Hospitalizations and Emergency Department Visits for TBI in Ontario
Hospitalizations and Emergency Department Visits for TBI in Ontario
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DOI：
10.1017/s0317167100051441
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发表时间：
2010-11-01
影响因子：
3
通讯作者：
Vernich, Lee
中科院分区：
文献类型：
--
作者：
Colantonio, Angela;Saverino, Cristina;Vernich, Lee
目的：本研究的目的是确定安大略省按年龄和性别划分的涉及创伤性脑损伤（Tiff）的年度住院次数和总体护理次数。为了提供对TBI患病率的更准确评估，护理的发作包括访问急诊科（ED），以及住院。损伤机制的整体发作也进行了调查。方法：采用ICD-10编码对2002/03-2006/07会计年度的外伤性脑损伤病例进行分类。数据收集自国家门诊报告系统和出院摘要数据库。结果：75岁以上老年人住院率最高。一般来说，男性的住院率和护理率都高于女性。在最年轻的年龄组中，包括ED访问住院对TBI率的影响最大。14岁以下的青少年和85岁以上的老年人对TBI的护理次数最多。跌倒（41.6%）和被物体撞击（31.1%）是TBI最常见的原因。结论：该研究提供了来自加拿大唯一一个在国家登记处系统地捕获ED访问的省份的TBI估计。这表明，除了住院治疗外，跟踪急诊科就诊对于了解脑外伤对卫生保健系统的负担非常重要。预防策略应包括关于急诊科就诊的信息，特别是对于年龄较小的患者。
Objective: The aim of this study was to determine the number of annual hospitalizations and overall episodes of care that involve a traumatic brain injury (Tiff) by age and gender in the province of Ontario. To provide a more accurate assessment of the prevalence of TBI, episodes of care included visits to the emergency department (ED), as well as admissions to hospital. Mechanisms of injury for overall episodes were also investigated. Methods: Traumatic brain injury cases from fiscal years 2002/03-2006/07 were identified by means of ICD-10 codes. Data were collected from the National Ambulatory Care Reporting System and the Discharge Abstract Database. Results: The rate of hospitalization was highest for elderly persons over 75 years-of-age. Males generally had higher rates for both hospitalizations and episodes of care than did females. The inclusion of ED visits to hospitalizations had the greatest impact on the rates of TBI in the youngest age groups. Episodes of care for TBI were greatest in youth under the age of 14 and elderly over the age of 85. Falls (41.6%) and being struck by or against an object (31.1%) were the most frequent causes for a TBI. Conclusions: The study provides estimates for TBI from the only Canadian province that has systematically captured ED visits in a national registry. It shows the importance of tracking ED visits, in addition to hospitalizations, to capture the burden of TBI on the health care system. Prevention strategies should include information on ED visits, particularly for those at younger ages.