Masson F, Vecsey J, Salmi L R, Dartigues J F, Erny P, Maurette P
Departement d'Anesthésie Réanimation l-Hôpital Pellegrin, Bordeaux, France.
J Clin Epidemiol. 1997 May;50(5):595-601. doi: 10.1016/s0895-4356(97)00012-7.
A population-based cohort of 407 head trauma patients has been studied since 1986 to estimate the prevalence of long-term disabilities and handicaps by means of a structured questionnaire. Five years later, 6-1 patients were deceased and 36 were lost to follow-up. Prevalence of subjective and behavioral complaints was high whatever the initial head trauma severity. Lethality in severe head injuries was 56%, and half of the survivors remained disabled. In minor and moderate head injured patients, most disabilities were related to extracranial injuries. Taking all disabilities into consideration, each year 24 per 100,000 patients of such a population are likely to suffer from at least one long-lasting disability, including 10 per 100,000 whose disabilities are due to extracranial injuries. Head injuries induce long-lasting handicap in 9 per 100,000 habitants which is severe in 2 per 100,000. These figures point to the need of reinforcing preventive actions and long-term care of these patients.
自1986年以来，对一个基于人群的407名头外伤患者队列进行了研究，通过结构化问卷估计长期残疾和残障的患病率。五年后，61名患者死亡，36名失访。无论最初的头部外伤严重程度如何，主观和行为方面的主诉患病率都很高。重度颅脑损伤的致死率为56%，半数幸存者仍有残疾。在轻度和中度颅脑损伤患者中，大多数残疾与颅外损伤有关。综合考虑所有残疾情况，每10万名这类人群中的患者每年可能至少患有一种长期残疾，其中每10万人中有10人因颅外损伤导致残疾。每10万居民中有9人因头部受伤导致长期残障，其中每10万人中有2人残障严重。这些数据表明需要加强对这些患者的预防措施和长期护理。
