Jacobsson L J, Westerberg M, Lexell J
Medical Rehabilitation Section, Department of General Medicine, Kalix Hospital, Kalix, Sweden.
Acta Neurol Scand. 2007 Nov;116(5):300-6. doi: 10.1111/j.1600-0404.2007.00896.x.
OBJECTIVES - To describe demographics, injury characteristics and outcome of traumatic brain injury (TBI) in northern Sweden over 10 years. MATERIAL AND METHODS - Data were retrospectively collected on those individuals (n = 332) in Norrbotten, northern Sweden, with a TBI who had been transferred for neurosurgical care from 1992 to 2001. RESULTS - A majority were older men with a mild TBI and an acute or chronic subdural hematoma following a fall. Younger individuals were fewer but had more often a severe TBI from a traffic accident. Most individuals received post-acute care and brain injury rehabilitation. A majority had a moderate or severe disability, but many were discharged back home with no major changes in their physical or social environment. CONCLUSIONS - Our data confirm the relationship between age, cause of injury, injury severity and outcome in relation to TBI and underscore the need for prevention as well as the importance of TBI as a cause of long-term disability.
目的——描述瑞典北部10年间创伤性脑损伤(TBI)的人口统计学特征、损伤特点及预后。材料与方法——回顾性收集了1992年至2001年间瑞典北部北博滕郡因创伤性脑损伤而转至神经外科治疗的332例患者的数据。结果——大多数患者为老年男性,患有轻度创伤性脑损伤,跌倒后出现急性或慢性硬膜下血肿。年轻患者较少,但因交通事故导致严重创伤性脑损伤的情况更为常见。大多数患者接受了急性后期护理和脑损伤康复治疗。大多数患者有中度或重度残疾,但许多患者出院回家时,其身体或社会环境没有重大变化。结论——我们的数据证实了创伤性脑损伤在年龄、损伤原因、损伤严重程度和预后之间的关系,并强调了预防的必要性以及创伤性脑损伤作为长期残疾原因的重要性。