Trends in Traumatic Brain Injury in the US and the public health response: 1995-2009
Trends in Traumatic Brain Injury in the US and the public health response: 1995-2009
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DOI：
10.1016/j.jsr.2012.08.011
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发表时间：
2012-09-01
影响因子：
4.1
通讯作者：
Xu, Likang
中科院分区：
文献类型：
--
作者：
Coronado, Victor G.;McGuire, Lisa C.;Xu, Likang
创伤性脑损伤（TBI）是美国的一个公共卫生问题。2009年，约有350万名被列为主要或次要诊断的TBI患者住院并活着出院（N = 300，667），或接受急诊科（ED; N = 2，077，350）、门诊部（OD; N = 83，857）和办公室医生（OB-P; N = 1，079，338）的治疗并出院。此外，52，695人死于一种或多种TBI相关诊断。方法：回顾自1996年以来指导CDC的联邦TBI相关法律。TBI的趋势是通过分析国家卫生统计中心（NCHS）进行的全国代表性调查的数据获得的。结果：CDC已经制定并正在实施一项战略，以减少TBI在美国的负担。目前，美国有20个州建立了TBI监测和预防系统。从1995年至2009年，每10万人口中的创伤性脑损伤发生率在ED（434.1 vs. 686.0）和OB-Ps（234.6 vs. 352.3）方面有所增加; OD（42.6 vs. 28.1）和创伤性脑损伤相关死亡（19.9 vs. 16.6）方面有所下降。创伤性脑损伤住院人数从1995年的95.5人降至2000年的77.9人，2009年又增至95.7人。结论：自1995年以来，艾德和PO访视的TBI发生率有所增加。为了减轻TBI在美国的负担和影响，需要改进特定于州和地区的TBI监测系统，该系统准确测量负担并包括关于TBI的急性和长期结果的信息。国家安全理事会和爱思唯尔有限公司保留所有权利。
Problem: Traumatic Brain Injury (TBI) is a public health problem in the United States. In 2009, approximately 3.5 million patients with a TBI listed as primary or secondary diagnosis were hospitalized and discharged alive (N = 300,667) or were treated and released from emergency departments (EDs; N = 2,077,350), outpatient departments (ODs; N = 83,857), and office-based physicians (OB-P; N = 1,079,338). In addition, 52,695 died with one or more TBI-related diagnoses. Methods: Federal TBI-related laws that have guided CDC since 1996 were reviewed. Trends in TBI were obtained by analyzing data from nationally representative surveys conducted by the National Center for Health Statistics (NCHS). Findings: CDC has developed and is implementing a strategy to reduce the burden of TBI in the United States. Currently, 20 states have TBI surveillance and prevention systems. From 1995-2009, the TBI rates per 100,000 population increased in EDs (434.1 vs. 686.0) and OB-Ps (234.6 vs. 352.3); and decreased in ODs (42.6 vs. 28.1) and in TBI-related deaths (19.9 vs. 16.6). TBI Hospitalizations decreased from 95.5 in 1995 to 77.9 in 2000 and increased to 95.7 in 2009. Conclusions: The rates of TBI have increased since 1995 for ED and PO visits. To reduce of the burden and mitigate the impact of TBI in the United States, an improved state- and territory-specific TBI surveillance system that accurately measures burden and includes information on the acute and long-term outcomes of TBI is needed. National Safety Council and Elsevier Ltd. All rights reserved.