Gillson Natalie, Jones Charlotte, Reem Rachel E, Rogers David L, Zumberge Nicholas, Aylward Shawn C
Division of Pediatric Neurology, Golisano Children's Hospital of Southwest Florida, Fort Myers, Florida.
Department of Neurology, Nationwide Children's Hospital, Columbus, Ohio.
Pediatr Neurol. 2017 Aug;73:42-47. doi: 10.1016/j.pediatrneurol.2017.04.021. Epub 2017 Apr 27.
We analyzed the incidence and demographic features of pediatric intracranial hypertension.
Inpatient and outpatient encounters of children aged 18 years or younger who were diagnosed with primary (idiopathic) or secondary intracranial hypertension between January 2010 and December 2013 were identified. Data were collected from a subspecialty clinic devoted to intracranial hypertension and the sole children's hospital in a large Midwestern city of the United States. Estimated incidence rates were calculated based on the number of newly diagnosed patients in our hospital's primary service area, which includes seven central Ohio counties. Sex, race, body mass index, socioeconomic status, and geographic distribution were also noted.
A total of 74 pediatric patients were diagnosed with intracranial hypertension (49 primary/idiopathic and 25 secondary) between January 2010 and December 2013. Using census data, we determined the pediatric population in our service area during the four-year period. The Ohio Hospital Association's database indicated that 92.3% of patients aged 0 to 17 years residing in the region sought care at our institution. By combining these data, we calculated an annual incidence of primary and secondary intracranial hypertension of 0.63 and 0.32 per 100,000 children, respectively.
The estimated annual incidence of pediatric primary intracranial hypertension in our seven county service area in central Ohio is similar to previous pediatric reports from other countries and is 67% of that reported in the US adult population.
我们分析了小儿颅内高压的发病率及人口统计学特征。
确定2010年1月至2013年12月期间18岁及以下被诊断为原发性（特发性）或继发性颅内高压的儿童的住院和门诊病例。数据收集自美国中西部一个大城市的一家专门治疗颅内高压的专科诊所和唯一的儿童医院。根据我院主要服务区域（包括俄亥俄州中部的七个县）新诊断患者的数量计算估计发病率。还记录了性别、种族、体重指数、社会经济地位和地理分布情况。
2010年1月至2013年12月期间，共有74例儿科患者被诊断为颅内高压（49例原发性/特发性，25例继发性）。利用人口普查数据，我们确定了四年期间我们服务区域内的儿科人口。俄亥俄医院协会的数据库显示，该地区0至17岁的患者中有92.3%在我们机构就诊。通过结合这些数据，我们计算出原发性和继发性颅内高压的年发病率分别为每10万名儿童0.63例和0.32例。
在俄亥俄州中部我们的七个县服务区域内，小儿原发性颅内高压的估计年发病率与其他国家先前的儿科报告相似，是美国成年人口报告发病率的67%。
