Trends in Sports- and Recreation-Related Traumatic Brain Injuries Treated in US Emergency Departments: The National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) 2001-2012
Trends in Sports- and Recreation-Related Traumatic Brain Injuries Treated in US Emergency Departments: The National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) 2001-2012
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DOI：
10.1097/htr.0000000000000156
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发表时间：
2015-05-01
影响因子：
2.4
通讯作者：
Gilchrist, Julie
中科院分区：
文献类型：
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作者：
Coronado, Victor G.;Haileyesus, Tadesse;Gilchrist, Julie
重要性：运动和娱乐相关的创伤性脑损伤(SRR-TBI)是一个日益严重的公共健康问题，影响着美国所有年龄段的人。目的：描述2001-2012年间美国急诊科收治的严重急性呼吸窘迫综合征(SRR-TBI)的发展趋势，并确定哪些运动和娱乐活动及人口统计人群是此类伤害的高危人群。设计：对2001-2012年国家电子伤害监测系统-所有伤害计划(NEISS-AIP)SRR-TBI的初始急诊数据进行分析。地点：NEISS-AIP数据来自具有全国代表性的以医院为基础的急救样本。参与者：在NEISS-AIP捕获的急诊室治疗的所有原因和类型的约50万次年度初次就诊中，确定了创伤性脑损伤病例。主要结果测量(S)：按年龄组、性别和年份估计数字和比率。得出了按排放处置划分的合计数字和百分比。结果：在2001-2012年间，约有342万人次因SRR-TBI就诊。在此期间，无论年龄大小，在美国急诊室接受SRR-TBI治疗的男性和女性的比率都显著增加(均P<；.001)。男性的增幅从最低的45.8%(5-9岁)到最高的139.8%(10-14岁)，女性的增幅从25.1%(0-4岁)到211.5%(15-19岁)(均为P<；.001)。每年，男性的SRR-TBI发生率大约是女性的两倍。约70%的SRR-TBI报告发生在0至19岁的人群中。在男性中，SRR-TBI的数量最多的是骑自行车、踢足球和篮球。在女性中，SRR-TBI发生在骑自行车、游乐场活动和骑马时最多。大约89%的男性和91%的女性接受了SRR-TBI的治疗，并从急救中心出院。结论和相关性：2001-2012年间，接受ED治疗的SRR-TBI的发生率有所增加，主要影响0-19岁的人群和所有年龄段的男性。女性在2004年和男性在2006年开始出现增长。与创伤性脑损伤最多相关的活动因性别和年龄而异。据报道急诊科就诊增加的原因尚不清楚，但可能与通过增加媒体曝光和疾病控制和预防中心的Heads等运动提高对脑外伤的认识有关。预防工作应以体育和娱乐活动、年龄和性别为目标。
Importance: Sports-and recreation-related traumatic brain injuries (SRR-TBIs) are a growing public health problem affecting persons of all ages in the United States. Objective: To describe the trends of SRR-TBIs treated in US emergency departments (EDs) from 2001 to 2012 and to identify which sports and recreational activities and demographic groups are at higher risk for these injuries. Design: Data on initial ED visits for an SRR-TBI from the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) for 2001-2012 were analyzed. Setting: NEISS-AIP data are drawn from a nationally representative sample of hospital-based EDs. Participants: Cases of TBI were identified from approximately 500 000 annual initial visits for all causes and types of injuries treated in EDs captured by NEISS-AIP. Main Outcome Measure(s): Numbers and rates by age group, sex, and year were estimated. Aggregated numbers and percentages by discharge disposition were produced. Results: Approximately 3.42 million ED visits for an SRR-TBI occurred during 2001-2012. During this period, the rates of SRR-TBIs treated in US EDs significantly increased in both males and females regardless of age (all Ps < .001). For males, significant increases ranged from a low of 45.8% (ages 5-9) to a high of 139.8 % (ages 10-14), and for females, from 25.1% (ages 0-4) to 211.5% (ages 15-19) (all Ps < .001). Every year males had about twice the rates of SRR-TBIs than females. Approximately 70% of all SRR-TBIs were reported among persons aged 0 to 19 years. The largest number of SRR-TBIs among males occurred during bicycling, football, and basketball. Among females, the largest number of SRR-TBIs occurred during bicycling, playground activities, and horseback riding. Approximately 89% of males and 91% of females with an SRR-TBI were treated and released from EDs. Conclusion and Relevance: The rates of ED-treated SRR-TBIs increased during 2001-2012, affecting mainly persons aged 0 to 19 years and males in all age groups. Increases began to appear in 2004 for females and 2006 for males. Activities associated with the largest number of TBIs varied by sex and age. Reasons for the reported increases in ED visits are unknown but may be associated with increased awareness of TBI through increased media exposure and from campaigns, such as the Centers for Disease Control and Prevention's Heads Up. Prevention efforts should be targeted by sports and recreational activity, age, and sex.