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轻度创伤性脑损伤的发病率:一项基于医院、急诊室和全科医生的前瞻性研究。

Incidence of Mild Traumatic Brain Injury: A Prospective Hospital, Emergency Room and General Practitioner-Based Study.

作者信息

Skandsen Toril, Nilsen Tom Lund, Einarsen Cathrine, Normann Ingunn, McDonagh David, Haberg Asta Kristine, Vik Anne

机构信息

Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Clinic of Physical Medicine and Rehabilitation, St. Olavs University Hospital, Trondheim, Norway.

出版信息

Front Neurol. 2019 Jun 18;10:638. doi: 10.3389/fneur.2019.00638. eCollection 2019.

Abstract

There are no recent estimates of incidence rates of mild traumatic brain injury (MTBI) from Norway. Moreover, reported incidence rates rarely comprise cases of MTBI evaluated in the primary care setting. In this study, we utilized existing data collected as part of the recruitment to a large, follow-up study of patients with MTBI. We estimated the incidence rate of MTBI, including patients who visited outpatient clinics, in the age group 16-59 years in a Norwegian region. During 81 weeks in 2014 and 2015, all persons aged 16-59 years, presenting with possible MTBI to the emergency department (ED) at St. Olavs Hospital, Trondheim University Hospital or to the general practitioner (GP)-run Trondheim municipal outpatient ED, were evaluated for a diagnosis of MTBI. Patients were identified by computerized tomography (CT) referrals and patient lists. Patients referred to acute CT from their primary GP with suspicion of MTBI were also recorded. This approach identified 732 patients with MTBI. Age- and sex-specific incidence rates of MTBI were calculated using population figures from the regional catchment area. Overall incidence of MTBI in people between 16 and 59 years was 302 per 100,000 person-years (95% confidence interval 281-324). The incidence rate was highest in the age group 16-20 years, where rates were 835 per 100,000 person-years in males and 726 in females. The overall incidence rate of MTBI was lower than expected from existing estimates. Like other reports, the incidence was highest in the late teens.

摘要

挪威目前没有关于轻度创伤性脑损伤(MTBI)发病率的最新估计。此外,报告的发病率很少包括在初级保健机构评估的MTBI病例。在本研究中,我们利用了作为一项大型MTBI患者随访研究招募工作一部分收集的现有数据。我们估计了挪威某地区16 - 59岁年龄组中MTBI的发病率,包括就诊于门诊诊所的患者。在2014年和2015年的81周内,所有年龄在16 - 59岁、因可能的MTBI前往特隆赫姆大学医院圣奥拉夫斯医院急诊科(ED)或特隆赫姆市全科医生(GP)运营的门诊ED就诊的患者,都接受了MTBI诊断评估。通过计算机断层扫描(CT)转诊和患者名单来识别患者。还记录了因怀疑MTBI而从其初级全科医生处转诊至急性CT检查的患者。这种方法共识别出732例MTBI患者。使用来自区域集水区的人口数据计算了MTBI的年龄和性别特异性发病率。16至59岁人群中MTBI的总体发病率为每10万人年302例(95%置信区间281 - 324)。发病率在16 - 20岁年龄组最高,其中男性发病率为每10万人年835例,女性为726例。MTBI的总体发病率低于现有估计预期。与其他报告一样,发病率在青少年后期最高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e73/6591366/7e528d22012e/fneur-10-00638-g0001.jpg

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