Increased Rates of Mild Traumatic Brain Injury Among Older Adults in US Emergency Departments, 2009-2010.
Increased Rates of Mild Traumatic Brain Injury Among Older Adults in US Emergency Departments, 2009-2010.
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DOI：
10.1097/htr.0000000000000190
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发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Smith GS
中科院分区：
文献类型：
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作者：
Albrecht JS;Hirshon JM;McCunn M;Bechtold KT;Rao V;Simoni-Wastila L;Smith GS
估计老年人中轻度创伤性脑损伤（TBI）的急诊（艾德）就诊率。我们定义了可能的轻度TBI病例，以评估诊断不足。2009-2010年艾德就诊的全国横断面样本，由全国医院门诊医疗调查获得。根据ICD-9-CM代码（800.0x-801.9x、803.xx、804.xx、850.xx-854.1x、950.1x-950.3x、959.01）定义的65岁及以上轻度TBI，格拉斯哥昏迷量表评分≥14或缺失，不包括入院患者。可能的轻度TBI在没有轻度TBI和跌倒或机动车碰撞作为受伤原因的患者中定义相似。我们计算了轻度TBI的发生率，并检查了与轻度TBI诊断相关的因素。轻度TBI的艾德就诊率在65-74岁之间为386/100，000;在75-84岁之间为777/100，000;在>84岁的人群中为1，205/100，000。妇女的比率（706/100 000）高于男子（516/100 000）。与可能的mTBI相比，轻度TBI的诊断在西部更有可能（OR 2.31; 95%CI 1.02，5.24），而在南部/中西部的可能性较低（OR 0.52; 95%CI 0.29，0.96）。这项研究强调了老年人中轻度TBI的艾德就诊率呈上升趋势。
Estimate rates of emergency department (ED) visits for mild traumatic brain injury (TBI) among older adults. We defined possible mild TBI cases to assess underdiagnoses. Cross-sectional National sample of ED visits 2009-2010 captured by The National Hospital Ambulatory Medical Care Survey. Aged 65 and older Mild TBI defined by ICD-9-CM codes (800.0x-801.9x, 803.xx, 804.xx, 850.xx-854.1x, 950.1x-950.3x, 959.01) and a Glasgow Coma Scale score ≥14 or missing, excluding those admitted to the hospital. Possible mild TBI was defined similarly among those without mild TBI and with a fall or motor vehicle collision as cause of injury. We calculated rates of mild TBI and examined factors associated with diagnosis of mild TBI. Rates of ED visits for mild TBI were 386/100,000 among those 65-74; 777/100,000 among those 75-84; and 1,205/100,000 among those >84. Rates for women (706/100,000) were higher than for men (516/100,000). Compared to possible mTBI, diagnosis of mild TBI was more likely in the West (OR 2.31; 95%CI 1.02, 5.24) and less likely in the South/Midwest (OR 0.52; 95%CI 0.29, 0.96) than in the Northeast. This study highlights an upward trend in rates of ED visits for mild TBI among older adults.