Thurman D J, Branche C M, Sniezek J E
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.
J Head Trauma Rehabil. 1998 Apr;13(2):1-8. doi: 10.1097/00001199-199804000-00003.
We examined recent population-based data from the National Health Interview Survey, Consumer Product Safety Commission, and state-based traumatic brain injury (TBI) surveillance programs that provide estimates of the overall incidence of sports-related TBI in the United States. Available data indicate that sports-related TBI is an important public health problem because of the large number of people who incur these injuries each year (approximately 300,000), the generally young age of patients at the time of injury (with possible long-term disability), and the potential cumulative effects of repeated injuries. The importance of this problem indicates the need for more effective prevention measures. The public health approach can guide efforts in injury prevention and control. The steps in this approach are (1) identifying the problem, (2) identifying risk factors, (3) developing and testing interventions, and (4) implementing programs and evaluating outcomes. Each of these steps requires adequate data. This article examines the limitations of current sports-related TBI data and suggests ways to improve data in order to develop more effective injury prevention strategies. The impact of sports-related TBI on the public indicates that this task deserves a high priority.
我们研究了来自美国国家健康访谈调查、消费品安全委员会以及基于州的创伤性脑损伤（TBI）监测项目的近期基于人群的数据，这些数据提供了美国与运动相关的创伤性脑损伤总体发病率的估计值。现有数据表明，与运动相关的创伤性脑损伤是一个重要的公共卫生问题，原因在于每年有大量人群遭受此类损伤（约30万）、受伤时患者普遍较为年轻（可能导致长期残疾）以及反复受伤的潜在累积影响。该问题的重要性表明需要采取更有效的预防措施。公共卫生方法可指导伤害预防与控制工作。此方法的步骤包括：（1）识别问题；（2）识别风险因素；（3）制定并测试干预措施；（4）实施项目并评估结果。这些步骤中的每一步都需要充分的数据。本文探讨了当前与运动相关的创伤性脑损伤数据的局限性，并提出了改善数据的方法，以便制定更有效的伤害预防策略。与运动相关的创伤性脑损伤对公众的影响表明，这项任务应被高度优先对待。
