创伤性脑损伤住院患者中发作的发生率:一项基于美国人口的研究
Alka Mithal1, Maanek Sehgal1, Christopher Newey2
1Institute of Clinical Outcomes Research and Education (ICORE), Woodside, California, USA.
Neurotrauma reports
|May 1, 2025
概括
性创伤性脑损伤 (TBI) 影响12.2%的住院成年人,导致更高的成本和更长的住院时间. 这项研究突出了TBI患者经历发作的潜在医疗保健差异.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于在美国住院治疗创伤性脑损伤 (TBI) 和同时发作的成年人的结果,数据有限.
- 了解TBI患者发作的患病率和后果对于改善护理至关重要.
研究的目的:
- 确定住院TBI患者中发作的流行率.
- 分析同时发作对TBI患者医疗利用和治疗结果的影响.
主要方法:
- 从2016年至2020年对国家住院样本 (NIS) 数据库的回顾性分析.
- 包括成年人 (≥18岁) 患有TBI住院病例,按发作的存在或不存在分层.
- 评估人口统计数据,平均费用,住院时间和病例死亡率.
主要成果:
- 分析了150多万个TBI住院病例;12.2%的人同时发作.
- 发作在男性,45-64岁年龄组以及黑人和美洲原住民人群中更为普遍.
- 患有的TBI住院导致平均费用显著上升,住院时间更长,但死亡率没有差异.
结论:
- 同时发作在TBI住院中很常见,并与医疗保健成本增加和资源利用率增加有关.
- 人口统计和结果差异表明,对于需要进一步调查的发作的TBI患者,可能存在医疗保健差异.
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