PDF(Pubmed)
Abstract：
The age-standardized incidence of head trauma in 2016 was 369 per 100,000 people worldwide. The Western Pacific region, including Japan, had the highest incidence. This study aimed to extract ICD-10 code data for intracranial injury (S06) and external causes of morbidity and mortality (V01-Y89), analyze their characteristics and interrelationships, and contribute to these diseases\' prevention, treatment, and prognosis. The number of deaths according to injury type and external cause type of intracranial injury published by the Japanese government was statistically analyzed using JoinPoint, and univariate distribution and multivariate correlation were conducted using JMP Software. From 1999-2021, there was a downward trend in the number of deaths because of intracranial injuries: mortality from intracranial injuries was higher among those aged ≥65 years. Conversely, mortality from intracranial injuries was lower among those aged ≤14 years. Among deaths from intracranial injury, mortality from diffuse brain injury and traumatic subdural hemorrhage was more common. Among deaths from external causes of intracranial injury, mortality from falls, transport accidents, and other unforeseen accidents was more common. Mortality because of intracranial injuries increased significantly during the 2011 Great East Japan Earthquake. For some age groups and sexes, there were significant inverse correlations of mortality with traumatic subdural hemorrhage and traumatic subarachnoid hemorrhage for transport accidents, intentional self-harm and assault, and diffuse brain injury and focal brain injury for falls. We believe that the data presented in this study will be useful for preventing and treating intracranial injuries and for developing administrative measures to reduce intracranial injuries.
摘要：
2016年头部创伤的年龄标准化发病率为全球每10万人中369人。西太平洋地区,包括日本,发病率最高。本研究旨在提取颅内损伤（S06）和发病率和死亡率的外部原因（V01-Y89）的ICD-10代码数据，分析它们的特点和相互关系，并有助于这些疾病的预防，治疗,和预后。日本政府公布的颅内损伤按损伤类型和外因类型的死亡人数采用JoinPoint进行统计分析,使用JMP软件进行单变量分布和多变量相关。从1999年至2021年，由于颅内损伤导致的死亡人数呈下降趋势：年龄≥65岁的人群中，颅内损伤导致的死亡率较高。相反，在≤14岁的人群中,颅内损伤死亡率较低.在颅内损伤的死亡中，弥漫性脑损伤和外伤性硬膜下出血的死亡率更为常见.在颅内损伤的外部原因死亡中，跌倒死亡,运输事故,其他不可预见的事故更为常见。在2011年东日本大地震期间，颅内损伤导致的死亡率显着增加。对于某些年龄组和性别，死亡率与外伤性硬膜下出血和外伤性蛛网膜下腔出血之间存在显著的负相关,故意自我伤害和攻击，以及因跌倒引起的弥漫性脑损伤和局灶性脑损伤。我们认为，这项研究中提供的数据将有助于预防和治疗颅内损伤以及制定减少颅内损伤的管理措施。
