Epidemiology of head injury
Epidemiology of head injury
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DOI：
10.1136/jnnp.60.4.362
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发表时间：
1996-04-01
影响因子：
11
通讯作者：
Jennett, B
中科院分区：
文献类型：
--
作者：
Jennett, B
在西方国家，伤害是 45 岁以下人群死亡的主要原因，在一些第三世界国家，这一情况也适用于 5-45 岁人群。由于许多受伤受害者都很年轻，因此在美国、日本和几个欧洲国家，65岁以下的男性因外伤而损失的生命年数比因心脑血管疾病或癌症而损失的寿命还要多。“高达一半的外伤死亡是由于头部受伤造成的，但这也是大多数受伤后永久残疾的原因。” 2 认识到头部损伤是一个主要的健康问题，过去十年进行了多项研究，以产生流行病学数据，以便制定有效的预防措施，并为残疾幸存者的急性护理和康复规划最合适的医疗保健服务。现有数据的局限性 从常规收集的数据中很难发现可靠的统计数据。伤害死亡的国际比较并不能确定头部受伤，尽管其发生率反映了地理差异以及创伤死亡频率随时间变化的总体趋势。各国之间在有多少死亡归因于伤害以及有多少伤害死亡是由于运动造成的方面存在很大差异
In western countries injuries are the leading cause of death under the age of 45 years, and in several Third World countries that applies also for ages 5-45 years. Because many injury victims are young, more years of life are lost in males below the age of 65 from trauma than from cardiac and cerebrovascular disease, or from cancer, in the United States, Japan, and several European countries.'Up to half of trauma deaths are due to head injuries but these account for most cases ofpermanent disability after injury. 2 Recognition that head injury is a major health problem has led to sev-eral studies over the past decade to produce epidemiological data in order to devise effective preventive measures, and to plan the most appropriate health care provision both for acute care and the rehabilitation of disabled survivors.Limitations of available data Reliable statistics are difficult to discover from routinely collected data. International compar-isons of deaths from injury do not identify head injuries, although their incidence reflects geographical differences and trends over time in the frequency of trauma deaths as a whole. There are wide differences between countries in how many deaths are attributed to injuries, and how many injury deaths are due to motor