Zhang Fang, Huang Lihong, Singichetti Bhavna, Li Huiling, Sullivan Lindsay, Yang Jingzhen Ginger
Children's Hospital of Soochow University, Suzhou, Jiangsu, China.
Department of Biostatistics, Zhongshan Hospital, Fudan University, Shanghai, China.
Pediatr Int. 2019 Sep;61(9):904-912. doi: 10.1111/ped.13946.
The aim of this study was to investigate the epidemiological characteristics of pediatric traumatic brain injury (TBI) requiring hospitalization in Chinese children ≤17 years of age according to sex and age group.
This study retrospectively analyzed pediatric TBI inpatient data obtained via electronic health records from one children's hospital in China. Patients aged ≤17 years admitted to the hospital due to TBI between 1 January 2013 and 31 December 2015 were identified using International Classification of Diseases (ICD) -9 and ICD-10 codes. The demographic, injury, and hospitalization characteristics were analyzed by sex and age groups.
The subject consisted of 1,087 pediatric TBI patients admitted to the hospital (61.5% boys). The highest proportion of hospitalization was observed in the 1-3 years age group. For both boys and girls, the most common diagnosis was "traumatic epidural hematoma" and the leading mechanism of TBI was "fall". The median length of hospital stay was 8.5 days and the median hospitalization cost was 7,977.4 Chinese yuan (approximately $US 1,140).
Boys and children aged 1-3 years incurred more pediatric TBI requiring hospitalization than their counterparts. Prevention of falls, the most common injury mechanism in both boys and girls, is an important strategy to reduce pediatric TBI and related hospitalizations.
本研究旨在根据性别和年龄组调查中国17岁及以下儿童因创伤性脑损伤（TBI）住院的流行病学特征。
本研究回顾性分析了通过中国一家儿童医院的电子健康记录获得的儿科TBI住院患者数据。使用国际疾病分类（ICD）-9和ICD-10编码识别2013年1月1日至2015年12月31日期间因TBI入院的17岁及以下患者。按性别和年龄组分析人口统计学、损伤和住院特征。
研究对象包括1087例入院的儿科TBI患者（61.5%为男孩）。1-3岁年龄组的住院比例最高。对于男孩和女孩来说，最常见的诊断是“创伤性硬膜外血肿”，TBI的主要机制是“跌倒”。住院时间中位数为8.5天，住院费用中位数为7977.4元人民币（约合1140美元）。
男孩和1-3岁儿童因TBI住院的情况比其他儿童更多。预防跌倒作为男孩和女孩最常见的损伤机制，是减少儿科TBI及相关住院的重要策略。
