Barlow K M, Milne S, Aitken K, Minns R A
Department of Neurology, Royal Hospital for Sick Children, Edinburgh.
Scott Med J. 1998 Aug;43(4):112-4. doi: 10.1177/003693309804300407.
A retrospective analysis of the epidemiological characteristics of non-accidental head injury (NAHI) in children in Scotland over the last fifteen years from 1981 until March 1996 was performed. The information was provided by the Information and Statistics Division of the Scottish Health Service. The average incidence of NAHI calculated over this period was 0.04 cases per year per 1000 children under 5 years. Fifty-five per cent of all cases occurred in those children who were less than a year old. 41% of cases were inflicted by a parent but in 47% the perpetrator could not be identified. The mortality rate was found to be 2%. Non-accidental head injury cases identified using the ICD-9 coding classification system gives a surprisingly low incidence. This number is probably an underestimate and the reasons for this are discussed. A prospective epidemiological analysis of NAHI in children in Scotland is being undertaken to determine the true incidence.
对1981年至1996年3月过去十五年间苏格兰儿童非意外性头部损伤（NAHI）的流行病学特征进行了回顾性分析。信息由苏格兰卫生服务信息与统计部门提供。在此期间计算得出的NAHI平均发病率为每年每1000名5岁以下儿童中有0.04例。所有病例的55%发生在1岁以下儿童中。41%的病例是由父母造成的，但47%的案件作案者身份不明。死亡率为2%。使用国际疾病分类第九版（ICD - 9）编码分类系统识别出的非意外性头部损伤病例发病率低得出奇。这个数字可能被低估了，对此原因进行了讨论。目前正在对苏格兰儿童的NAHI进行前瞻性流行病学分析，以确定真实发病率。
