Universidade Federal de Minas Gerais, Faculdade de Medicina, Laboratório Interdisciplinar de Investigação Médica, Belo Horizonte MG, Brazil.
University of Texas Health Science Center at Houston, McGovern Medical School, Texas, USA.
Arq Neuropsiquiatr. 2022 Apr;80(4):410-423. doi: 10.1590/0004-282X-ANP-2021-0035.
Traumatic brain injury (TBI) is a serious public health problem worldwide. Although TBI is common in developing countries, there are few epidemiological studies.
To investigate the sociodemographic and clinical features of patients with TBI at the Hospital João XXIII, a public reference center for trauma in Belo Horizonte, Brazil, and to systematically review the available literature on TBI in Brazil.
Clinical and sociodemographic data were collected from electronic medical records for the entire month of July 2016. The literature on epidemiology of TBI in Brazil was systematically reviewed using MeSH/DeCS descriptors in the PubMed and Lilacs databases.
Most patients admitted with TBI were male and under 60 years of age. Mild TBI was the most prevalent form and the most common cause of TBI was falls. A Glasgow Coma Scale score below 12, neuroimaging changes on computer tomography, and presence of any medical conditions were significantly associated with longer hospital stay. Brazilian studies showed that TBI affected mainly men and young adults. In addition, mild TBI was the most common TBI severity reported and the most common causes were motor vehicle accidents and falls.
Overall, the profile of TBI in this center reflects the data from other Brazilian studies.
创伤性脑损伤（TBI）是一个严重的全球性公共卫生问题。尽管 TBI 在发展中国家很常见，但很少有流行病学研究。
调查巴西贝洛奥里藏特市若昂·XXIII 医院 TBI 患者的社会人口学和临床特征，并对巴西 TBI 的现有文献进行系统综述。
从 2016 年 7 月的电子病历中收集临床和社会人口学数据。使用 PubMed 和 Lilacs 数据库中的 MeSH/DeCS 描述符对巴西 TBI 的流行病学文献进行系统综述。
大多数因 TBI 住院的患者为男性且年龄小于 60 岁。轻度 TBI 是最常见的类型，TBI 最常见的原因是跌倒。格拉斯哥昏迷评分低于 12、计算机断层扫描有神经影像学改变以及存在任何医疗状况与住院时间延长显著相关。巴西的研究表明，TBI 主要影响男性和年轻成年人。此外，轻度 TBI 是报告的最常见 TBI 严重程度，最常见的原因是机动车事故和跌倒。
总体而言，该中心 TBI 的特征反映了其他巴西研究的数据。
