Traumatic brain injury in Denmark 1979-1996. A national study of incidenceand mortality
Traumatic brain injury in Denmark 1979-1996. A national study of incidenceand mortality
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DOI：
10.1023/a:1013733107520
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发表时间：
2001-01-01
影响因子：
13.6
通讯作者：
Teasdale, TW
中科院分区：
文献类型：
--
作者：
Engberg, AW;Teasdale, TW
为了描述和分析丹麦从1979年到1993年不同年龄组的男女创伤性脑损伤（TBI）发病率的变化（致命性损伤到1996年），800，801，803，850-854从1979年到1993年进行了国家医院登记。根据研究期间最严重的伤害，每个人只计算一次。至于死亡个案，有关的调查工作则延长至一九九六年。从1979-1981年到1991-1993年，根据ICD 800、801、803、850-854诊断住院的年龄调整总发病率下降了41%，从每年每10万人口265人下降到157人。ICD 850（脑震荡）下降了42%，ICD 800、801、803（颅骨骨折）下降了56%，ICD 851-854（结构性脑损伤）下降了16%。ICD 851-854的病例比例从8.4%上升到11.7%。从1979-1981年到1985-1987年，医院内外致命性创伤性脑损伤下降了2%（从每10万人14.68例下降到14.35例），而1994-1996年总共下降了27%，降至10.67例。对于ICD 851-854诊断和死亡病例，从1985年至1987年，仅在较年轻的年龄组中发现明显加速下降。因此，在1979年至1993年期间，根据ICD 851-854诊断住院的人受伤的平均年龄增加了10岁。下降的部分原因可能是入院和其他医院做法的改变，部分原因是在研究期间中期启动的综合性国家预防方案的影响，其影响似乎因年龄组和性别而异。
In order to describe and analyse the development of the incidence of traumatic brain injury (TBI) in Denmark for different age groups of the two genders from 1979 through 1993 (for fatal injuries through 1996), a computerised search corresponding to diagnoses ICD 8th ed., 800, 801, 803, 850-854 from 1979 through 1993 was carried through in the national hospital register. Each person was counted only once, according to the most serious injury during the study period. For fatal cases, the search was extended till 1996. From 1979-1981 to 1991-1993, the total age-adjusted incidence of persons hospitalised under diagnoses ICD 800, 801, 803, 850-854 decreased 41% from 265 to 157 per 100,000 of the population per year. Decreases were 42% for ICD 850, brain concussion, 56% for ICD 800, 801, 803, cranial fractures, and 16% for ICD 851-854, structural brain injury. The percentage of cases with ICD 851-854 increased from 8.4 to 11.7% of the total. From 1979-1981 to 1985-1987 there was a 2% decrease in fatal TBI in and outside hospital (from 14.68 to 14.35 per 100,000), against a total 27% decrease to 10.67 in 1994-1996. For diagnoses ICD 851-854 and for fatal cases, significantly accelerating decreases from 1985-1987 were found only for the younger age groups. Consequently, in the period from 1979 to 1993, the mean age at injury increased by 10 years for persons hospitalised under diagnoses ICD 851-854. Decreases may be explained partly by changing admission and other hospital practices, and partly by the effect of comprehensive national preventive programs launched at the middle of the study period, the effect of which seemed to vary by age group and gender.