昆士兰地区急诊科创伤性脑损伤的流行病学和管理。

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-04-17 DOI:10.1016/j.auec.2023.04.001
Matthew I. Hiskens , Tesfaye S. Mengistu , Bauke Hovinga , Neale Thornton , Karen B. Smith , Gary Mitchell
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引用次数: 1

摘要

背景:澳大利亚地区和农村的创伤性脑损伤(TBI)数据很少。本研究旨在调查北昆士兰地区人群中TBI的流行病学、严重程度、原因和管理,以制定急性护理、随访和预防策略。方法:本回顾性研究分析了2021年在麦凯基地医院急诊科就诊的TBI患者。我们使用头部损伤SNOMED代码识别患者,并通过描述性和多变量回归分析分析患者特征。结果:共有1120例头部损伤,总发病率为每年每100000人909例。中位(IQR)年龄为18(6-46)岁。跌倒是最常见的损伤机制(52.4%的表现)。41.1%的患者进行了计算机断层扫描,而符合标准的16.5%患者进行了创伤后健忘症(PTA)测试。年龄、男性和土著身份与中重度TBI的发病率较高相关。结论:该地区人群的TBI发病率高于大都市地区。CT扫描的频率低于对照文献,PTA检测的发生率也较低。这些数据为规划预防和TBI护理服务提供了帮助。
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Epidemiology and management of traumatic brain injury in a regional Queensland Emergency Department

Background

There is a paucity of traumatic brain injury (TBI) data in Australia in the regional and rural context. This study aimed to investigate the epidemiology, severity, causes, and management of TBI in a regional north Queensland population to plan acute care, follow up, and prevention strategies.

Methods

This retrospective study analysed TBI patients presenting to Mackay Base Hospital Emergency Department (ED) in 2021. We identified patients using head injury SNOMED codes, and analysed patient characteristics with descriptive and multivariable regression analysis.

Results

There were 1120 head injury presentations, with an overall incidence of 909 per 100,000 people per year. The median (IQR) age was 18 (6−46) years. Falls were the most common injury mechanism (52.4% of presentations). 41.1% of patients had a Computed Tomography (CT) scan, while 16.5% of patients who met criteria had post traumatic amnesia (PTA) testing. Age, being male and Indigenous status were associated with higher odds of moderate to severe TBI.

Conclusion

TBI incidence in this regional population was higher than metropolitan locations. CT scan was undertaken less frequently than in comparative literature, and low rates of PTA testing were undertaken. These data provide insight to assist in planning prevention and TBI-care services.

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来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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