Huh Kwang Real, Kim Jung-Youn, Choi Sung-Hyuk, Yoon Young-Hoon, Park Sung Jun, Lee Eu Sun
Department of Emergency Medicine, Korea University College of Medicine, Seoul, Korea.
Clin Exp Emerg Med. 2020 Jun;7(2):81-86. doi: 10.15441/ceem.19.076. Epub 2020 Jun 30.
Traumatic brain injury (TBI) is an important public health concern due to its high prevalence and mortality rate among young people. We investigated the clinical and social characteristics of patients who visited the emergency department due to TBI in whom brain computed tomography, was performed by age.
We retrospectively analyzed 15,567 TBI patients who received a brain computed tomography evaluation at the emergency department of Korea University Hospital from March 2013 to February 2016. We divided patients into age groups by decade and analyzed factors such as sex, trauma mechanism, need for operation, hospitalization, and results of treatment.
The mean age was 42.0±22.8 years; the most common age group was the 50s (16.5%). Except for the age group over 70 years, males predominated. Under 9 years of age, public ambulance usage rate was lower than in other age groups. Regarding severity based on the Glasgow Coma Scale score, the proportion of mild cases was higher in those under 9 years of age (99.3%) and the proportion of severe cases was higher in those in their 20s (4.6%). The most common injury mechanism was blunt trauma, followed by car accidents. For those under 9 years of age, falls were more common than in other age groups. Only 20.5% of TBI patients were hospitalized and 11.9% were treated surgically, while 70.6% of patients were discharged home after treatment.
TBI may present with different characteristics depending on the age of the patients, thus prevention policies and clinical practice should be tailored to age.
创伤性脑损伤（TBI）因其在年轻人中的高患病率和死亡率，成为一个重要的公共卫生问题。我们按年龄对因TBI就诊于急诊科并接受脑部计算机断层扫描的患者的临床和社会特征进行了调查。
我们回顾性分析了2013年3月至2016年2月在韩国大学医院急诊科接受脑部计算机断层扫描评估的15567例TBI患者。我们按十年为一组将患者分为不同年龄组，并分析了性别、创伤机制、手术需求、住院情况及治疗结果等因素。
平均年龄为42.0±22.8岁；最常见的年龄组是50多岁（16.5%）。除70岁以上年龄组外，男性占主导。9岁以下儿童，公共救护车使用率低于其他年龄组。基于格拉斯哥昏迷量表评分的严重程度方面，9岁以下儿童中轻度病例比例较高（99.3%），20多岁患者中重度病例比例较高（4.6%）。最常见的损伤机制是钝器伤，其次是车祸。9岁以下儿童中，跌倒比其他年龄组更常见。仅20.5%的TBI患者住院，11.9%接受了手术治疗，而70.6%的患者治疗后出院回家。
TBI可能因患者年龄不同而呈现不同特征，因此预防政策和临床实践应根据年龄进行调整。
