Divisions of Injury Prevention (Ms Sarmiento and Drs Daugherty and Peterson) and Overdose Prevention (Dr Evans), National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia; Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia (Mss Kennedy and Haberling); and Indian Health Service, Office of Environmental Health and Engineering, Division of Environmental Health Services, Injury Prevention Program, Washington, District of Columbia (Ms Billie).
J Head Trauma Rehabil. 2020 Sep/Oct;35(5):E441-E449. doi: 10.1097/HTR.0000000000000570.
The American Indian/Alaska Native (AI/AN) population has a disproportionately high rate of traumatic brain injuries (TBIs). However, there is little known about incidence and common mechanisms of injury among AI/AN persons who seek care in an Indian Health Service (IHS) or tribally managed facility.
Using the IHS National Patient Information Reporting System, we assessed the incidence of TBI-related emergency department visits among AI/AN children and adults seen in IHS or tribally managed facilities over a 10-year period (2005-2014).
There were 44 918 TBI-related emergency department visits during the study period. Males and persons aged 18 to 34 years and 75 years and older had the highest rates of TBI-related emergency department visits. Unintentional falls and assaults contributed to the highest number and proportion of TBI-related emergency department visits. The number and age-adjusted rate of emergency department visits for TBI were highest among persons living in the Southwest and Northern Plains when compared with other IHS regions.
Thousands of AI/AN children and adults are seen each year in emergency departments for TBI and the numbers increased over the 10-year period examined. Evidence-based interventions to prevent TBI-related emergency department visits, such as programs to reduce the risk for older adult falls and assault, are warranted.
美洲印第安人/阿拉斯加原住民（AI/AN）人群的创伤性脑损伤（TBI）发生率极高。然而，在寻求印第安卫生服务（IHS）或部落管理机构治疗的 AI/AN 人群中，关于 TBI 的发生率和常见损伤机制知之甚少。
我们使用 IHS 国家患者信息报告系统，评估了在 10 年期间（2005-2014 年）在 IHS 或部落管理机构就诊的 AI/AN 儿童和成人的 TBI 相关急诊就诊率。
在研究期间，共有 44918 例 TBI 相关急诊就诊。男性和 18 至 34 岁以及 75 岁及以上的人群 TBI 相关急诊就诊率最高。意外跌倒和袭击导致了最多数量和比例的 TBI 相关急诊就诊。与其他 IHS 地区相比，居住在西南部和北部平原的人群 TBI 相关急诊就诊的数量和年龄调整率最高。
每年都有数千名 AI/AN 儿童和成人因 TBI 到急诊就诊，且这一数字在 10 年期间呈上升趋势。需要采取基于证据的干预措施来预防 TBI 相关的急诊就诊，例如旨在减少老年人跌倒和袭击风险的计划。
