Assault-related traumatic brain injury hospitalizations in Canada from 2010 to 2021: rates, trends and comorbidity.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Injury Epidemiology Pub Date : 2024-02-07 DOI:10.1186/s40621-024-00486-5

Shikha Saxena, Sarah Zutrauen, Steven R McFaull

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Abstract

Background: Traumatic brain injury (TBI) is a major cause of morbidity and mortality globally. TBI is often associated with other physical or psychological issues resulting in high hospitalization costs. TBI incidence and recovery can vary with the external cause being intentional or unintentional. It is important to monitor the rates of TBI hospitalizations related to different external causes. This study examined the annual rate, comorbidity and length of stay associated with assault-related TBI hospitalizations and compare it with other external causes, by age and sex in Canada from 2010 to 2021.

Methods: Discharge Abstract Database was used to extract cases of TBI (2010-2021). ICD-10-CA codes were used to classify all cases with TBI as per assault and other external causes (falls; transport; sport, physical activity and recreation; struck by). Additional variables, including age, sex, comorbidity and length of stay, were examined. Time trends were quantified using Joinpoint regression.

Results: The average annual percent increase for all TBI hospitalizations from 2010 to 2021 was not significant at 0.1%. Females accounted for 35.8% of these TBI hospitalizations. From 2010 to 2021, assault-related TBI hospitalizations showed a significant annual decline of 4.1% for males and a significant increase of 1.2% for females. Increase in TBI hospitalizations related to falls showed an average annual percent increase of 1.4% for males and 2.2% for females. A significant decrease was observed for TBI hospitalizations related to the other three (transport, SPAR and struck by) external causes for both sexes from 2010 to 2021. Infants and children under 10 years of age had higher percentages of cases with comorbidities and higher length of stay for assault-related TBI hospitalizations.

Conclusions: Assault-related TBI hospitalization rates decreased overall and among males, rates among females increased from 2010 to 2021. These results underscore the importance of targeted prevention efforts for TBI related to different external causes, age and sex, and continued surveillance to monitor the epidemiology of assault-related TBI.

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2010 至 2021 年加拿大与攻击有关的脑外伤住院情况：比率、趋势和合并症。

背景：创伤性脑损伤（TBI）是全球发病率和死亡率的主要原因。创伤性脑损伤往往伴有其他生理或心理问题，导致住院费用居高不下。创伤性脑损伤的发生率和恢复情况因外部原因有意或无意而异。监测与不同外部原因相关的创伤性脑损伤住院率非常重要。本研究调查了 2010 年至 2021 年加拿大与攻击相关的创伤性脑损伤住院率、合并症和住院时间，并按年龄和性别与其他外部原因进行了比较：方法：使用出院摘要数据库提取创伤性脑损伤病例（2010-2021 年）。使用ICD-10-CA代码将所有创伤性脑损伤病例按袭击和其他外部原因（跌倒；交通；运动、体育活动和娱乐；被撞击）进行分类。此外，还研究了其他变量，包括年龄、性别、合并症和住院时间。采用联结点回归法对时间趋势进行量化：从 2010 年到 2021 年，所有创伤性脑损伤住院人数的年均增长率为 0.1%，并不显著。在这些创伤性脑损伤住院患者中，女性占 35.8%。从 2010 年到 2021 年，与攻击相关的创伤性脑损伤住院人数中，男性每年显著下降 4.1%，女性每年显著上升 1.2%。与跌倒相关的创伤性脑损伤住院人数的增长显示，男性平均每年增长 1.4%，女性平均每年增长 2.2%。从 2010 年到 2021 年，与其他三种外部原因（运输、SPAR 和撞击）相关的创伤性脑损伤住院人数在男女两性中都出现了大幅下降。在与袭击相关的创伤性脑损伤住院病例中，婴儿和10岁以下儿童合并症的比例较高，住院时间也较长：从 2010 年到 2021 年，与袭击相关的创伤性脑损伤住院率总体下降，男性住院率下降，女性住院率上升。这些结果表明，针对与不同外部原因、年龄和性别有关的创伤性脑损伤开展有针对性的预防工作，以及继续监测与袭击有关的创伤性脑损伤流行病学的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury Epidemiology Medicine-Medicine (all)

CiteScore

3.20

自引率

4.50%

发文量

审稿时长

13 weeks

期刊介绍： Injury Epidemiology is dedicated to advancing the scientific foundation for injury prevention and control through timely publication and dissemination of peer-reviewed research. Injury Epidemiology aims to be the premier venue for communicating epidemiologic studies of unintentional and intentional injuries, including, but not limited to, morbidity and mortality from motor vehicle crashes, drug overdose/poisoning, falls, drowning, fires/burns, iatrogenic injury, suicide, homicide, assaults, and abuse. We welcome investigations designed to understand the magnitude, distribution, determinants, causes, prevention, diagnosis, treatment, prognosis, and outcomes of injuries in specific population groups, geographic regions, and environmental settings (e.g., home, workplace, transport, recreation, sports, and urban/rural). Injury Epidemiology has a special focus on studies generating objective and practical knowledge that can be translated into interventions to reduce injury morbidity and mortality on a population level. Priority consideration will be given to manuscripts that feature contemporary theories and concepts, innovative methods, and novel techniques as applied to injury surveillance, risk assessment, development and implementation of effective interventions, and program and policy evaluation.