Day Heather, Roesler Jon, Gaichas Anna, Kinde Mark
Minnesota Department of Health's Injury and Violence Prevention Unit, USA.
Minn Med. 2006 May;89(5):40-4.
A number of population-based studies have been published on mortality and hospitalizations associated with traumatic brain injury (TBI). However, very little has been published on treatment of TBI in the emergency department (ED), despite the fact that most cases are seen in such settings. Minnesota is 1 of 2 states funded by the Centers for Disease Control and Prevention since 2001 to conduct surveillance of TBIs treated in EDs. A sample of medical records from 2002 and 2003 was reviewed to better understand the epidemiology of ED-treated TBI and identify risk factors for and interventions to prevent them. We found males, infants, adolescents and young adults, blacks, and residents of the 7-county Twin Cities metropolitan area were most likely to be seen in the ED for TBI. Sports and recreational activities were the leading causes of these injuries, followed by falls and motor vehicle crashes.
已经发表了许多基于人群的关于创伤性脑损伤（TBI）相关死亡率和住院情况的研究。然而，尽管大多数创伤性脑损伤病例是在急诊科（ED）就诊，但关于急诊科对创伤性脑损伤的治疗却鲜有报道。自2001年以来，明尼苏达州是由疾病控制与预防中心资助开展急诊科治疗创伤性脑损伤监测的两个州之一。对2002年和2003年的病历样本进行了审查，以更好地了解急诊科治疗创伤性脑损伤的流行病学情况，并确定其危险因素及预防干预措施。我们发现，男性、婴儿、青少年和年轻人、黑人以及7县双城大都会区的居民在急诊科因创伤性脑损伤就诊的可能性最大。体育和娱乐活动是这些损伤的主要原因，其次是跌倒和机动车碰撞。
