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首页> 外文期刊>Accident Analysis & Prevention >Incidence and risk factors of severe traumatic brain injury resulting from road accidents: A population-based study
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Incidence and risk factors of severe traumatic brain injury resulting from road accidents: A population-based study

机译：一项基于人群的研究表明，道路交通事故造成的严重外伤性脑损伤的发生率和危险因素

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摘要

A population-based study was carried out in 1996-2001 to provide the incidence and to identify the risk factors of severe traumatic brain injury (TBI) resulting from a road accident. The severe TBI was defined as an injury to the brain or the skull, excluding scalp injuries, with an abbreviated injury scale (AIS) severity score greater than 2. The severe TBI of 1238 patients were described. The annual incidence and mortality of severe TBI were, respectively, 13.7 per 100,000 and 5.3 per 100,000. The fatality rate increased from 20% in childhood to 71% over 75-year-old. Compared to restrained car occupants, the odds ratio for having a severe TBI was 18.1 (95% confidence interval, CI = 12.8-25.5) for un-helmeted motorcyclists, 9.2 (95% CI = 7.5-11.3) for pedestrians, 6.4 (95% CI = 4.7-8.8) for un-helmeted cyclists, 3.9 (95% CI = 3.1-4.8) for unrestrained car occupants and 2.8 (95% CI = 2.2-3.5) for helmeted motorcyclists. Even after adjustment for several severity factors, male gender and age above 55 were both risk factors. Prevention programs aiming at improving the head protection should be promoted. The circumstances of the accident should be taken into account to predict a severe TBI.
机译：1996-2001年进行了一项基于人群的研究，以提供发病率并确定道路交通事故造成的严重外伤性脑损伤（TBI）的危险因素。严重的TBI被定义为对脑部或颅骨的伤害（不包括头皮伤害），其缩写的严重程度评分（AIS）严重性评分大于2。描述了1238例患者的严重TBI。严重TBI的年发病率和死亡率分别为100,000和3.7，分别为100,000和5.3。死亡率从儿童期的20％增加到75岁以上的71％。与受约束的汽车乘员相比，无头盔的摩托车手有严重TBI的优势比是18.1（95％置信区间，CI = 12.8-25.5），行人是9.2（95％CI = 7.5-11.3），6.4（95对于未戴头盔的骑车人，％CI = 4.7-8.8），对于未受约束的乘车者来说为3.9（95％CI = 3.1-4.8），而对于戴头盔的摩托车，则为2.8（95％CI = 2.2-3.5）。即使在调整了几种严重性因素后，男性和55岁以上的男性也是危险因素。应促进旨在改善头部保护的预防计划。预测严重的TBI时应考虑到事故的情况。

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