Sports Performance Research Institute New Zealand (SPRINZ), Faculty of Health and Environmental Science, Auckland University of Technology, Auckland, New Zealand; School of Science and Technology, University of New England, Armidale, NSW, Australia.
Sports Performance Research Institute New Zealand (SPRINZ), Faculty of Health and Environmental Science, Auckland University of Technology, Auckland, New Zealand; National Institute of Stroke and Applied Neuroscience (NISAN), Faculty of Health and Environmental Science, Auckland University of Technology, Auckland, New Zealand.
J Neurol Sci. 2019 Apr 15;399:61-68. doi: 10.1016/j.jns.2019.01.049. Epub 2019 Feb 12.
To provide epidemiological data and related costs to the national health insurance scheme for traumatic brain injury (TBI) in New Zealand.
A retrospective analytical review utilising detailed descriptive minor and moderate-to-severe epidemiological TBI data obtained from the Accident Compensation Corporation (ACC) for 2012-2016. Injuries were analysed by three levels of increasing severity: moderate, moderate-to-serious (MSC) and severe claims categories.
Over the January 2012 to December 2016 period there were 97,955 claims for TBI costing ACC $1,450,643,667 [equivalent to £$743,417,120]. Falls accounted for nearly half (41.7%, 8262), and over a quarter (39.9%; $67,626,000 [£34,662,176]) of the moderate claims for TBI. Motor vehicle accidents recorded the highest percentage (36.5%), total costs ($610,978,229 [£313,170,000]) and highest mean cost per-moderate claim per-year ($47,372 ± $2401 [£24,282 ± £1231]) for MSC TBI claims. This was similar for severe claims where motor vehicles accidents accounted for 56% of the total serious claims, 65.1% of the costs with a mean cost per-serious claim of $64,913 ± 4331 [£32,759 ± £2186] per-year.
There were 97,955 TBI injury claims lodged over the duration of the study with 36% (n = 35,304) classified as MSC. The incidence of total TBI in New Zealand was 432 per 100,000 population, and 155 per 100,000 for MSC TBI claims. Despite the growing number of studies reporting on the effects of sports-related TBI, there is a paucity of studies reporting on the longitudinal effects of TBI in falls, assaults and motor vehicle accidents. Further research is warranted into the assessment and management of intimate partner violence and child abuse victims for TBI's.
为新西兰国家健康保险计划提供创伤性脑损伤（TBI）的流行病学数据和相关费用。
利用从事故赔偿公司（ACC）获得的 2012-2016 年详细描述的轻度和中度至重度 TBI 流行病学数据进行回顾性分析。根据严重程度分为三个级别进行分析：中度、中度至严重（MSC）和严重索赔类别。
在 2012 年 1 月至 2016 年 12 月期间，共有 97955 份 TBI 索赔，ACC 为此支付了 145.0643667 亿新西兰元（相当于 74341.712 万英镑）。跌倒占近一半（41.7%，8262 人），中度 TBI 索赔中有四分之一以上（39.9%；6762.6 万新西兰元[34662176 英镑]）归因于跌倒。机动车事故记录的百分比最高（36.5%），总成本（610978229 新西兰元[313170000 英镑]）和 MSC TBI 索赔的平均每中度索赔每年费用最高（47372 新西兰元[24282 英镑]）。这与严重索赔类似，其中机动车事故占严重索赔总数的 56%，占成本的 65.1%，每例严重索赔的平均费用为 64913 新西兰元[32759 英镑]。每年加 4331 新西兰元[2186 英镑]。
在研究期间，共提出了 97955 份 TBI 伤害索赔，其中 36%（n=35304）被归类为 MSC。新西兰 TBI 的总发病率为每 100000 人 432 例，MSC TBI 索赔为每 100000 人 155 例。尽管越来越多的研究报告了与运动相关的 TBI 的影响，但很少有研究报告跌倒、袭击和机动车事故中 TBI 的长期影响。需要进一步研究亲密伴侣暴力和儿童虐待受害者 TBI 的评估和管理。
