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2003年美国创伤性脑损伤住院后的长期残疾发生率

Incidence of long-term disability following traumatic brain injury hospitalization, United States, 2003.

作者信息

Selassie Anbesaw W, Zaloshnja Eduard, Langlois Jean A, Miller Ted, Jones Paul, Steiner Claudia

机构信息

Medical University of South Carolina, Charleston, SC, USA.

出版信息

J Head Trauma Rehabil. 2008 Mar-Apr;23(2):123-31. doi: 10.1097/01.HTR.0000314531.30401.39.

Abstract

OBJECTIVE

Develop and validate a predictive model of the incidence of long-term disability following traumatic brain injury (TBI) and obtain national estimates for the United States in 2003. DATA/METHODS: A logistic regression model was built, using a population-based sample of persons with TBI from the South Carolina Traumatic Brain Injury Follow-up Registry. The regression coefficients were applied to the 2003 Healthcare Cost and Utilization Project-Nationwide Inpatient Sample data to estimate the incidence of long-term disability following traumatic brain injury hospitalization.

RESULTS

Among 288,009 (95% CI, 287,974-288,043) hospitalized TBI survivors in the United States in 2003, an estimated 124,626 (95% CI, 123,706-125,546) had developed long-term disability.

CONCLUSION

TBI-related disability is a significant public health problem in the United States. The substantial incidence suggests the need for comprehensive rehabilitative care and services to maximize the potential of persons with TBI.

摘要

目的

建立并验证创伤性脑损伤(TBI)后长期残疾发生率的预测模型,并获取2003年美国的全国估计数。数据/方法:使用南卡罗来纳州创伤性脑损伤随访登记处基于人群的TBI患者样本建立逻辑回归模型。将回归系数应用于2003年医疗保健成本和利用项目-全国住院患者样本数据,以估计创伤性脑损伤住院后长期残疾的发生率。

结果

2003年美国288,009名(95%可信区间,287,974 - 288,043)住院TBI幸存者中,估计有124,626名(95%可信区间,123,706 - 125,546)出现了长期残疾。

结论

TBI相关残疾在美国是一个重大的公共卫生问题。高发生率表明需要全面的康复护理和服务,以最大限度地发挥TBI患者的潜力。

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