Emergency department visits for head trauma in the United States
Emergency department visits for head trauma in the United States
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DOI：
10.1186/s12873-016-0071-8
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发表时间：
2016-01-19
影响因子：
2.5
通讯作者：
Zonfrillo, Mark R.
中科院分区：
文献类型：
--
作者：
Gaw, Christopher E.;Zonfrillo, Mark R.
背景：头部外伤每年影响数百万美国人，给社会带来巨大的发病率和经济成本。本研究的目的是描述美国急诊科就诊的头部外伤的流行病学。方法：查询国家电子伤害监测系统-所有伤害计划，对美国急诊科治疗的头部外伤进行回顾性分析。本研究纳入了 2007 年 1 月 1 日至 2011 年 12 月 31 日期间的 207,159 例非致命性头部外伤病例。 结果：研究期间，估计有 10,746,629 例（95% 置信区间：8,368,720-13,124,537）例头部外伤在美国急诊科 (ED) 接受治疗，平均每年 2,149,326 例。每万人每年受伤率从2007年的55.2人增加到2011年的85.4人，其中65岁儿童的增幅最大。研究期间，美国急诊室因交通相关头部外伤就诊的人数估计为 1,819,824 人，与非交通相关原因造成的伤害相比，其入院风险高出 1.74 倍。在有伤害意图记录的情况下，袭击 (95.9%) 是头部外伤的最常见原因，16.9% 的袭击相关头部外伤发生在 0-17 岁的儿童中。与其他头部外伤分开分析时，研究期间脑震荡增加了 37.5%，所有脑震荡中近三分之一 (29.9%) 与运动相关。结论：美国急诊室治疗的头部外伤数量和比率增加，需要继续采取伤害预防措施并改进伤害命名和监测。
Background: Head trauma affects millions of Americans each year and has significant morbidity and economic costs to society. The objective of this study is to describe the epidemiology of head traumas presenting to emergency departments in the United States.Methods: The National Electronic Injury Surveillance System-All Injury Program was queried to conduct a retrospective analysis of head traumas treated in U.S. emergency departments. 207,159 cases of nonfatal head trauma from January 1, 2007 to December 31, 2011 were included in this study.Results: An estimated 10,746,629 (95 % confidence interval: 8,368,720-13,124,537) head traumas were treated in U.S. emergency departments (EDs) during the study period, averaging 2,149,326 cases annually. The annual injury rate per 10,000 population increased from 55.2 in 2007 to 85.4 in 2011, with the largest increases seen in children 65 years of age. Traffic-related head trauma accounted for an estimated 1,819,824 visits to U.S. EDs over the study period and was associated with a 1.74 times greater risk of a hospital admission compared to injuries due to non-traffic-related causes. Assaults (95.9 %) were the most common reason for head trauma in cases where injury intent was documented, and 16.9 % of assault-related head trauma occurred in children 0-17 years of age. When analyzed separately from other head traumas, concussions increased by 37.5 % over the study period, and nearly a third (29.9 %) of all concussions were sports-related.Conclusions: The increase in the number and rate of head traumas treated in U.S. EDs warrants continued injury prevention efforts and improvements in injury nomenclature and surveillance.