Traumatic Brain Injury in Honduras: The Use of a Paper-based Surveillance System to Characterize Injuries Patterns.
Traumatic Brain Injury in Honduras: The Use of a Paper-based Surveillance System to Characterize Injuries Patterns.
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DOI：
10.5195/ijms.2022.1384
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发表时间：
2022-12-31
影响因子：
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通讯作者：
Bonilla-Escobar FJ
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文献类型：
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作者：
Johnson E;Rodriguez C;Puyana JC;Bonilla-Escobar FJ
创伤性脑损伤 (TBI) 是全世界死亡和残疾的主要原因。暴力是洪都拉斯死亡的主要原因。然而，TBI 在这个中低收入国家 (LMIC) 的发病率和影响尚不清楚。本研究的目的是描述洪都拉斯 TBI 的流行病学，该流行病学是由该国主要转诊中心的伤害监测工具捕获的。对 2013 年 1 月至 12 月洪都拉斯主要转诊医院所有与 TBI 相关的急诊科就诊进行了横断面审查。根据伤害监测系统 (InSS) 数据计算描述性统计数据。 2013 年共发生 17,971 起受伤事件，其中 20% 为脑外伤 (n=3,588)。主要致伤机制为跌倒（41.11%）、道路交通事故（23.91%）、钝挫伤（20.82%）、刀刺伤（5.85%）、枪伤（2.26%）。大多数 TBI 被归类为轻度； 99.69%（格拉斯哥昏迷量表=15）。急诊室死亡率较低（1.11%）。修正后的坎帕拉创伤评分中位数为 8（四分位数范围 7-8）。 2013 年，洪都拉斯一家大量转诊中心就诊的所有伤害中，轻度 TBI 占很大比例。尽管该国暴力发生率很高，但大多数 TBI 都是意外事故，继发于道路交通事故和跌倒。需要使用最新数据以及前瞻性数据收集方法进行进一步研究。
Traumatic brain injuries (TBI) are a leading cause of death and disability worldwide. Violence is the leading cause of mortality in Honduras. However, the incidence and impact of TBI in this low-middle income country (LMIC) is unknown. The aim of this study is to describe the epidemiology of TBI in Honduras, as captured by an injury surveillance tool in the country’s major referral center. A cross sectional review of all TBI-related emergency department visits at the main referral hospital in Honduras from January to December 2013 was conducted. The calculation of descriptive statistics from Injury Surveillance System (InSS) data was performed. Of 17,971 total injuries seen in 2013, 20% were traumatic brain injuries (n=3,588). The main mechanisms of injury were falls (41.11%), road traffic accidents (23.91%), blunt trauma (20.82%), penetrating knife injuries (5.85%), and firearm injuries (2.26%). Most TBI were classified as mild; 99.69% (Glasgow Coma Scale=15). Emergency room mortality was low (1.11%). The modified Kampala Trauma Score median was 8 (interquartile range 7–8). Mild TBI accounts for a significant percentage of all injuries presenting to a high-volume referral center in Honduras in 2013. Despite the high incidence of violence in this country, most TBI were accidental, secondary to road traffic accidents and falls. Further research is required with more recent data as well as with prospective data collection methods.