Thurman D J, Jeppson L, Burnett C L, Beaudoin D E, Rheinberger M M, Sniezek J E
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341-3714, USA.
West J Med. 1996 Oct;165(4):192-6.
From 1990 through 1992 we conducted surveillance of cases requiring hospital admission and of fatal cases of traumatic brain injury among residents of Utah and found an annual incidence rate of 108.8 per 100,000 population. The greatest number of injuries occurred among men and persons aged 15 to 24 years. Motor vehicles were the leading cause of injury, followed by falls and assaults. The incidence rate we found is substantially lower than previously published rates of traumatic brain injury. This may be the result of a decrease in the incidence of these injuries in the decade since earlier studies were done, as well as changing hospital admission criteria that serve to exclude less severe cases of injury. Despite the apparent decline in rates, our findings indicate the continued importance of traumatic brain injury as a public health problem and the need to develop more effective prevention strategies that will address the major causes of these injuries.
1990年至1992年期间,我们对犹他州居民中需要住院治疗的病例以及创伤性脑损伤致死病例进行了监测,发现年发病率为每10万人108.8例。受伤人数最多的是男性以及15至24岁的人群。机动车是受伤的主要原因,其次是跌倒和袭击。我们发现的发病率大大低于先前公布的创伤性脑损伤发病率。这可能是由于自早期研究完成后的十年中这些损伤的发病率有所下降,以及医院入院标准的变化,这些变化排除了不太严重的损伤病例。尽管发病率明显下降,但我们的研究结果表明,创伤性脑损伤作为一个公共卫生问题仍然很重要,并且需要制定更有效的预防策略来解决这些损伤的主要原因。