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创伤性脑损伤相关住院治疗:与老年创伤性脑损伤住院患者院内死亡率相关的因素。

Traumatic Brain Injury Related Hospitalizations: Factors Associated with In-hospital Mortality among Elderly Patients Hospitalized with a TBI.

机构信息

Epidemiology & Biostatistics, College Station, Texas, United States.

Health Policy & Management, College Station, Texas, United States.

出版信息

Brain Inj. 2021 Apr 16;35(5):554-562. doi: 10.1080/02699052.2021.1890822. Epub 2021 Mar 21.

Abstract

: This study aims to describe TBI-related hospitalizations for the whole population and identify factors associated with in-hospital mortality among elderly (≥65 years) patients hospitalized with TBI in Texas.: Using Texas Hospital Discharge Data from 2012 to 2014, TBI-related hospitalizations were identified using International Classification of Diseases - Ninth Revision - Clinical Modification (ICD-9-CM) codes. Rates for age and gender were estimated using U.S. Census data. Univariate and multivariate analyses were used to identify factors associated with in-hospital mortality among those aged at least 65 years.: There were 51,419 TBI-related hospitalizations from 2012 to 2014 in Texas. Falls were the leading cause of TBI-related hospitalizations 6235 (36.64%), 6595 (38.40%), and 5412 (37.59%) for 2012, 2013, and 2014, respectively. Males had higher rates of hospitalizations while rates were highest for those above 80 years of age. Compared to Whites, Hispanics had 1.18 higher adjusted odds of in-hospital mortality [OR = 1.18: 95% CI (1.01-1.40)]. Similarly, adjusted odds of in-hospital mortality were higher among males [OR = 1.55: 95% CI (1.36-1.77)].: This study provided evidence of demographic disparities in the burden and outcome of TBI in Texas, findings could serve as a foundation for targeted TBI prevention interventions.

摘要

这项研究旨在描述德克萨斯州所有人群的与 TBI 相关的住院情况,并确定与 TBI 住院老年(≥65 岁)患者院内死亡率相关的因素。

使用德克萨斯州 2012 年至 2014 年的医院出院数据,使用国际疾病分类第 9 修订版临床修正(ICD-9-CM)代码确定与 TBI 相关的住院情况。使用美国人口普查数据估计年龄和性别比率。使用单变量和多变量分析来确定≥65 岁人群中与院内死亡率相关的因素。

2012 年至 2014 年,德克萨斯州有 51419 例与 TBI 相关的住院治疗。跌倒是 TBI 相关住院治疗的主要原因,2012 年、2013 年和 2014 年分别为 6235 例(36.64%)、6595 例(38.40%)和 5412 例(37.59%)。男性的住院率较高,而 80 岁以上人群的住院率最高。与白人相比,西班牙裔的院内死亡率调整后比值比(OR)为 1.18[OR=1.18:95%置信区间(CI)(1.01-1.40)]。同样,男性的院内死亡率调整后比值比(OR)也较高[OR=1.55:95%置信区间(CI)(1.36-1.77)]。

本研究提供了德克萨斯州 TBI 负担和结果的人口统计学差异的证据,研究结果可以作为有针对性的 TBI 预防干预的基础。

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