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Head trauma in China

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单位： [a]Department of Neurosurgery, Shanghai Jiaotong University, Shanghai Renji Hospital, Shanghai 200127, China [b]Jiangsu Changzhou First People's Hospital, Jiangsu, China [c]Nanchang No. 94 Hospital, Jiangxi, China [d]Zhejiang University, First Affiliated Hospital, Zhejiang, China [e]Chongqing Xinan Hospital, Chongqing, China [f]Xuzhou Medical College Affiliated Hospital, Jiangsu, China [g]Changsha Xiangya Hospital, Changsha, China [h]Shanghai Changhai Hospital, Shanghai, China [i]Hebei Hangdan Hospital, Hebei, China [j]Sichuan Huaxi Hospital, Chengdu, China [k]Zhejiang Huzhou No. 98 Hospital, Zeijiang, China [l]Shenzhen Longgang Hospital, Shenzhen, China [m]Shanghai First People's Hospital, Shanghai, China [n]Zhejiang Qiuzhou Hospital, Zhejiang, China [o]Beijing Tiantan Hospital, Beijing, China [p]Shanghai Pudong Hospital, Shanghai, China [q]Chongqing Medical University Affiliated Hospital, China [r]Nanchang Wujing Hospital, Beijing, China [s]Wenzhou Medical College, Zhejiang, China [t]Zhejiang Zhuji Hospital, Zhejiang, China [u]Guangzhou Nanfang Hospital, Guangzhou, China [v]Shanghai Fengcheng Hospital, Shanghai, China [w]Zhejiang Shaoxin County Hospital, Zhejiang, China [x]Harbin Medical University, Harbin, China [y]Jiangxi Qianshan Hospital, Jiangxi, China [z]Shandong Jiaozhou Hospital, Shandong, China [aa]Jilin Tonghua Hospital, Jilin, China [ab]Suzhou North Hospital, Suzhou, China [ac]Jiangsu Lianyungang Second Hospital, Jiangsu, China [ad]Jiangsu Yancheng Chinese Hospital, Jiangsu, China [ae]Hebei Tangshan Worker's Hospital, Hebei, China [af]Tianjin Huanhu Hospital, Tianjin, China [ag]Shanghai Children's Hospital, Shanghai, China [ah]Shanghai No. 3 Hospital, Shanghai, China [ai]Kunming Medical College, Kunming, China [aj]Shenzhen Second People's Hospital, Shenzhen, China [ak]Jiangsu People's Hospital, Jiangsu, China [al]Suzhou University Affiliated Hospital, Suzhou, China [am]Jiangsu Wuxie No. 101 Hospital, Jiangsu, China [an]Zhejiang Jinhua Hospital, Zhejiang, China [ao]Zhejiang Shaoxin Hospital, Zhejiang, China [ap]Shanghai No. 7 Hospital, Shanghai, China [aq]Shanghai Xinhua Hospital, Shanghai, China [ar]Shanghai Zhoupu Hospital, Shanghai, China [as]Tianjin General Hospital, Tianjin, China [at]Wuhan Tongji Hospital, Wuhan, China [au]Hangzhou Xinhua Hospital, Zheijiang, China

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关键词： China Data bank Head trauma Outcome

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Objective: The Chinese Head Trauma Data Bank (CHTDB) has been established, which includes 7145 hospitalised cases with acute head trauma patients in 47 hospitals. Methods: We explored factors that might affect the outcome of acute traumatic brain injury. Results: There was no statistical difference in the mortality rate between male (7.5%) and female (7.2%) patients (P > 0.05). The mortality rate in children (<18 years), adults (18-65 years) and elderly (>65 years) was 7.3%, 7.2% and 9.0%, respectively (P > 0.05). The mortality rate of patients with mild (2.7%), moderate (5.0%) and severe (21.8%) head trauma was significantly different (P < 0.001). The mortality rate of patients with unilateral tentorial herniation, bilateral tentorial herniation and tonsillar herniation was 24.2%, 60.2% and 78.8% respectively (P < 0.001). The mortality rate of patients with intracranial pressure (ICP) < 20 mmHg, 20-40 mmHg and >40 mmHg was 6.3%, 21.4% and 93.1%, respectively (P < 0.001). The mortality rate of patients with no cerebral contusion, single cerebral contusion and multiple cerebral contusions was 3.9%, 7.8% and 14.8%, respectively (P < 0.001). The mortality rate of patients with and without traumatic subarachnoid haemorrhage (tSAH) was 9.5% and 5.4%, respectively (P < 0.001). The mortality rate of patients with no intracranial haematomas, single intracranial haematoma and multiple intracranial haematomas was 5.8%, 8.4% and 20.6%, respectively (P < 0.001). Conclusion: The CHTDB, the first head trauma data bank in China, has one of the largest numbers of cases of any head trauma data bank in the world. Our major findings on mortality may be helpful to neurosurgeons for predicting the outcome of acute head trauma patients. © 2012 Elsevier Ltd. All rights reserved.

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出版当年[2012]版：

大类 | 3 区医学

小类 | 3 区急救医学 3 区骨科 3 区外科 4 区危重病医学

最新[2025]版：

大类 | 3 区医学

小类 | 3 区急救医学 3 区骨科 3 区外科 4 区危重病医学

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第一作者单位： [a]Department of Neurosurgery, Shanghai Jiaotong University, Shanghai Renji Hospital, Shanghai 200127, China

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Head trauma in China

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