Sosin D M, Sniezek J E, Waxweiler R J
Division of Acute Care, Rehabilitation Research, and Disability Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Ga 30341-3724, USA.
JAMA. 1995 Jun 14;273(22):1778-80.
To report updated national trends in traumatic brain injury deaths from 1979 through 1992.
Retrospective analysis of Multiple Cause-of-Death Public Use Data Tapes from the National Center for Health Statistics. All deaths associated with traumatic brain injury were identified, the underlying causes of death were categorized, and the annual rates were calculated per 100,000 US residents.
Residents of the United States who died with traumatic brain injury from 1979 through 1992.
An average of 52,000 US residents die each year with traumatic brain injuries. The brain injury-associated death rate declined 22% from 24.6 per 100,000 US residents in 1979 to 19.3 per 100,000 US residents in 1992. Firearm-related rates increased 13% from 1984 through 1992, undermining a 25% decline in motor vehicle-related rates for the same period. Firearms surpassed motor vehicles as the largest single cause of death associated with traumatic brain injury in 1990.
These data highlight the success of efforts to prevent traumatic brain injury due to motor vehicles and failure to prevent such injuries due to firearms. The increasing importance of penetrating injury has important implications for research, treatment, and prevention of traumatic brain injury in the United States.
报告1979年至1992年期间美国创伤性脑损伤死亡的最新全国趋势。
对国家卫生统计中心的多死因公共使用数据磁带进行回顾性分析。确定所有与创伤性脑损伤相关的死亡，对死亡的根本原因进行分类，并计算每10万美国居民的年死亡率。
1979年至1992年期间因创伤性脑损伤死亡的美国居民。
平均每年有52000名美国居民死于创伤性脑损伤。与脑损伤相关的死亡率从1979年每10万美国居民中的24.6例下降了22%，至1992年每10万美国居民中的19.3例。1984年至1992年期间，与枪支相关的死亡率上升了13%，抵消了同期与机动车相关的死亡率25%的下降。1990年，枪支超过机动车，成为与创伤性脑损伤相关的最大单一死因。
这些数据凸显了预防机动车导致的创伤性脑损伤所做努力的成功，以及预防枪支导致的此类损伤的失败。穿透伤重要性的日益增加，对美国创伤性脑损伤的研究、治疗和预防具有重要意义。
