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住院头部受伤患者的流行病学研究。

Epidemiologic study in hospitalized patients with head injuries.

作者信息

Aras Y, Sabanci P A, Unal T C, Aydoseli A, Izgi N

机构信息

Department of Neurosurgery, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey.

出版信息

Eur J Trauma Emerg Surg. 2017 Aug;43(4):467-473. doi: 10.1007/s00068-016-0668-3. Epub 2016 Apr 9.

Abstract

PURPOSE

The aim of this study was to analyze epidemiologic data of patients with head injuries (HI) who were admitted to the Trauma and Emergency Surgery Department.

METHODS

The hospital records of 497 patients with HI who were admitted to the Trauma and Emergency Surgery Department from January 1, 2014, through 31 December, 2014, were analyzed retrospectively.

RESULTS

The male-to-female ratio was 2:1, and the mean age was 16.3 years. The rates of patients with mild, moderate, and severe HI were 93, 3, and 4 %, respectively. The most common cause of trauma was falls. Linear fractures were the most common radiologic diagnoses with 242 cases (49 %). Of the patients admitted to hospital, 22 % presented 4 h after the trauma had occurred. Mortality rate due to HI was 3 % (15 patients). Outcome was associated with admission Glasgow Coma Scale and presence of additional trauma.

CONCLUSIONS

The number of traffic accidents and assaults were considerably higher in the young adult population compared with the other age groups. Traffic accidents accounted for 46.6 % of the mortality rate. Mortality in HI patients mostly arises from preventable conditions, and the young adult population seems to be the most affected group. HI should be considered as a public health issue, and prevention of HI should be the primary goal.

摘要

目的

本研究旨在分析入住创伤与急诊外科的头部损伤(HI)患者的流行病学数据。

方法

回顾性分析了2014年1月1日至2014年12月31日期间入住创伤与急诊外科的497例HI患者的医院记录。

结果

男女比例为2:1,平均年龄为16.3岁。轻度、中度和重度HI患者的比例分别为93%、3%和4%。最常见的创伤原因是跌倒。线性骨折是最常见的放射学诊断,共242例(49%)。入院患者中,22%在创伤发生后4小时就诊。HI导致的死亡率为3%(15例患者)。预后与入院时的格拉斯哥昏迷量表评分及是否存在其他创伤有关。

结论

与其他年龄组相比,年轻成年人中的交通事故和袭击事件数量要高得多。交通事故占死亡率的46.6%。HI患者的死亡大多源于可预防的情况,年轻成年人似乎是受影响最严重的群体。HI应被视为一个公共卫生问题,预防HI应是首要目标。

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