Incidence of sport-related traumatic brain injury and risk factors of severity: a population-based epidemiologic study.

Incidence of sport-related traumatic brain injury and risk factors of severity: a population-based epidemiologic study.
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DOI:
10.1016/j.annepidem.2013.07.022
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发表时间:
2013-12
影响因子:
5.6
通讯作者:
Edwards, Jonathan C.
Edwards, Jonathan C.
中科院分区:
医学3区
文献类型:
--
作者:
Selassie, Anbesaw W.;Wilson, Dulaney A.;Pickelsimer, E. Elisabeth;Voronca, Delia C.;Williams, Nolan R.;Edwards, Jonathan C.

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很少有关于运动相关创伤性脑损伤(TBI)的研究是以人群为基础的,或者依赖于关于病因、人口统计特征和严重程度的直接观察数据。这项研究解决了大量人群中与运动相关的脑外伤的流行病学问题。分析了1998-2011年间南卡罗来纳州所有医院和急诊科的TBI数据。计算与运动相关的脑外伤的年发病率,并比较不同人口统计学组别的发病率。使用Logistic回归将与运动相关的脑损伤严重程度建模为人口统计学和脑损伤特征的函数。共有16,642名与运动相关的创伤性脑损伤患者,年平均发病率为31.5/10万人,从1998年的19.7人稳步上升到2011年的45.6人。与运动相关的脑损伤最常见的机制是足球踢伤(38.1%),其次是运动中的跌倒伤(20.3%)。12-18岁青少年发病率最高(120.6/100,000/人)。与严重运动相关的颅脑损伤与越野汽车运动(OR,4.73;95%可信区间[95%CI],2.92~7.67)、反复头部创伤(OR,4.36;95%CI,3.69~5.15)、马术运动(OR,2.73;95%CI,1.64~4.51)、运动摔倒(OR,2.72;95%CI,1.67~4.46)密切相关。与运动有关的脑损伤在青年中的高发病率、反复轻度脑损伤的可能性及其对学习的长期影响,需要协调监测活动和基于人群的结果研究。
Few studies of sport-related traumatic brain injury (TBI) are population-based or rely on directly observed data on cause, demographic characteristics, and severity. This study addresses the epidemiology of sport-related TBI in a large population. Data on all South Carolina hospital and emergency department encounters for TBI, 1998–2011, were analyzed. Annual incidence rate of sport-related TBI was calculated, and rates were compared across demographic groups. Sport-related TBI severity was modeled as a function of demographic and TBI characteristics using logistic regression. A total of 16,642 individuals with sport-related TBI yielded an average annual incidence rate of 31.5/100,000 population with a steady increase from 19.7 in 1998 to 45.6 in 2011. The most common mechanisms of sport-related TBI were kicked in football (38.1%), followed by fall injuries in sports (20.3%). Incidence rate was greatest in adolescents ages 12–18 (120.6/100,000/persons). Severe sport-related TBI was strongly associated with off-road vehicular sport (odds ratio [OR], 4.73; 95% confidence interval [95% CI], 2.92–7.67); repeated head trauma (OR, 4.36; 95% CI, 3.69–5.15); equestrian sport (OR, 2.73; 95% CI, 1.64–4.51); and falls during sport activities (OR, 2.72; 95% CI, 1.67–4.46). The high incidence of sport-related TBI in youth, potential for repetitive mild TBI, and its long-term consequences on learning warrants coordinated surveillance activities and population-based outcome studies.
DOI: 10.1136/ip.2004.006205
发表时间: 2005-04-01
期刊: INJURY PREVENTION
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