Clinical and epidemiological characteristics of 2025 hospitalized patients with traumatic brain injury in Xi`an city

MA Jinhua; GAO Jing; WANG Shan-shan; HU Xue-hui

doi:10.3969/j.issn.1009-4237.2017.06.003

Abstract：Objective To investigate the clinical and epidemiological characteristics of traumatic brain injury (TBI) hospitalized patients in Xi`an and provide scientific basis for its prevention and intervention measures.Methods Clinical data of TBI hospitalized patients during Jan.2014 and Dec.2014 from six grade-Ⅲ hospitals in Xi`an were collected and analyzed with retrospective cohort method,including patients` basic information,injury causes,associated injuries,complications,risk factors for treatment methods and prognosis and all data were analyzed using SPSS 17.0 software.Results The male/female ratio in 2025 TBI patients was 2.82∶1 (1495∶530).The mean age of patients was 41.03 (0.5-99) years.Male patients outnumbered female patients in all age groups(x2=12.09,P<0.01).Farmer had the highest proportion of TBI.Traffic injury accounted for the largest proportion (39.90%) of all TBI patients,followed by falls,high falling and bruises.Simple injury accounted for 37.63% (n=762) and the rest were associated with other injuries,mostly skin injuries.Most traumatic brain injury occurred in January,June,July and August,at commuter time and 21 o`clock within one day,and on Saturday and Sunday within a week.Logistic regression analysis showed that spinal cord injury,combined injury,GCS score,complication and hospital days were closely related to TBI prognosis.Conclusion It is necessary to strengthen the traffic management,and the allocation of medical resources at the peak period and to focus on the prevention of elderly TBI.It is suggested to strengthen the connection between primary medical units and general hospitals,and to develop the rehabilitation and physical therapy.