Miekisiak Grzegorz, Czyz Marcin, Tykocki Tomasz, Kaczmarczyk Jacek, Zaluski Rafal, Latka Dariusz
a Department of Neurosurgery , Specialist Medical Center , Polanica-Zdroj , Poland .
b Department of Neurosurgery , Regional Medical Center , Opole , Poland .
Brain Inj. 2016;30(1):79-82. doi: 10.3109/02699052.2015.1104550. Epub 2015 Dec 29.
Traumatic brain injury (TBI) remains one of the leading causes of mortality and morbidity worldwide. The purpose of this study was to provide data on epidemiology of TBI in Poland during 2009-2012.
The national data on hospitalizations with TBI as a primary diagnosis was obtained from the National Health Fund of Poland. The sub-set of two diagnosis-related groups (DRG) was used for analysis. The incidence and mortality were calculated with the emphasis on diagnosis. The external causes of injuries were investigated based on the representative sample.
Within the study period there were 194,553 hospitalizations due to the TBI in two DRGs. The overall incidence was 126.52/10(5)/year (95% CI = 125.96-127.09). The most common diagnosis was concussion, with an incidence of 81.66/10(5)/year, and the most prevalent structural injury was subdural haematoma (15.27/10(5)/year). The predominant external causes were traffic accidents (40.52%) followed by falls (32.77%).
The incidence of TBIs in Poland compared with other countries in Europe is relatively low. The incidence of concussions mirrored current treatment guidelines rather than real epidemiology.
创伤性脑损伤(TBI)仍是全球范围内死亡和发病的主要原因之一。本研究的目的是提供2009 - 2012年波兰TBI的流行病学数据。
以TBI作为主要诊断的住院治疗的全国数据来自波兰国家卫生基金。使用两个诊断相关组(DRG)的子集进行分析。计算发病率和死亡率,并重点关注诊断。基于代表性样本调查损伤的外部原因。
在研究期间,两个DRG中因TBI住院的有194,553例。总体发病率为126.52/10⁵/年(95%可信区间=125.96 - 127.09)。最常见的诊断是脑震荡,发病率为81.66/10⁵/年,最常见的结构性损伤是硬膜下血肿(15.27/10⁵/年)。主要的外部原因是交通事故(40.52%),其次是跌倒(32.77%)。
与欧洲其他国家相比,波兰TBI的发病率相对较低。脑震荡的发病率反映了当前的治疗指南,而非实际的流行病学情况。