Public Health Agency of Canada, Ottawa, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2018 Mar;38(3):147-150. doi: 10.24095/hpcdp.38.3.05.
With growing awareness about traumatic brain injuries (TBI), there is limited information about population level patterns of TBI care in Canada.
We examined data from the Canadian Community Health Survey (years 2004, 2009, and 2014) among all respondents ages 12 years and older. TBI management characteristics examined included access to care within 48 hours of injury, point of care, hospital admission, and follow-up.
We observed that many Canadians sought care within 48 hours of their injury, with no changes over time. We found a significant decline in the proportion of Canadians opting to visit an emergency department (p = 0.03, all ages), and a significant increase in youth opting to visit a doctor's office (p < 0.01).
TBIs are an important and growing health concern in Canada. Care for such injuries appears to have shifted towards the use of health care professionals outside the hospital environment, including primary care doctors.
随着人们对创伤性脑损伤（TBI）认识的不断提高，加拿大关于 TBI 护理的人群水平模式的信息有限。
我们检查了 2004 年、2009 年和 2014 年所有 12 岁及以上受访者的加拿大社区健康调查（Canadian Community Health Survey）数据。研究的 TBI 管理特征包括受伤后 48 小时内获得护理、治疗点、住院和随访。
我们发现，许多加拿大人在受伤后 48 小时内寻求治疗，而且这一比例在时间上没有变化。我们发现，选择去急诊室就诊的加拿大人比例显著下降（p = 0.03，所有年龄段），选择去医生办公室就诊的年轻人比例显著增加（p < 0.01）。
TBI 在加拿大是一个重要且日益严重的健康问题。此类损伤的护理似乎已经转向医院环境之外的医疗保健专业人员，包括初级保健医生。
