Departments of Pediatrics and Epidemiology, University of Washington, Seattle, WA, USA.
Am J Public Health. 2012 Nov;102(11):2074-9. doi: 10.2105/AJPH.2012.300696. Epub 2012 Sep 20.
We examined the burden of disability resulting from traumatic brain injuries (TBIs) among children younger than 18 years.
We derived our data from a cohort study of children residing in King County, Washington, who were treated in an emergency department for a TBI or for an arm injury during 2007-2008. Disabilities 12 months after injury were assessed according to need for specialized educational and community-based services and scores on standardized measures of adaptive functioning and social-community participation.
The incidence of children receiving new services at 12 months was about 10-fold higher among those with a mild TBI than among those with a moderate or severe TBI. The population incidence of disability (defined according to scores below the norm means on the outcome measures included) was also consistently much larger (2.8-fold to 28-fold) for mild TBIs than for severe TBIs.
The burden of disability caused by TBIs among children is primarily accounted for by mild injuries. Efforts to prevent these injuries as well as to decrease levels of disability following TBIs are warranted.
我们研究了 18 岁以下儿童因创伤性脑损伤 (TBI) 导致的残疾负担。
我们的数据来源于一项队列研究，研究对象为居住在华盛顿州金县的儿童，他们在 2007-2008 年期间因 TBI 或手臂受伤在急诊科接受治疗。根据对特殊教育和社区服务的需求以及适应功能和社会社区参与的标准化评估分数，评估受伤 12 个月后的残疾情况。
与中度或重度 TBI 患者相比，轻度 TBI 患者在 12 个月时接受新服务的发生率高出约 10 倍。残疾的人群发生率（根据纳入的结局评估分数低于正常值定义）对于轻度 TBI 也明显更高（2.8 倍至 28 倍）。
儿童 TBI 导致的残疾负担主要归因于轻度损伤。有必要预防这些损伤以及减少 TBI 后的残疾程度。
