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2014 年按性别分类的创伤性脑损伤相关急诊就诊、住院和死亡的州级数量和比率。

State-Level Numbers and Rates of Traumatic Brain Injury-Related Emergency Department Visits, Hospitalizations, and Deaths by Sex, 2014.

机构信息

Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.

出版信息

J Head Trauma Rehabil. 2020 Nov/Dec;35(6):E481-E489. doi: 10.1097/HTR.0000000000000595.

Abstract

OBJECTIVE

To provide state-level traumatic brain injury (TBI)-related emergency department (ED) visit, hospitalization, and death estimates by sex for 2014.

SETTING AND PARTICIPANTS

Centers for Disease Control and Prevention's Core Violence and Injury Prevention Program and State Injury Indicators-participating states.

DESIGN

Cross-sectional.

MAIN MEASURES

Number and rate of TBI-related ED visits, hospitalizations, and deaths (indicators) by sex in over 25 states.

RESULTS

Across all states that supplied data, males had higher rates of TBI-related ED visits, hospitalizations, and deaths than females. However, for some indicators, high rates for both sexes and low rates for both sexes appeared clustered in a specific region of the United States. There was also within-state variability in TBI rates by indicator and sex. For example, within-state variability between sexes ranged from as low as 2.8% for ED visits and as high as 335% for deaths.

CONCLUSION

TBI-related ED visits, hospitalizations, and deaths varied by state and by sex, and evidence was found for within-state variability in TBI rates by indicator and sex in 2014. Differences in TBI indicators by sex may have important implications for public health professionals implementing TBI prevention and care strategies at the state level.

摘要

目的

提供 2014 年按性别划分的创伤性脑损伤(TBI)相关急诊(ED)就诊、住院和死亡的州级估计数。

地点和参与者

疾病预防控制中心的核心暴力和伤害预防计划和参与州的州伤害指标。

设计

横断面。

主要措施

超过 25 个州按性别划分的 TBI 相关 ED 就诊、住院和死亡(指标)的数量和比率。

结果

在提供数据的所有州中,男性 TBI 相关 ED 就诊、住院和死亡的比率均高于女性。然而,对于某些指标,两性的高发病率和低发病率似乎集中在美国的一个特定地区。各州内按指标和性别划分的 TBI 发病率也存在差异。例如,州内性别间的发病率差异低至 ED 就诊的 2.8%,高至死亡的 335%。

结论

TBI 相关的 ED 就诊、住院和死亡因州和性别而异,并且在 2014 年按指标和性别划分的 TBI 率存在州内差异。性别差异的 TBI 指标可能对州一级实施 TBI 预防和护理策略的公共卫生专业人员具有重要意义。

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