Fatal traumatic brain injury in older adults in Austria 1980-2012: an analysis of 33 years
Fatal traumatic brain injury in older adults in Austria 1980-2012: an analysis of 33 years
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DOI：
10.1093/ageing/afu194
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发表时间：
2015-05-01
期刊：
影响因子：
6.7
通讯作者：
Leitgeb, Johannes
中科院分区：
文献类型：
--
作者：
Brazinova, Alexandra;Mauritz, Walter;Leitgeb, Johannes
背景：创伤性脑损伤（TBI）是一个重要的公共卫生问题。发达国家报告说，在过去几十年中，老年人的TBI显著增加。本研究的目的是调查老年人TBI相关死亡率的变化1980年至2012年（65岁或以上）（33岁），并确定这些变化的可能原因。方法：筛选了奥地利统计局1980年至2012年期间奥地利死亡率的数据，根据《国际疾病分类》第10次和第9次修订版的诊断代码，提取并分析了65岁及以上成年人的相关死亡率。计算5岁年龄组的死亡率;计算总死亡率的标准化死亡率。结果：在1980年至2012年期间，奥地利有16,204名65岁以上的老年人死于创伤性脑损伤，其中61%为男性。最老年龄组（80岁或以上）的致命性TBI病例和死亡率增加。半数致命的TBI病例是由福尔斯跌倒引起的，22%是由交通事故引起的，17%是由自杀引起的。率下降相关的致命的TBI增加和交通事故相关的致命的TBI下降与again.Conclusion：在过去的几十年中，在发达国家的预防措施作出了贡献，以减少交通伤害。然而，在本报告所述期间，老年人口的福尔斯下降趋势却在上升，主要原因是人口老龄化。重要的是采取预防措施，以阻止老年人中与跌倒相关的TBI和死亡的流行。
Background: traumatic brain injury (TBI) is a significant public health problem. Developed countries report a significant increase of TBI in older adults in the past decades. The objective of this study was to investigate the changes in TBI-related mortality in older Austrians (65 years or older) between 1980 and 2012 (33 years) and to identify possible causes for these changes.Methods: data from Statistics Austria on mortality in Austria between 1980 and 2012 were screened and data on TBI-related mortality in adults aged 65 and older were extracted and analysed, based on the diagnostic codes of the International Classification of Diseases, 10th and 9th revision. Mortality rates were calculated for 5-year age groups; standardized mortality rates were calculated for the total. Mechanism of injury was analysed for all events, both sexes and individual age groups.Results: between 1980 and 2012, 16,204 people aged 65 or older died from TBI in Austria; 61% of these were male. Fatal TBI cases and mortality rates increased in the oldest age groups (80 years or older). Half of the fatal TBI cases were caused by falls, 22% by traffic accidents and 17% by suicides. Rate of fall-related fatal TBI increased and rate of traffic accident-related fatal TBI decreased with age.Conclusion: preventive measures introduced in the past decades in the developed countries have contributed to a decrease in traffic injuries. However, falls in the older population are on the rise, mainly due to ageing of the population, throughout the reported period. It is important to take preventive measures to stop the epidemics of fall-related TBIs and fatalities in older adults.