Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada (Ms Langer and Dr Bayley); Toronto ABI Network, GTA Rehab Network, Toronto, Ontario, Canada (Ms Levy); and Institute of Health Policy, Management and Evaluation (Ms Levy) and Division of Physiatry (Dr Bayley), University of Toronto, Toronto, Ontario, Canada.
J Head Trauma Rehabil. 2020 Jan/Feb;35(1):E60-E66. doi: 10.1097/HTR.0000000000000503.
To provide updated estimates of the incidence of concussion from all causes diagnosed by all physicians in a large jurisdiction, as previous studies have examined only single causes of injury or from smaller specific populations.
Physician Billing and National Ambulatory Care Reporting System (NACRS) databases were used to identify all Ontario residents with a diagnosis of concussion (ICD-9 850.0 and ICD-10 S06.0) made by physicians between 2008 and 2016, excluding those with moderate to severe traumatic brain injury.
In total, 1 330 336 people were diagnosed with a concussion between 2008 and 2016. The annual average was 147 815, and 79% were diagnosed in the emergency department. The average annual incidence was 1153 per 100 000 residents. Incidence varied by age, sex, and geography; children younger than 5 years had the highest incidence of concussion, more than 3600 per 100 000 individuals of that age group. Males had higher incidence than females except in older than 65 years age groups. There was a Pearson correlation (+0.669) between sustaining a concussion and living in rural locations.
The annual incidence of approximately 1.2% of the population is the highest rate of concussion ever reported thorough sampling methods and may represent a closer estimate of the true picture of concussion. Findings may inform future concussion treatment and healthcare planning.
提供在一个大辖区内由所有医生诊断的所有原因导致的脑震荡发病率的最新估计值，因为之前的研究仅检查了单一的损伤原因或来自特定的小范围人群。
使用医生计费和国家门诊护理报告系统（NACRS）数据库来确定 2008 年至 2016 年间所有被医生诊断为脑震荡（ICD-9 850.0 和 ICD-10 S06.0）的安大略省居民，不包括中度至重度创伤性脑损伤的患者。
2008 年至 2016 年间，共有 1 330 336 人被诊断患有脑震荡。年平均发病率为 147 815 例，79%在急诊科诊断。年平均发病率为每 10 万人中有 1153 例。发病率因年龄、性别和地理位置而异；5 岁以下儿童的脑震荡发病率最高，该年龄段每 10 万人中有超过 3600 例。除 65 岁以上年龄组外，男性的发病率高于女性。脑震荡的发生与居住在农村地区之间存在皮尔逊相关性（+0.669）。
每年约有 1.2%的人口发病率是通过抽样方法报告的最高脑震荡发病率，这可能更接近脑震荡真实情况的估计值。研究结果可为未来的脑震荡治疗和医疗保健规划提供信息。
