Incidence of Sports-Related Traumatic Brain Injury of All Severities: A Systematic Review
Incidence of Sports-Related Traumatic Brain Injury of All Severities: A Systematic Review
复制标题
各种严重程度的运动相关脑外伤的发生率：系统评价
作者：
A. Theadom;Susan Mahon;P. Hume;N. Starkey;S. Barker;K. Jones;M. Majdan;V. Feigin
简介：虽然参加体育和娱乐活动有许多好处，但也有受伤的风险，包括运动相关的创伤性脑损伤（SR-TBI）。为了告知伤害预防措施，重要的是要探讨SR-TBI在人群水平上的负担。本综述旨在评估不同损伤严重程度的一般人群中SR-TBI的发生率。方法：使用1965年至2019年6月的关键词对电子数据库进行系统检索，并通过手动检索参考文献列表。纳入了关于SR-TBI发病率的原始研究报告，捕获了明确定义的人口区域中所有年龄段的人群。如果研究集中于特定的运动或人群，则将其排除。所有研究都必须以英文发表。根据神经系统疾病标准的报告标准，研究质量被确定为差、中等或好。由2名作者使用标准数据提取表独立提取数据收集年份、诊断标准、病例确定来源、人群分母和每10万人的发病率以及年龄、性别、损伤严重程度和运动的数据。结果如下：对符合纳入标准的11项研究进行审查后，基于医院的研究中SR-TBI的发生率范围在每100，000人3.5至31.5之间。一项基于社区的研究使用了多个病例确定来源，发现发病率更高，为每10万人170例。SR-TBI占所有TBI的1.2-30.3%。一项研究提供了5年期间的发病率数据，表明发病率随时间呈上升趋势。男性的风险高于女性（66.1-75.6%），青少年和年轻人的SR-TBI发病率最高。结论：本综述的主要目的是提供人群水平SR-TBI流行病学的描述性数据总结。SR-TBI占所有TBI原因的三分之一。由于报告缺乏一致性以及总体研究数量较少，难以确定按年龄和运动分类的发病率趋势。在TBI的各个层面进行伤害监测将有助于了解运动中发生伤害的性质，机制和周围事件。
Introduction: Whilst there are many benefits to participating in sports and recreational activities, there is also a risk of injury including sports-related traumatic brain injury (SR-TBI). To inform injury prevention initiatives, it is important to explore the burden of SR-TBI at the population level. This review aimed to estimate the incidence of SR-TBI in the general population across injury severities. Methods: Systematic search of electronic databases using keywords from 1965 until June 2019 facilitated by hand searches of reference lists. Original research reporting on the incidence of SR-TBI, capturing people of all ages in a well-defined population area was included. Studies were excluded if they focused on a specific sport(s) or population group. All studies were required to be published in the English language. Quality of studies was determined as poor, moderate or good based on the standards of reporting of neurological disorders criteria. Data on year(s) of data collection, diagnostic criterion, case ascertainment sources, population denominator and incidence per 100,000 and by age, sex, injury severity and sport were extracted by 2 authors independently using a standard data extraction form. Results: Following review of 11 studies meeting the inclusion criteria, the incidence of SR-TBI within hospital-based studies ranged between 3.5 and 31.5 per 100,000. One community-based study using multiple case ascertainment sources identified a higher incidence of 170 per 100,000. SR-TBI accounted for 1.2–30.3% of all TBIs. One study provided incidence data across a 5-year period suggesting an increasing trend in incidence over time. Males were more at risk than females (66.1–75.6%), and adolescents and young adults had the highest incidence of SR-TBI. Conclusion: The primary objective of this review was to provide a summary of descriptive data on SR-TBI epidemiology at the population level. SR-TBI represented up to one-third of all causes of TBI. Trends in incidence by age and sport were challenging to determine due to lack of consistency in reporting as well as the small number of studies overall. Undertaking injury surveillance at all levels of TBI will assist with understanding the nature, mechanism of and surrounding events where injuries occur in sport.
影响因子：
5.6
作者：
Selassie, Anbesaw W.;Wilson, Dulaney A.;Pickelsimer, E. Elisabeth;Voronca, Delia C.;Williams, Nolan R.;Edwards, Jonathan C.
通讯作者：
Edwards, Jonathan C.
影响因子：
2
作者：
Daneshvar, Daniel H.;Nowinski, Christopher J.;McKee, Ann C.;Cantu, Robert C.
通讯作者：
Cantu, Robert C.