School of Medicine, Royal College of Surgeons in Ireland (RCSI) , Dublin, Ireland.
The National Centre for Neurosurgery, Beaumont Hospital , Dublin, Ireland.
Brain Inj. 2020 Oct 14;34(12):1610-1617. doi: 10.1080/02699052.2020.1824299. Epub 2020 Sep 20.
We assessed for change in the number of admissions, demographics, mechanism, severity, operative management, length of stay, and in-hospital mortality of Traumatic Brain Injury (TBI) in patients admitted to a Neurosurgical Unit (NSU) in the Republic of Ireland in 2017 compared to 25 years previously.
We performed a retrospective cohort study of TBI admissions during 2017 and compared the results with a prospective cohort study covering a one-year period across 1992 and 1993.
In 2017, 184 patients (5.78 per 100,000) were admitted, compared to 225 in 1992/1993 (7.31 per 100,000). Mean age increased by 8.5 years. The contribution of road traffic collisions (RTCs) decreased by 62% while sports injuries increased by 300%, led by soccer. Falls replaced RTCs as the leading mechanism of injury. We report a decrease in severe injuries (GCS≤8) of 52% while mild injuries (GCS≥13) increased by 58%. The number undergoing neurosurgery remained comparable (2017: 55%, 1992/1993: 48%), as did in-hospital mortality (13%, 16%). Mean length of stay decreased by four days.
There has been a sizable change in the landscape of TBI as seen in the Republic of Ireland's national NSU including in demographics, mechanism of injury, and injury severity.
我们评估了 2017 年爱尔兰神经外科病房（Neurosurgical Unit，NSU）收治的创伤性脑损伤（Traumatic Brain Injury，TBI）患者的入院人数、人口统计学、发病机制、严重程度、手术管理、住院时间和院内死亡率与 25 年前相比是否发生了变化。
我们对 2017 年 TBI 患者的入院情况进行了回顾性队列研究，并将结果与一项为期一年的前瞻性队列研究进行了比较，该研究涵盖了 1992 年和 1993 年的一个时间段。
2017 年，共有 184 名患者（每 10 万人中 5.78 人）入院，而 1992/1993 年为 225 名（每 10 万人中 7.31 人）。平均年龄增加了 8.5 岁。道路交通事故（Road Traffic Collisions，RTC）导致的损伤减少了 62%，而运动损伤增加了 300%，其中以足球为主。与 RTC 相比，跌倒成为了导致损伤的主要机制。我们报告严重损伤（GCS≤8）的比例下降了 52%，而轻度损伤（GCS≥13）的比例上升了 58%。需要接受神经外科手术的患者比例保持不变（2017 年：55%，1992/1993 年：48%），院内死亡率也相似（13%，16%）。平均住院时间减少了四天。
在爱尔兰的国家 NSU 中，TBI 的发病情况发生了重大变化，包括人口统计学、损伤机制和损伤严重程度等方面。
