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An Epidemiological Analysis of Head Injuries in Taiwan

Traumatic head injuries occur frequently in Taiwan, having catastrophic consequences for the victims, their families, and society as a whole. However, little is known about the risk factors at the population level in Taiwan. The primary aim of this study was to obtain more information on these varia...

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Autores principales: Hsu, I-Lin, Li, Chung-Yi, Chu, Da-Chen, Chien, Li-Chien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265840/
https://www.ncbi.nlm.nih.gov/pubmed/30400380
http://dx.doi.org/10.3390/ijerph15112457
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author Hsu, I-Lin
Li, Chung-Yi
Chu, Da-Chen
Chien, Li-Chien
author_facet Hsu, I-Lin
Li, Chung-Yi
Chu, Da-Chen
Chien, Li-Chien
author_sort Hsu, I-Lin
collection PubMed
description Traumatic head injuries occur frequently in Taiwan, having catastrophic consequences for the victims, their families, and society as a whole. However, little is known about the risk factors at the population level in Taiwan. The primary aim of this study was to obtain more information on these variables and their relationships. Another aim was to analyze the effects of independent variables such as sex, age, residency, pre-existing conditions, mechanisms of injury, associated injuries, and severity on the probability of in-hospital death. Using the 2007–2008 total admissions claim dataset from Taiwan’s National Health Insurance system, total admissions due to acute head injury were selected for further analysis. The obtained data included patient demographics and trauma hospitalization rate. A total of 99,391 patients were admitted with head injury, 48,792 of which had moderate-to-severe head injury. There were 4935 cases recorded as in-hospital mortality and the standardized in-hospital mortality rate was 10.7 deaths per 100,000 person-years. The mortality rate increased with age. After adjustments, male sex, age older than 54 years, living in a rural area, lower monthly income, a Charlson comorbidity index greater than one, being a pedestrian hit by a motor vehicle, fall from a height, and having significant chest, abdominal, or lower extremity injury increased the risk of death during admission. This population-based analysis provides information about the incidence rate and death rate for admissions in Taiwan due to acute head injury and the factors that affect in-hospital mortality. Our results that highlight the risk factors for adverse outcome can help us prevent or improve rural area trauma care of head injury patients in the future.
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spelling pubmed-62658402018-12-15 An Epidemiological Analysis of Head Injuries in Taiwan Hsu, I-Lin Li, Chung-Yi Chu, Da-Chen Chien, Li-Chien Int J Environ Res Public Health Article Traumatic head injuries occur frequently in Taiwan, having catastrophic consequences for the victims, their families, and society as a whole. However, little is known about the risk factors at the population level in Taiwan. The primary aim of this study was to obtain more information on these variables and their relationships. Another aim was to analyze the effects of independent variables such as sex, age, residency, pre-existing conditions, mechanisms of injury, associated injuries, and severity on the probability of in-hospital death. Using the 2007–2008 total admissions claim dataset from Taiwan’s National Health Insurance system, total admissions due to acute head injury were selected for further analysis. The obtained data included patient demographics and trauma hospitalization rate. A total of 99,391 patients were admitted with head injury, 48,792 of which had moderate-to-severe head injury. There were 4935 cases recorded as in-hospital mortality and the standardized in-hospital mortality rate was 10.7 deaths per 100,000 person-years. The mortality rate increased with age. After adjustments, male sex, age older than 54 years, living in a rural area, lower monthly income, a Charlson comorbidity index greater than one, being a pedestrian hit by a motor vehicle, fall from a height, and having significant chest, abdominal, or lower extremity injury increased the risk of death during admission. This population-based analysis provides information about the incidence rate and death rate for admissions in Taiwan due to acute head injury and the factors that affect in-hospital mortality. Our results that highlight the risk factors for adverse outcome can help us prevent or improve rural area trauma care of head injury patients in the future. MDPI 2018-11-04 2018-11 /pmc/articles/PMC6265840/ /pubmed/30400380 http://dx.doi.org/10.3390/ijerph15112457 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hsu, I-Lin
Li, Chung-Yi
Chu, Da-Chen
Chien, Li-Chien
An Epidemiological Analysis of Head Injuries in Taiwan
title An Epidemiological Analysis of Head Injuries in Taiwan
title_full An Epidemiological Analysis of Head Injuries in Taiwan
title_fullStr An Epidemiological Analysis of Head Injuries in Taiwan
title_full_unstemmed An Epidemiological Analysis of Head Injuries in Taiwan
title_short An Epidemiological Analysis of Head Injuries in Taiwan
title_sort epidemiological analysis of head injuries in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265840/
https://www.ncbi.nlm.nih.gov/pubmed/30400380
http://dx.doi.org/10.3390/ijerph15112457
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