Epidemiology survey of 2671 cases of traumatic brain injury

LI Ji-lin; SHENG Luo-ping; CHEN Ren-hui; LU Lin-qi; CHEN Xue-lin; CHEN Hua; GU Quan; NING Gang; DING Jian

doi:10.3969/j.issn.1009-4237.2013.06.006

Abstract：Objective To investigate the incidence and clinical features of traumatic brain injury in Qingpu District of Shanghai,so as to provide a scientific basis for developing the prevention and intervention measures . Methods Clinical data of traumatic brain injury patients in Qingpu district in 2012 were collected and prospective-ly analyzed,including patients'age,gender,injury time,education level,occupation,injury place,injury cause,injury condition,treatment methods and curative effect .Results There were 2671 cases of traumatic brain injury,with the male to female ratio of 2.27:1.The mean age was 37.82 ±18.25 years,and the patients aging 20-59 years accoun-ted for 83%.Farmers had the highest proportion of TBI ,followed by workers and students .Traffic accidents ac-counted for the highest incidence (58.52%),mainly by electric vehicles and motorcycles (65.54%).The propor-tion of middle school students accounted for 55.78%,followed by primary school students (29.31%).Most of trau-matic brain injury occurred in May,Jul,Oct and Dec.7-9 o'clock and 16-18 o'clock within a day;Friday,Saturday and Sunday within a week .Trauma occurred mainly in the ordinary roads (54.40%),followed by public places (15.42%).Mild head trauma patients accounted for 85.10%.The traumatic brain injury degree in different types of injuries was significantly different (χ2 =532.42,P<0.001).Most of traumatic brain injuries were associated with skin and bone injury (14.79%).There was significant difference between the degree of different types of trau-matic brain injury and GOS prognosis (χ2 =6739.53,P<0.001).Conclusion There is a certain regularity about the distribution of traumatic brain injury in age ,gender,injury time,education level,occupation,injury place,injury cause,injury condition,treatment methods and curative effect .According to the characteristics of different groups of people,we can take the preventive and intervention measures to facilitate the prevention and control of traumatic brain injury.