Levi L, Linn S, Revach M, Feinsod M
Department of Clinical Epidemiology, Rambam Medical Center, Haifa, Israel.
Neuroepidemiology. 1990;9(5):278-84. doi: 10.1159/000110784.
A descriptive epidemiological study of neurotraumatology was undertaken over a 4.5-year period at a regional hospital with a referral base of 1,200,000 residents served by a single neurosurgical department. Neurosurgical evaluations and treatments were given to 1,370 patients in this period. The data base consists of demographic, clinical and radiological features at the time of admission, as well as the hospital course through discharge. The crude incidence rate was 25.2 +/- 3.1 cases per 100,000 person-years (similar to that of three neurosurgical units in Scotland). Age adjustment showed almost twice this rate at the two extremes of age and a smaller elevation in early adulthood. The crude incidence was 36.9 for males and 13.4 for females (p less than 0.01). Age-specific incidence rates in Jews compared to other ethnic groups were reported. Falls had an incidence of 12.8 (51%), road accidents 9.0 (35.7%) and assaults 2.3 (9%) per 100,000 person-years. Other causes were accidents during work or sport and suicide. The rate of brain pathology as revealed by computerized tomography steadily increased from 19% in childhood to 71% in the elderly with a mean of 41.8%. A similar increasing trend with age was found in the rate of intracranial mass lesions (mean 28.3%), impaired consciousness (30.4%) and mortality (13%).
在一家拥有120万居民转诊基数且由单一神经外科科室服务的地区医院，进行了一项为期4.5年的神经创伤学描述性流行病学研究。在此期间，对1370例患者进行了神经外科评估和治疗。数据库包括入院时的人口统计学、临床和放射学特征，以及出院时的住院病程。粗发病率为每10万人年25.2±3.1例（与苏格兰的三个神经外科单位相似）。年龄调整显示，在两个年龄极端情况下，发病率几乎是这个数字的两倍，而在成年早期略有升高。男性粗发病率为36.9，女性为13.4（p<0.01）。报告了犹太人与其他种族群体的年龄别发病率。每10万人年中，跌倒的发病率为12.8（51%），道路交通事故为9.0（35.7%），袭击为2.3（9%）。其他原因包括工作或运动中的事故以及自杀。计算机断层扫描显示的脑部病变发生率从儿童期的19%稳步上升至老年人的71%，平均为41.8%。颅内占位性病变发生率（平均28.3%）、意识障碍发生率（30.4%）和死亡率（13%）也随年龄呈现类似的上升趋势。
