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The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study

INTRODUCTION: Traumatic brain injury (TBI) seriously affects the quality of human health and the prognosis of the patient, but the epidemiological characteristics of TBI can vary among populations. Numerous changes have occurred in the epidemiological characteristics of individuals with TBI in the f...

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Autores principales: Zou, Jun-feng, Fang, Hai-lan, Zheng, Jing, Ma, Yu-qiang, Wu, Chu-wei, Su, Gao-jian, Liu, Xian-sheng, Liu, Jun, Gao, Jie, Zhang, Jie-hua, Zhu, Dong-liang, Shi, Xin, Huang, Xian-jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665839/
https://www.ncbi.nlm.nih.gov/pubmed/38020667
http://dx.doi.org/10.3389/fneur.2023.1255117
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author Zou, Jun-feng
Fang, Hai-lan
Zheng, Jing
Ma, Yu-qiang
Wu, Chu-wei
Su, Gao-jian
Liu, Xian-sheng
Liu, Jun
Gao, Jie
Zhang, Jie-hua
Zhu, Dong-liang
Shi, Xin
Huang, Xian-jian
author_facet Zou, Jun-feng
Fang, Hai-lan
Zheng, Jing
Ma, Yu-qiang
Wu, Chu-wei
Su, Gao-jian
Liu, Xian-sheng
Liu, Jun
Gao, Jie
Zhang, Jie-hua
Zhu, Dong-liang
Shi, Xin
Huang, Xian-jian
author_sort Zou, Jun-feng
collection PubMed
description INTRODUCTION: Traumatic brain injury (TBI) seriously affects the quality of human health and the prognosis of the patient, but the epidemiological characteristics of TBI can vary among populations. Numerous changes have occurred in the epidemiological characteristics of individuals with TBI in the fast-paced city of Shenzhen, China. However, little is known about these characteristics. This study aimed to investigate the changes in TBI epidemiology, help clinicians improve medical treatment. METHODS: In this retrospective cross-sectional analysis, we collected the data of 4,229 patients with TBI admitted to 20 hospitals in Shenzhen in 2017. We collected data on age, gender, cause and severity of the injury, eventual diagnosis, time from injury to admission in a neurosurgery department, and patient outcomes. Two neurosurgeons simultaneously collected the data. We compared these results with a similar study conducted in Shenzhen during the period from 1994 to 2003 to clarify and explain the changes in the epidemiological characteristics of TBI. RESULTS: The majority of respondents were men [2,830 (66.9%)]. The mean age was 32.5 ± 21.4 years. The youngest patient was less than 1 year old, and the oldest patient was 101 years old. A total of 3,947 (93.3%) patients had a favorable outcome, 219 (5.2%) had an unfavorable outcome, and 63 (1.5%) died. The predominant external cause was falls (1,779 [42.1%]); this was the most common cause of TBI in children and older adults. Riders of electric bicycles (423 [29.0%]) were the most vulnerable to traffic accident-related injuries. Time greater than 50 h from injury to admission to a neurosurgical department had a significant effect on prognosis (p < 0.001). CONCLUSION: The epidemiological characteristics of TBI have changed significantly over the past 20 years. Falls, rather than traffic accidents, were the most common cause of TBI. Further research is needed to devise solutions to decrease the incidence of falls and improve the outcomes of TBI.
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spelling pubmed-106658392023-11-09 The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study Zou, Jun-feng Fang, Hai-lan Zheng, Jing Ma, Yu-qiang Wu, Chu-wei Su, Gao-jian Liu, Xian-sheng Liu, Jun Gao, Jie Zhang, Jie-hua Zhu, Dong-liang Shi, Xin Huang, Xian-jian Front Neurol Neurology INTRODUCTION: Traumatic brain injury (TBI) seriously affects the quality of human health and the prognosis of the patient, but the epidemiological characteristics of TBI can vary among populations. Numerous changes have occurred in the epidemiological characteristics of individuals with TBI in the fast-paced city of Shenzhen, China. However, little is known about these characteristics. This study aimed to investigate the changes in TBI epidemiology, help clinicians improve medical treatment. METHODS: In this retrospective cross-sectional analysis, we collected the data of 4,229 patients with TBI admitted to 20 hospitals in Shenzhen in 2017. We collected data on age, gender, cause and severity of the injury, eventual diagnosis, time from injury to admission in a neurosurgery department, and patient outcomes. Two neurosurgeons simultaneously collected the data. We compared these results with a similar study conducted in Shenzhen during the period from 1994 to 2003 to clarify and explain the changes in the epidemiological characteristics of TBI. RESULTS: The majority of respondents were men [2,830 (66.9%)]. The mean age was 32.5 ± 21.4 years. The youngest patient was less than 1 year old, and the oldest patient was 101 years old. A total of 3,947 (93.3%) patients had a favorable outcome, 219 (5.2%) had an unfavorable outcome, and 63 (1.5%) died. The predominant external cause was falls (1,779 [42.1%]); this was the most common cause of TBI in children and older adults. Riders of electric bicycles (423 [29.0%]) were the most vulnerable to traffic accident-related injuries. Time greater than 50 h from injury to admission to a neurosurgical department had a significant effect on prognosis (p < 0.001). CONCLUSION: The epidemiological characteristics of TBI have changed significantly over the past 20 years. Falls, rather than traffic accidents, were the most common cause of TBI. Further research is needed to devise solutions to decrease the incidence of falls and improve the outcomes of TBI. Frontiers Media S.A. 2023-11-09 /pmc/articles/PMC10665839/ /pubmed/38020667 http://dx.doi.org/10.3389/fneur.2023.1255117 Text en Copyright © 2023 Zou, Fang, Zheng, Ma, Wu, Su, Liu, Liu, Gao, Zhang, Zhu, Shi and Huang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Zou, Jun-feng
Fang, Hai-lan
Zheng, Jing
Ma, Yu-qiang
Wu, Chu-wei
Su, Gao-jian
Liu, Xian-sheng
Liu, Jun
Gao, Jie
Zhang, Jie-hua
Zhu, Dong-liang
Shi, Xin
Huang, Xian-jian
The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study
title The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study
title_full The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study
title_fullStr The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study
title_full_unstemmed The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study
title_short The epidemiology of traumatic brain injuries in the fastest-paced city in China: a retrospective study
title_sort epidemiology of traumatic brain injuries in the fastest-paced city in china: a retrospective study
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665839/
https://www.ncbi.nlm.nih.gov/pubmed/38020667
http://dx.doi.org/10.3389/fneur.2023.1255117
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