Diamond P T
Department of Physical Medicine and Rehabilitation, University of Virginia Health Sciences Center, Charlottesville 22901, USA.
Brain Inj. 1996 Jun;10(6):413-9. doi: 10.1080/026990596124278.
Cumulative data from the Virginia Brain Injury Central Registry, which maintains information on persons presenting to the emergency rooms for evaluation and treatment of head trauma, were analysed for fiscal years 1988-1993. Persons age 40 years and younger represented almost 80% of all head injuries presenting to Virginia emergency rooms. Age-adjusted incidence rates were greatest for children under age 6 years (237/100,000 persons-years), and least for persons age 40-69 years (56/100,000 person-years). Head injuries occurred 1.4 times more frequently in males than females, and male mortality rates were 1.6 times greater. Falls exceeded motor vehicle accidents as the most common cause of head trauma after fiscal year 1989 followed by assaults and sports/recreation-related injuries. Head injuries were most common in May through October, and early mortality rates increased progressively with age. Findings are contrasted with prior demographic and epidemiological studies limited to persons hospitalized following moderate to severe head trauma.
对弗吉尼亚脑损伤中央登记处1988 - 1993财年的数据进行了分析，该登记处保存了前往急诊室接受头部创伤评估和治疗的人员信息。40岁及以下的人群占弗吉尼亚急诊室所有头部损伤病例的近80%。年龄调整发病率在6岁以下儿童中最高（每10万人年237例），在40 - 69岁人群中最低（每10万人年56例）。头部损伤在男性中的发生频率是女性的1.4倍，男性死亡率是女性的1.6倍。1989财年后，跌倒超过机动车事故成为头部创伤最常见的原因，其次是袭击和与运动/娱乐相关的损伤。头部损伤在5月至10月最为常见，早期死亡率随年龄增长而逐渐上升。研究结果与之前仅限于中度至重度头部创伤后住院患者的人口统计学和流行病学研究形成对比。
