Hawley Carol A, Ward Anthony B, Long Julie, Owen David W, Magnay Andrew R
Centre for Health Services Studies, University of Warwick, Coventry CV4 7AL, UK.
Injury. 2003 May;34(4):256-60. doi: 10.1016/s0020-1383(02)00193-6.
There is a dearth of information regarding the prevalence of brain injury, serious enough to require hospital admission, amongst children in UK. In North Staffordshire, a register of all children admitted with traumatic brain injury (TBI) has been maintained since 1992 presenting an opportunity to investigate the incidence of TBI within the region in terms of age, cause of injury, injury severity and social deprivation. The register contains details of 1553 children with TBI, two-thirds of whom are male. This population-based study shows that TBI is most prevalent amongst children from families living in more deprived areas, however, social deprivation was not related to the cause of injury. Each year, 280 per 100,000 children are admitted for >or=24h with a TBI, of these 232 will have a mild brain injury, 25 moderate, 17 severe, and 2 will die. The incidence of moderate and severe injuries is higher than previous estimates. Children under 2 years of age account for 18.5% of all TBIs, usually due to falls, being dropped or non-accidental injuries (NAIs). Falls account for 60% of TBIs in the under 5 years. In the 10-15 age group road traffic accidents (RTAs) were the most common cause (185, 36.7%). These findings will help to plan health services and target accident prevention initiatives more accurately.
关于英国儿童中严重到需要住院治疗的脑损伤患病率的信息匮乏。在北斯塔福德郡，自1992年以来一直保存着所有因创伤性脑损伤（TBI）入院儿童的登记册，这为按年龄、损伤原因、损伤严重程度和社会贫困程度调查该地区TBI的发病率提供了机会。该登记册包含1553名TBI儿童的详细信息，其中三分之二为男性。这项基于人群的研究表明，TBI在生活在更贫困地区家庭的儿童中最为普遍，然而，社会贫困与损伤原因无关。每年，每10万名儿童中有280名因TBI入院≥24小时，其中232名将患有轻度脑损伤，25名中度，17名重度，2名会死亡。中度和重度损伤的发病率高于先前的估计。2岁以下儿童占所有TBI的18.5%，通常是由于跌倒、被摔落或非意外伤害（NAIs）。跌倒占5岁以下儿童TBI的60%。在10 - 15岁年龄组中，道路交通事故（RTAs）是最常见的原因（185例，占36.7%）。这些发现将有助于更准确地规划卫生服务并确定事故预防举措的目标。
