的儿童患中风的风险JF -神经学乔-神经病学SP - 189 LP - 194 首页- 10.1212/01. wnl.0000078894.79866.95六世- 61 - 2非盟-希瑟·j·富勒顿盟伊冯·w·吴盟- Shoujun赵盟美国克莱本约翰斯顿Y1 - 2003/07/22 UR - //www.ez-admanager.com/content/61/2/189.abstract N2 -方法:使用一个加利福尼亚出院数据库,作者分析了所有首次招生中风在孩子1个月19岁从1991年到2000年。发病率估计的数量第一次住院除以人力风险;致死率是基于住院死亡。结果:作者发现2278年首次招生童年中风,收益率每年发病率为2.3每100000名儿童(1.1 1.2对缺血性中风,出血性中风)。Compared with whites, black children were at higher risk of stroke (for ischemic stroke, relative risk [RR] 2.59, 95% CI 2.17 to 3.09, p < 0.0001; subarachnoid hemorrhage [SAH], RR 1.59, CI 1.06 to 2.33, p = 0.02; intracerebral hemorrhage [ICH], RR 1.66, CI 1.23 to 2.13, p = 0.0001). Hispanics, however, had a lower risk of ischemic stroke (RR 0.70, CI 0.60 to 0.82, p < 0.0001) and ICH (RR 0.77, CI 0.64 to 0.93, p = 0.0004), whereas Asians had similar risks as whites. Boys were at higher risk for all stroke types than girls (ischemic stroke, RR 1.25, CI 1.11 to 1.40, p = 0.0002; SAH, RR 1.24, CI 1.00 to 1.53, p = 0.047; ICH, RR 1.34, CI 1.16 to 1.56, p = 0.0001). After eliminating cases with coexisting sickle cell disease, excess stroke risk persisted in blacks; after elimination of trauma, excess stroke risk persisted in boys. Case fatality rates were similar among different ethnic groups. Compared with girls, boys had a higher case fatality rate for ischemic stroke (17 vs 12%; p = 0.002) but not for ICH or SAH. Conclusions: Rates of hospitalization for stroke are higher among black children and boys; sickle cell disease and trauma do not fully account for these findings. ER -