Trends in Hospitalization Associated With Traumatic Brain Injury in a Publicly Insured Population, 1992-2002
Trends in Hospitalization Associated With Traumatic Brain Injury in a Publicly Insured Population, 1992-2002
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DOI：
10.1097/ta.0b013e3181715d66
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发表时间：
2009-01-01
影响因子：
--
通讯作者：
Coyte, Peter C.
中科院分区：
文献类型：
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作者：
Colantonio, Angela;Croxford, Ruth;Coyte, Peter C.
背景。，创伤性脑损伤（TBI）是发达国家死亡和残疾的主要原因。我们记录了1992年4月至2002年3月期间加拿大安大略TBI相关住院的趋势，重点关注住院率、年龄、性别、损伤原因、严重程度和院内死亡率之间的关系。方法：使用逻辑回归分析安大略所有诊断为TBI的急性医院分离的信息。儿童和年轻人的住院率急剧下降，但66岁及以上的成年人的住院率保持稳定。轻度创伤的TBI住院比例从75%下降到54%，而中度创伤的比例从19%上升到37%。调整其他危险因素后，因车祸受伤的住院死亡率高于因福尔斯受伤的住院死亡率。中度或重度损伤患者的住院死亡率是稳定的，但随着时间的推移，增加了那些受伤被归类为轻度，这表明一个趋势，更严重的伤害内的“轻度”classification.Conclusions：TBI住院治疗涉及较少的轻度损伤随着时间的推移，是最高的人口中最古老的部分。
Background., Traumatic brain injury (TBI) is a leading cause of death and disability in developed countries. We document trends in TBI-related hospitalizations in Ontario, Canada, between April 1992 and March 2002, focusing on relationships between inpatient hospitalization rates, age, sex, cause of injury, severity level, and in-hospital mortality.Methods: Information on all acute hospital separations in Ontario with a diagnosis of TBI was analyzed using logistic regression.Results: Hospitalization rates fell steeply among children and young adults but remained stable among adults aged 66 and older. The proportion of TBI hospitalizations with mild injuries decreased from 75% to 54%, whereas the proportion with moderate injuries increased from 19% to 37%. Adjusting for other risk factors, in-hospital deaths were higher for injuries because of motor vehicle crashes than those because of falls. In-hospital death rates were stable for patients with moderate or severe injuries, but increased over time among those whose injuries were classified as mild, suggesting a trend toward more serious injury within the "mild" classification.Conclusions: Hospitalizations for TBI involve fewer mild injuries over time and are highest in the oldest segment of the population.