( 您好!臺灣時間:2021/04/15 10:35
字體大小: 字級放大   字級縮小   預設字形  


研究生(外文):Wei-Chi Wang
論文名稱(外文):Epidemiologic Study of Traumatic Brain Injury Among The Elderly in Taiwan
外文關鍵詞:Head injuryTraumatic brain injuryElderly
  • 被引用被引用:8
  • 點閱點閱:197
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
Traumatic brain injury (TBI) is an important part in public health, because of death and permanent disabilities. This is an epidemiological study to investigate the TBI among the elderly in Taiwan. This study included patients from 55 medical facilities in Taiwan with age 65 years and older with history of TBI. During the period from 1994 to 2006, we included 18,788 patients in the study. The average age of the patients was 75.12 years old with the ratio of male to female 1.72. The results of this study showed that the TBI, major causes were falling accidents (48.57%) and traffic accidents (43.93%), and that most injuries were minor(73.43%) with good prognosis (66.72). But male patients were more often seriously injured than female patients with worse prognosis. With increasing age, the degree of injuries and prognosis become more severe. Traffic accidents inflicted the worst injuries and the worst prognosis followed by falling accidents. The possibility to become severe injury of TBI patients with neurological deficit and intracranial hemorrhage was high of death in TBI with the odds ratios are 16.46 and 14.42, respectively. The possibility of death in TBI patients with neurological deficit was 15 times higher than those without. Based on the study design, we suggest that patients’ age, gender, cause of injury and clinical symptoms can influence the severity, prognosis and survival of the elder TBI patients.
第一章 緒論p1
第二章 文獻探討p18
第三章 研究方法與步驟p36
第四章 結果p43
第五章 討論p87
第六章 結論與建議p95
Adekoya, N., Thurman, D.J., White, D.D., & Webb, K.W. (2002). Surveillance for traumatic brain injury deaths--United States, 1989-1998. Morbidity & Mortality Weekly Report, 51,1-14.
Agency for Health Care Policy and Research. (1998). Rehabilitation for Traumatic Brain Injury. Washington, DC: Author.
Amacher, A.L., & Bybee, D.E. (1987). Toleration of head injury by the elderly. Neurosurgery, 20, 954-81.
American Geriatrics Society(AGS), et al. (2001). Guideline for the prevention of falls in older persons. Journal of the American Geriatrics Society, 49, 664-72.
Annegers, J.F., Grabow, J.D., & Kurland, L.T. (1980). The incidence, causes, and secular trends of head trauma in Olmsted County, Minnesota, 1935-1974. Neurology, 30, 912-9.
Baker, S.P., O''Neill, B., & Karpf, R.S. (1984). The injury fact book. Lexington, MA: Lexington Books.
Baker, S.P., O''Neill, B., Ginsburg, M.J., & Guohua, L. (1992). The Injury Fact Book. New York, NY: Oxford University.
Cagetti, B., Cossu, M., Pau, A., Rivano, C., & Viale, G. (1992). The outcome from acute subdural and epidural intracranial haematomas in very elderly patients. British Journal of Neurosurgery, 6, 227-31.
Canadian Institute For Health Information. (1998). Ontario Traumatic Registry Report. Hospital injury admission 1996/1997. Ottawa, Ontario: Author.
Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. (1997). Unpublished analysis of data from Multiple Cause of Death Public Use Data.
Chiu W.T., Hung, C.C., Le, L.S., Lin, L.S., Shih, C.J. & Ronald, E.L. (1997). Head injury in urban and rural populations in a developing country. Journal of Clinical Neuroscience, 4, 469-472.
Cifu, D.X., Kreutzer, J.S., Marwitz, J.H., Rosenthal, M., Englander, J., & High, W. (1996). Functional outcomes of older adults with traumatic brain injury: a prospective, multicenter analysis. Archives of Physical Medicine & Rehabilitation, 77, 883-8.
Connell, B.R. (1996). Role of the environment in falls prevention. Clinics in Geriatric Medicine, 12, 859-80.
Coronado, V.G., Thomas, K.E., Sattin, R.W., & Johnson, R.L. (2005). The CDC traumatic brain injury surveillance system: characteristics of persons aged 65 years and older hospitalized with a TBI. Journal of Head Trauma Rehabilitation, 20, 215-28.
Cumming, R.G. (1998). Epidemiology of medication-related falls and fractures in the elderly. Drugs and Aging, 12, 43-53.
Davis, M., Mendelow, A.D., Perry, R.H., Chambers, I.R., & James, O.F. (1995). Experimental stroke and neuroprotection in the aging rat brain. Stroke, 26, 1072-8.
Dellinger, A.M., Langlois, J.A., Li, G. (2002). Fatal crashes among older drivers: decomposition of rates into contributing factors. American Journal of Epidemiology, 155, 234-41.
