Traumatic Brain Injuries Evaluated in U.S. Emergency Departments, 1992‐1994

Academic Emergency Medicine - Tập 7 Số 2 - Trang 134-140 - 2000
Thomas E. Jager1, Harold Weiss2,3, Jeffrey H. Coben2, Paul E. Pepe4
1Department of Emergency Medicine, Allegheny General Hospital, Allegheny University of the Health Sciences, Pittsburgh, PA, USA.
2Drexel University
3University of Pittsburgh
4Department of Emergency Medicine and Center for Violence and Injury Control, Allegheny General Hospital, Allegheny University of the Health Sciences, Pittsburgh, PA

Tóm tắt

Abstract. Objective: To describe the incidence and patient characteristics of traumatic brain injuries (TBIs) treated in U.S. emergency departments (EDs). Methods: A secondary analysis was performed on data from the National Hospital Ambulatory Medical Care Survey administered from 1992 to 1994. An ED visit was determined to represent a case of TBI if the case record contained ICD‐9‐CM codes of 800.0‐801.9, 803.0‐804.9, or 850.0‐854.1. Results: The average annual estimate of new TBI treated in U.S. EDs was 1,144,807, equaling 444 per 100,000 persons (95% CI = 390 to 498), which represents approximately 3,136 new cases of TBI per day and accounts for 1.3% of all ED visits. Males were 1.6 times as likely as females to suffer TBI until the age of 65 years, when the female rate exceeded the male. The rate for blacks was 35% higher than that for whites. The highest overall incidence rate of TBI occurred in the less‐than‐5‐year age group (1,091 per 100,000), closely followed by the more‐than‐85‐year age group (1,026 per 100,000). Falls represented the most common mechanism of TBI injury, followed by motor vehicle‐related trauma. Conclusions: This study underscores the ongoing need for effective surveillance of all types of TBI and evaluation of prevention strategies targeting high‐risk individuals. It serves as a clinically grounded and ED‐based corroboration of prior survey research, providing a basis for comparison of incidence rates over time and a tool with which to measure the efficacy of future interventions.

Từ khóa


Tài liệu tham khảo

10.1001/jama.273.22.1778

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 1997, Traumatic Brain Injury, Injury Atlas: 1986‐1994

Kraus JF, 1993, Head Injury, 1

10.1089/neu.1995.12.509

10.1212/WNL.30.9.912

10.1080/026990596124278

10.1080/026990596124719

McCaig LF, 1994, Plan and operation of the National Hospital Ambulatory Medical Care Survey. National Center for Health Statistics, Vital Health Stat 1, 34, 1

McCaig LF, 1994, Advance data from Vital and Health Statistics

Stussman BJ, 1996, Advance data from Vital and Health Statistics

Stussman BJ, 1996, Advance data from Vital and Health Statistics

Nourhah P, 1999, Advance data from Vital and Health Statistics

Thurman DJ, 1995, Guidelines for Surveillance of Central Nervous System Injury

10.1097/00001199-199106000-00010

10.1097/00019052-199310000-00016

10.1097/00001199-199309000-00007

Thông tin
Thông tin xuất bản

Academic Emergency Medicine

Tập 7 Số 2

134-140

Thông tin tác giả