School of Medicine and Dentistry, University of Aberdeen, Aberdeen, Scotland, United Kingdom; Department of Neurosurgery, Annapurna Neurological Institute & Allied Sciences, Kathmandu, Nepal.
Department of Neurosurgery, Annapurna Neurological Institute & Allied Sciences, Kathmandu, Nepal.
World Neurosurg. 2020 Sep;141:413-420. doi: 10.1016/j.wneu.2020.04.250. Epub 2020 May 11.
Traumatic brain injury (TBI) constitutes a major health and socioeconomic problem worldwide. It represents the greatest contribution to death and disability among all trauma-related injuries globally. TBIs are a leading cause of death and disability in Nepal, despite improvements in safety regulations and implementation of strict drunk driving laws. We describe the epidemiology of patients with TBI following admission to our hospital. We discuss the implementation of specific strategies to reduce its incidence.
We conducted a retrospective cross-sectional study of patients presenting to Annapurna Neurological Institute & Allied Sciences (ANIAS), Kathmandu, with a TBI between September 2018 to September 2019.
One-hundred and sixty-seven patients presented with a TBI. The most common age groups were younger than 15 years old and 15-25 years old, and the majority were male (73%). The commonest cause of TBI was road traffic accidents (RTA) (59%). Drivers riding motorcycles were the predominant mechanism of RTA (38%). Helmet use was seen in 57% of patients riding 2-wheelers. Alcohol consumption was reported in 22% of all patients. Skull fractures were the most common diagnosis. Most patients were managed conservatively (84%).
TBI should be recognized as an important public health problem in Nepal. TBI is responsible for a considerable number of neurosurgical admissions to ANIAS. Our study showed patients most vulnerable to TBI are males younger than 25 years old. The implementation of stricter traffic rules and regulations, helmet law enforcement, and public education programs may be helpful in decreasing the number of TBI.
创伤性脑损伤（TBI）是全球范围内一个主要的健康和社会经济问题。它在全球所有与创伤相关的损伤中对死亡和残疾的贡献最大。尽管尼泊尔的安全法规有所改善，并实施了严格的酒后驾车法，但 TBI 仍然是该国死亡和残疾的主要原因。我们描述了我院收治的 TBI 患者的流行病学情况。我们讨论了实施特定策略以降低其发病率的情况。
我们对 2018 年 9 月至 2019 年 9 月期间在安纳普尔纳神经学研究所和联合科学（ANIAS）就诊的 TBI 患者进行了回顾性横断面研究。
共有 167 名患者因 TBI 就诊。最常见的年龄组是 15 岁以下和 15-25 岁，大多数是男性（73%）。TBI 的最常见原因是道路交通碰撞（RTA）（59%）。骑摩托车的司机是 RTA 的主要机制（38%）。57%的骑两轮车的患者使用了头盔。所有患者中有 22%报告饮酒。颅骨骨折是最常见的诊断。大多数患者接受保守治疗（84%）。
TBI 应被视为尼泊尔的一个重要公共卫生问题。TBI 导致相当数量的患者需要到 ANIAS 进行神经外科治疗。我们的研究表明，最易受到 TBI 影响的患者是 25 岁以下的男性。实施更严格的交通规则和法规、头盔执法以及公众教育计划可能有助于减少 TBI 的发生。