Dolinis, J., Harrison, J.E., & Andrews, G.R. (1997). Factors associated with falling in older Adelaide residents. Australian and New Zealand Journal of Public Health, 21, 462-8.
Ellis, A.A., & Trent, R.B. (2001). Do the risks and consequences of hospitalized fall injuries among older adults in California vary by type of fall?. Journals of Gerontology Series A-Biological Sciences & Medical Sciences, 56, M686-92.
Gan, B.K., Lim, J.H., & Ng, I.H. (2004). Outcome of moderate and severe traumatic brain injury amongst the elderly in Singapore. Annals of the Academy of Medicine, Singapore, 33, 63-7.
Gill, T.M., Williams, C.S., Robison, J.T., & Tinetti, M.E. (1999). A population-based study of environmental hazards in the homes of older persons. American Journal of Public Health, 89, 553-6.
Gillespie, L.D., Gillespie, W.J., Cumming, R., Lamb, S.E., & Rowe, B.H. (2000). Interventions for preventing falls in the elderly. Cochrane Database of Systematic Reviews, 2, CD000340.
Hodge, A.L., Sternlicht, J.P., Wagenhauser, K., Gibney, L.B., & Counselman, F.L. (2003). Closed head injury in elderly and nonelderly patients. Official journal of the American Academy of Physician Assistants, 16, 53-6.
Insurance Institute for Highway Safety(IIHS). (2003). Fatality facts, older people. Arlington, VA: Author.
Ivers, R.Q., Optom, B., Cumming, R.G., Mitchell, P., & Attebo, K. (1998). Visual impairment and falls in older adults: the Blue Mountains eye study. Journal of the American Geriatrics Society, 46, 58-64.
Janke, M.K. (1994). Age-related disabilities that may impair driving and their assessment: literature review. Sacramento,CA: California Department of Motor Vehicles.
Jennett, B., & Bond, M. (1975). Assessment of outcome after severe brain damage. Lancet, 1, 480-4.
Jenett, B., Teasdale, G., Braakman, R., Minderhoud, J., Heiden, J., & Kurze, T. (1979). Prognosis of patients with severe head injury. Neurosurgery, 4, 283-9.
Judge, J.O., Lindsey, C., Underwood, M., & Winsemius, D. (1993). Balance improvements in older women: effects of exercise training. Physical Therapy, 73, 254-62.
Kannus, P., Palvanen, M., Niemi, S., Parkkari, J., Natri, A., Vuori, I., & Jarvinen, M. (1999). Increasing number and incidence of fall-induced severe head injuries in older adults: nationwide statistics in Finland in 1970-1995 and prediction for the future. American Journal of Epidemiology, 149, 143-50.
Kannus, P., Parkkari, J., Koskinen, S., Niemi, S., Palvanen, M., Jarvinen, M., & Vuori, I. (1999). Fall-induced injuries and deaths among older adults. Journal of the American Medical Association, 281, 1895-9.
Kario, K., Tobin, J.N., Wolfson, L.I., Wipple, R., Derby, C., Singh, D., Marantz, P.R., & Wassertheil-Smoller, S. (2001). Lower standing systolic blood pressure as a predictor of falls in the elderly: A community-based prospective study. Journal of the American College of Cardiology, 38, 246-52.
Kilaru, S., Garb, J., Emhoff, T., Fiallo, V., Simon, B., Swiencicki, T., & Lee, K.,F. (1996). Long-term functional status and mortality of elderly patients with severe closed head injuries. Journal of Trauma-Injury Infection & Critical Care, 41, 957-63.
Koski, K., Luukinen, H., Laippala, P., & Kivela, S.L. (1996). Physiological factors and medications as predictors of injurious falls by elderly people: a prospective population-based study. Age and Ageing, 25, 29-38.
Kraus, J.F. (1980). Injury to the head and spinal cord. The epidemiological relevance of the medical literature published from 1960 to 1978. Journal of Neurosurgery, Suppl, S3-10.
Kraus, J.F., Black, M.A., Hessol, N., Ley, P., Rokaw, W., Sullivan, C., Bowers, S., Knowlton, S., & Marshall, L. (1984). The incidence of acute brain injury and serious impairment in a defined population. American Journal of Epidemiology, 119, 186-201.
Kraus, J.F. (1993). Epidemiology of head injury. Baltimore: Williams & Wilkins.
Kwan, I., & Mapstone, J. (2006). Interventions for increasing pedestrian and cyclist visibility for the prevention of death and injuries. Cochrane Database of Systematic Reviews, 4, CD003438.
Langlois, J.A., Kegler, S.R., Butler, J.A., Gotsch, K.E., Johnson, R.L., Reichard, A.A., Webb, K.W., Coronado, V.G.., Selassie, A.W., & Thurman, D.J. (2003). Traumatic brain injury-related hospital discharges. Results from a 14-state surveillance system, 1997. Morbidity & Mortality Weekly Report, 52, 1-20.
