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工作相关创伤性脑损伤的流行病学和 COVID-19 大流行封锁的后果:智利一个参考中心的经验。

Epidemiology of Work-Related Traumatic Brain Injury and COVID-19 Pandemic Lockdown Consequences: Experience in a Reference Center in Chile.

机构信息

From the Departamento de Neurología, Hospital del Trabajador, Asociación Chilena de Seguridad, Santiago, Chile (J.W.D.S., P.B.B., P.C.M., J.P.R.V., P.I.R., E.F.V.); Departamento de Neurología, Clínica Meds, Santiago, Chile (J.W.D.S.); Programa de Especialidades Médicas en Neurología, Escuela de Postgrado, Universidad de Santiago de Chile, Santiago, Chile (J.W.D.S.); Centro de Estudios en Neurociencia Humana y Neuropsicología, Facultad de Psicología, Universidad Diego Portales, Santiago, Chile (D.R.-L.); Programa de Especialidades Médicas en Fisiatría, Escuela de Postgrado, Universidad Mayor, Santiago, Chile (C.C.V.); and Hospital Clínico de la Fuerza Aérea de Chile (FACh), General Dr. Raúl Yazigi J., Santiago, Chile (P.B.B.).

出版信息

J Occup Environ Med. 2023 Dec 1;65(12):1045-1050. doi: 10.1097/JOM.0000000000002967. Epub 2023 Sep 12.

Abstract

INTRODUCTION

Work-related traumatic brain injury is a frequent cause of chronic morbidity, mortality, and high treatment costs. Its causes are highly environmentally determined and were affected by COVID-19 pandemic lockdowns.

OBJECTIVE

We aimed to describe traumatic brain injury (TBI) epidemiology in working population and evaluate its modifications during the COVID-19 pandemic.

METHODS

We performed a 2-year retrospective epidemiological analysis of TBI patients hospitalized in a tertiary work-related hospital before and during the COVID-19 pandemic.

RESULTS

In the prepandemic period, TBI patients were predominantly men, with a bimodal age distribution. Crash accidents were the leading work-related traumatic brain injury cause. During COVID-19 pandemic lockdowns, there was a positive correlation between street traffic and TBI rate, presenting increased motor crash accidents as a cause of TBI.

CONCLUSIONS

These results are relevant for planning and focalization of resources for TBI prevention.

摘要

简介

工作相关的创伤性脑损伤是导致慢性发病率、死亡率和高治疗费用的常见原因。其病因在很大程度上受环境因素的影响,并受到 COVID-19 大流行封锁的影响。

目的

我们旨在描述工作人群中创伤性脑损伤(TBI)的流行病学,并评估 COVID-19 大流行期间的变化。

方法

我们对一家三级工作相关医院住院的 TBI 患者进行了为期 2 年的回顾性流行病学分析,这些患者在 COVID-19 大流行之前和期间接受了治疗。

结果

在大流行前时期,TBI 患者主要为男性,呈双峰年龄分布。碰撞事故是导致工作相关创伤性脑损伤的主要原因。在 COVID-19 大流行封锁期间,道路交通与 TBI 发生率之间存在正相关关系,机动车事故作为 TBI 的一个原因有所增加。

结论

这些结果对于创伤性脑损伤预防的规划和资源重点具有重要意义。

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