Méndez Elda Esther García, Ribas-Pérez David, Menacho Diego Rodríguez, Navarro Ignacio Barbero, Gallardo Eva Rosel, Séiquer Antonio Castaño
Facultad de Odontología, Universidad de Sevilla, Seville, Spain.
Facultad de Odontología, Universidad de Granada, Granada, Spain.
Clin Exp Dent Res. 2025 Feb;11(1):e70128. doi: 10.1002/cre2.70128.
To estimate the prevalence of TDI in the Spanish population through a systematic review and meta-analysis, identifying differences by sex, age, and study setting.
An exhaustive search was conducted in databases such as PubMed, Scopus, Embase, Ovid Medline, and CINAHL, including gray literature and other alternative sources. Observational studies evaluating the prevalence of TDI in Spain, with a total of 8662 participants. The methodological quality of the studies was assessed using the JBI tool, and the PRISMA guidelines were followed to ensure transparency and reproducibility.
The estimated overall prevalence of TDI was 9.94% (95% CI: 5.98%-16.6%). The results showed a higher prevalence in males (10.5%) compared to females (5.7%), and in children (11.1%) compared to adolescents (6.1%). Fractures were the most common type of TDI (56.5%), followed by avulsion (4.0%). High heterogeneity was observed among the studies, suggesting variability in data collection methods and TDI classification.
This study is the first to estimate the prevalence of TDI in Spain, which sheds light on the need for a standardized approach in future research. Although it presents significant methodological strengths, limitations such as high heterogeneity and lack of standardization should be considered when interpreting the results.
通过系统评价和荟萃分析估计西班牙人群中创伤性脑损伤（TDI）的患病率，确定性别、年龄和研究背景方面的差异。
在PubMed、Scopus、Embase、Ovid Medline和CINAHL等数据库中进行了详尽的检索，包括灰色文献和其他替代来源。对评估西班牙TDI患病率的观察性研究进行分析，共有8662名参与者。使用JBI工具评估研究的方法学质量，并遵循PRISMA指南以确保透明度和可重复性。
TDI的总体估计患病率为9.94%（95%置信区间：5.98%-16.6%）。结果显示，男性患病率（10.5%）高于女性（5.7%），儿童患病率（11.1%）高于青少年（6.1%）。骨折是TDI最常见的类型（56.5%），其次是撕脱伤（4.0%）。研究之间观察到高度异质性，表明数据收集方法和TDI分类存在差异。
本研究首次估计了西班牙TDI的患病率，为未来研究中采用标准化方法的必要性提供了线索。尽管该研究具有显著的方法学优势，但在解释结果时应考虑到高度异质性和缺乏标准化等局限性。