Lau, E.M., Woo, J., & Lam, D. (1991). Neuromuscular impairment: a major cause of non-syncopal falls in elderly Chinese. Public Health, 105, 369-72.
Lord, S.R., Caplan, G.A., & Ward, J.A. (1993). Balance, reaction time, and muscle strength in exercising older women: a pilot study. Archives of Physical and Medical Rehabilitation, 74, 837-9.
Lord, S.R., & Dayhew, J. (2001). Visual risk factors for falls in older people. Journal of the American Geriatrics Society, 49, 508-15.
Luukinen, H., Koski, K., Honkanen, R., & Kivela, S.L. (1995). Incidence of injury-causing falls among adults by place of residence: a population-based study. Journal of the American Geriatrics Society, 43, 871-876.
Masson, F., Thicoipe, M., Aye, P., Mokni, T., Senjean, P., Schmitt, V., Dessalles, P.H., Cazaugade, M., & Labadens, P. (2001). Aquitaine Group for Severe Brain Injuries Study. Epidemiology of severe brain injuries: a prospective population-based study. Journal of Trauma-Injury Infection & Critical Care. 51, 481-9.
Mazzucchi, A., Cattelani, R., Missale, G., Gugliotta, M., Brianti, R., & Parma, M. (1992). Head-injured subjects aged over 50 years: correlations between variables of trauma and neuropsychological follow-up. Journal of Neurology. 239, 256-60.
Mosenthal, A.C., Lavery, R.F., Addis, M., Kaul, S., Ross, S., Marburger, R., Deitch, E.A., & Livingston, D.H. (2002). Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome. Journal of Trauma-Injury Infection & Critical Care. 52, 907-11.
Mosenthal, A.C., Livingston, D.H., Lavery, R.F., Knudson, M.M., Lee, S., Morabito, D., Manley, G.T., Nathens, A., Jurkovich, G., Hoyt, D.B., & Coimbra, R. (2004). The effect of age on functional outcome in mild traumatic brain injury: 6-month report of a prospective multicenter trial. Journal of Trauma-Injury Infection & Critical Care, 56, 1042-8.
National Center for Injury Prevention and Control (NCIPC). (2001). Injury Fact Book 2001–2002. Atlanta, GA: Centers for Disease Control and Prevention.
Nevitt, M.C., Cumming, S.R., Kidd, S., & Black, D. (1989). Risk factors for recurrent nonsyncopal falls: A prospective study. Journal of the American Medical Association, 261, 2663-2668.
Northridge, M.E., Nevitt, M.C., Kelsey, J.L., & Link, B. (1995). Home hazards and falls in the elderly : the role of health and functional status. American Journal of Public Health, 85, 509-15.
Northridge, M.E., Nevitt, M.C., & Kelsey, J.L. (1996). Non-syncopal falls in the elderly in relation to home environments. Osteoporosis International, 6, 249-55.
Organization for Economic Cooperation and Development (OECD), 經濟合作暨發展組織。
Ohno, K., Suzuki, R., Masaoka, H., Matsushima, Y., Inaba, Y., Monma, S., & Asano, T. (1987). A clinical study on head injuries in the aged. Neurological Surgery, 15, 607-11.
Peden, M., McGee, K., & Sharma, G. (2002). The injury chart book: a graphical overview of the global burden of injuries. Geneva: World Health Organization.
Pennings, J.L., Bachuils, B.L., Silmons, C.T., & Slazinski, T. (1993). Survival after severe brain injury in the aged. Archives of Surgery, 128, 787-93.
Pentland, B., Jones, P.A., Roy, C.W., & Miller, J.D. (1986). Head injury in the elderly. Age Aging, 15, 193-202.
Pickett, W., Ardern, C., & Brison, R.J. (2001). A population-based study of potential brain injuries requiring emergency care. Canadian Medical Association Journal, 165, 288-92.
Ray, W.A., & Griffin, M.R. (1990). Prescribed medications and the risk of falling. Topics in Geriatric Rehabilitation, 5, 12-20.
Rothweiler, B., Temkin, N.R., & Dikmen, S.S. (1998). Aging effect on psychosocial outcome in traumatic brain injury. Archives of Physical Medicine & Rehabilitation, 79, 881-7.
Roy, C.W., Pentland, B., & Miller, J.D. (1986). The causes and consequences of minor head injury in the elderly. Injury, 17, 220-3.
Roudsari, B., Kaufman, R.,& Koepsell, T. (2006). Turning at intersections and pedestrian injuries. Traffic Injury Prevention, 7, 283-9.
Runge, J.W. (1993). The cost of injury. Emergency Medicine Clinics of North America, 11, 241-53.
