Emergency department visits associated with traumatic brain injury: United States, 1995-1996
Emergency department visits associated with traumatic brain injury: United States, 1995-1996
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DOI：
10.1080/026990500120827
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发表时间：
2000-02-01
期刊：
影响因子：
1.9
通讯作者：
Sniezek, JE
中科院分区：
文献类型：
--
作者：
Guerrero, JL;Thurman, DJ;Sniezek, JE
这项研究的目的是提供一个全国性的估计发生率的创伤性脑损伤（TBI）看到急诊科（ED），但不需要住院治疗，并确定这些伤害的原因。使用疾病控制和预防中心的TBI病例定义，对全国医院门诊医疗调查（1995-1996）的艾德数据进行分析。未住院患者TBI相关艾德访视的平均总体发生率为每年392/100 000人群，或美国每年1 027 000次医院ED访视。这一估计几乎是以前估计的发病率的两倍（392对216），这是基于1991年全国健康访谈调查伤害补充资料的数据。结果发现，0-14岁儿童的发病率最高，男性的发病率高于女性，报告的这些伤害的主要原因是“跌倒”、与机动车有关的原因和“被物体击中”。虽然通常被认为是“轻度”TBI，但这些损伤可能导致严重的认知和情感障碍。因此，持续监测TBI相关艾德访视是全面TBI预防策略的重要组成部分。
The purposes of this study were to provide a national estimate of the incidence of traumatic brain injuries (TBIs) seen in emergency departments (EDs), but not requiring hospitalization and to determine the causes of these injuries. Using the Centers for Disease Control and Prevention case definition of TBI, ED data was analysed from the National Hospital Ambulatory Medical Care Survey (1995-1996). The average overall incidence rate of TBI-related ED visits for persons who were not hospitalized was 392/100 000 population per year, or 1 027 000 visits to hospital EDs in the US each year. This estimate is nearly twice (392 vs. 216) the previously estimated incidence rate, which was based on data from the 1991 National Health Interview Survey Injury Supplement. It was found that the highest incidence rate occurred among children aged 0-14 years, the rate for males was higher than for females, and the primary reported causes of these injuries were 'falls', motor vehicle-related causes, and 'struck by an object'. Although often considered 'mild' TBIs, these injuries can lead to significant cognitive and emotional impairment. Thus, continued surveillance of TBI-related ED visits is an important part of a comprehensive TBI prevention strategy.