Trends in Death Associated With Traumatic Brain Injury, 1979 Through 1992: Success and Failure
Trends in Death Associated With Traumatic Brain Injury, 1979 Through 1992: Success and Failure
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1979 年至 1992 年与创伤性脑损伤相关的死亡趋势：成功与失败
DOI：
10.1001/jama.1995.03520460060036
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发表时间：
1995
期刊：
影响因子：
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通讯作者：
R. Waxweiler
中科院分区：
文献类型：
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作者：
D. Sosin;J. Sniezek;R. Waxweiler
目标。-报告1979年至1992年全国创伤性脑损伤死亡的最新趋势。设计。-对来自国家卫生统计中心的多种死因公共使用数据磁带进行回顾性分析。所有与创伤性脑损伤相关的死亡都被确定，潜在的死亡原因被分类，并计算每10万美国居民的年死亡率。病人。- 1979年至1992年间死于创伤性脑损伤的美国居民。结果。-每年平均有52000名美国居民死于创伤性脑损伤。脑损伤相关死亡率从1979年的每10万美国居民24.6人下降到1992年的每10万美国居民19.3人，下降了22%。从1984年到1992年，枪支相关的犯罪率上升了13%，与此同时，机动车相关的犯罪率下降了25%。1990年，火器超过机动车，成为与创伤性脑损伤有关的最大单一死因。结论。-这些数据突出表明，预防机动车辆造成的创伤性脑损伤的努力取得了成功，而防止枪支造成的创伤性脑损伤的努力却失败了。穿透性损伤的重要性日益增加，这对美国创伤性脑损伤的研究、治疗和预防具有重要意义。(《美国医学会杂志》。1995年;273:1778 - 1780)
Objective. —To report updated national trends in traumatic brain injury deaths from 1979 through 1992. Design. —Retrospective analysis of Multiple Cause-of-Death Public Use Data Tapes from the National Center for Health Statistics. All deaths associated with traumatic brain injury were identified, the underlying causes of death were categorized, and the annual rates were calculated per 100 000 US residents. Patients. —Residents of the United States who died with traumatic brain injury from 1979 through 1992. Results. —An average of 52 000 US residents die each year with traumatic brain injuries. The brain injury—associated death rate declined 22% from 24.6 per 100 000 US residents in 1979 to 19.3 per 100000 US residents in 1992. Firearm-related rates increased 13% from 1984 through 1992, undermining a 25% decline in motor vehicle—related rates for the same period. Firearms surpassed motor vehicles as the largest single cause of death associated with traumatic brain injury in 1990. Conclusions. —These data highlight the success of efforts to prevent traumatic brain injury due to motor vehicles and failure to prevent such injuries due to firearms. The increasing importance of penetrating injury has important implications for research, treatment, and prevention of traumatic brain injury in the United States. (JAMA. 1995;273:1778-1780)