Samelson, E.J., Zhang, Y., Kiel, D.P., Hannan, M.T., & Felson, D.T. (2002). Effect of birth cohort on risk of hip fracture: Age-specific incidence rates in the Framingham Study. American Journal of Public Health, 92, 858-62.
Santora, T.A., Schinco, M.A., & Trooskin, S.Z. (1994). Management of trauma in the elderly patient. The Surgical clinics of North America, 7, 163-86.
Sosin, D.M., Sniezek, J.E., & Waxweiler, R.J. (1995). Trends in death associated with traumatic brain injury, 1979 through 1992. Success and failure. The Journal of the American Medical Association, 273, 1778-80.
Stephen, J. (2001). Brain Injury Resulting From Fall Among Elderly Persons. The Journal of the American Medical Association, 286, 2665.
Stevens, J.A. (1997). The association of calcium intake and exercise with hip fracture risk among older adults. Atlanta, GA : Emory University.
Stevens, J.A., Hasbrouck, L., Durant, T.M., Dellinger, A.M., Batabyal, P.K., Crosby, A.E., Valluru, B.R., Kresnow, M., & Guerrero, J.L. (1999). Surveillance for injuries and violence among older adults. Morbidity and Mortality Weekly Report Surveillance Summaries, 48(SS-8), 27-50.
Stevens, J.A., Adekoya, N. (2001). Brain injury resulting from falls among elderly persons. Journal of the American Medical Association, 286, 2665.
Steven, M., Robert, T.S., & Sarita, R.S. (1993). Minor Head Trauma Assessment, Management, and Rehabilitation. New York: Sprinder-Verlag New York Incorporation.
Susman, M., DiRusso, S.M., Sullivan, T., Risucci, D., Nealon, P., Cuff, S., Haider, A., & Benzil, D. (2002). Traumatic brain injury in the elderly: increased mortality and worse functional outcome at discharge despite lower injury severity. Journal of Trauma-Injury Infection & Critical Care, 53, 219-23.
Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet, 2, 81-4.
Tennant, A. (2005). Admission to hospital following head injury in England: incidence and socio-economic associations. BioMed Central Public Health, 5, 21.
Teno, J., Kiel, D.P., & Mor, V. (1990). Multiple stumbles: A risk factor for falls in community-dwelling elderly. Journal of the American Geriatrics Society, 30, 1321-5.
Tinetti, M.E., Williams, T.F., & Mayewski, R. (1986). Fall risk index for elderly patients based on number of chronic disabilities. American Journal of Medicine, 80, 429-34.
Tinetti, M.E., Speechley, M., & Ginter, S.F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 319, 1701-07.
Tinetti, M.E., Baker, D.I., McAvay, G., Claus, E.B., Garrett, P., Gottschalk, M., Loch, M.L., Trainor, K., & Horwitz, R.I. (1994). A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New England Journal of Medicine, 331, 821-27.
Tromp, A.M., Smit, J.H., Deeg, D.J.H., Bouter, L.M., & Lips, P. (1998). Predictors for falls and fractures in the Longitudinal Aging Study Amsterdam. Journal of Bone Mineral Research, 13, 1932-39.
Tromp, A.M., Pluijm, S.M.F, Smit, J.H., Deeg, D.J.H., Bouter, L.M., & Lips, P. (2001). Fall-risk screening test: A prospective study on predictors for falls in community-dwelling elderly. Journal of Clinical Epidemiology, 54, 837-44.
Ushewokunze, S., Nannapaneni, R., Gregson, B.A., Stobbart, L., Chambers, I.R., & Mendelow, A.D. (2004). Elderly patients with severe head injury in coma from the outset- has anything changed?. British Journal of Neurosurgery,18, 604-607.
Van, A.J.A., Morris, J.A.J., Yates, H.K., Miller, R.S., & Bass, S.M. (1991). Severely injured geriatric patients return to independent living: a study of factors influencing function and independence. Journal of Trauma-Injury Infection & Critical Care, 31, 1096-101.
Wilkins, K. (1999). Health care consequences of falls for seniors. Health Reports, 10, 47-55.
Wilson, J.A., Pentland, B., Currie, C.T., & Miller, J.D. (1987). The functional effects of head injury in the elderly. Brain Injury, 1, 183-8.
Wolf, S.L., Barnhart, H.X., Kutner, N.G., McNeely, E., Coogler, C., & Xu, T. (1996). Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. Journal of the American Geriatrics Society, 44, 489-97.
Wolter, L.L., & Studenski, S.A. (1996). A clinical synthesis of falls intervention trials. Topics in Geriatric Rehabilitation, 11, 9-19.
薛文寅、邱文達、林慧雯、郭家英、蘇千田、陳新源、白璐、林烈生、洪慶章(1995)。台灣地區老人頭部外傷之流行病學研究。Journal of Taipei Medical College, 24, 259-267.
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