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Brain Inj. 2017;31(8):1094-1101. doi: 10.1080/02699052.2017.1298004. Epub 2017 May 16.

Epidemiological characteristics of Chinese paediatric traumatic brain injury inpatients.

Author information

1
a Chengdu Military General Hospital of the People's Liberation Army , Chengdu , Sichuan , P.R. China.
2
b School of Electrical Engineering and Information , Sichuan University , Chengdu , Sichuan , P.R. China.
3
c Daping Hospital , Third Military Medical University of the People's Liberation Army , Chongqing , P.R . China.
4
d The 306th Hospital of the People's Liberation Army , Beijing , P.R. China.

Abstract

PRIMARY OBJECTIVE:

To investigate the epidemiological characteristics of paediatric inpatients with traumatic brain injury (TBI) in China.

RESEARCH DESIGN:

The Chinese Trauma Database (CTD), a nationwide register system based on hospital admission data, contains diagnosis and treatment information for trauma inpatients in over 200 military-managed public-service hospitals in China. Using the ICD-9 coding, the data for children with TBI aged 0-17 years between 2001 and 2007 were retrieved.

METHODS AND PROCEDURES:

The demographic characteristics, admission time, injury cause, severity and treatment outcomes of paediatric inpatients with TBI were analysed.

MAIN OUTCOMES AND RESULTS:

A total of 26,028 paediatric inpatients with TBI (69.52% male, 30.48% female) were included in the CTD. Motor vehicle traffic (MVT) accidents, falls and assaults were the primary causes of injury. Falls were the leading cause of TBI in children aged 0-4 years, and MVT was the leading cause of TBI in children aged 5-17 years. According to the abbreviated injury scale, 37.20% of the TBI cases were mild, 25.15% were moderate, 24.81% were severe and 12.84% were critically severe.

CONCLUSION:

Chinese authorities should develop targeted measures to reduce children injuries based on the leading causes of TBI in the different age groups, particularly MVT, falls and assaults.

KEYWORDS:

China; Traumatic brain injury; epidemiology; nationwide database; paediatric

PMID:
28506081
DOI:
10.1080/02699052.2017.1298004
[Indexed for MEDLINE]

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