The Epidemiology of Traumatic Brain Injury in Children and Youths: A Review of Research Since 1990

The Epidemiology of Traumatic Brain Injury in Children and Youths: A Review of Research Since 1990
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DOI:
10.1177/0883073814544363
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发表时间:
2016-01-01
影响因子:
1.9
通讯作者:
Thurman, David J.
Thurman, David J.
中科院分区:
医学4区
文献类型:
--
作者:
Thurman, David J.

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本报告回顾了最近对0至20岁儿童和青少年创伤性脑损伤流行病学的研究。代表北美、欧洲、澳大利亚和新西兰人群的研究得出了儿童脑损伤年发病率的中位数估计值:691/10万人在急诊室接受治疗,74/10万人在医院接受治疗,9/10万人死亡。男性受伤的风险比女性高:10岁以下的男性是女性的1.4倍,10岁以上的男性是女性的2.2倍。5岁以下儿童受伤的主要原因是福尔斯,而15岁及以上青年受伤的主要原因是机动车碰撞。在儿童时期遭受创伤性脑损伤的所有人中,残疾的患病率尚不清楚,但在住院治疗的人中,残疾的患病率约为20%。
This report reviews recent research on the epidemiology of traumatic brain injuries among children and youth aged 0 to 20 years. Studies representing populations in North America, Europe, Australia, and New Zealand yield these median estimates of the annual incidence of childhood brain injuries: 691 per 100 000 population treated in emergency departments, 74 per 100 000 treated in hospital, and 9 per 100 000 resulting in death. Males have a higher risk of injury than females: 1.4 times higher among those aged less than 10 years and 2.2 times among those older than 10 years. The leading cause of injury among children aged less than 5 years is falls, whereas the leading cause of injury among youths aged 15 years and older is motor vehicle crashes. The prevalence of disability among all persons who have sustained traumatic brain injury in childhood is unknown, but among those who were hospitalized could approximate 20%.