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背景创伤性脑损伤(TBI)是一个主要的公共卫生和社会经济问题,其负担在全球范围内正在显着增加。终生残疾在受伤后很常见,并且准确的流行病学数据尤其是在儿童中,对于估计未来影响和计划有针对性的政策和医疗保健干预措施至关重要。在这里,我们对欧洲5岁以下人口的TBI的发病率,患病率和多年(YLD)进行了分析,并描述了其1990年至2019年之间的变化。方法对5岁以下人群TBI的估计是从2019年全球疾病,伤害和危险因素(GBD)研究的全球负担中获取的。我们评估了1990年至2019年之间的变化,其性别,比率和性别百分比,并探讨了TBI的主要原因。2019年的结果,有1.3.8千(95%的不确定性间隔[UI] 102 - 186)新的TBI病例,其中约30%是中度或重度TBI。中欧的发病率最高(360 [95%UI 263 - 487]每100,000例),而东欧的发病率最低(每100,000个案例230 [95%UI 169 - 303]案例(图1)(图1)。男性的发病率较高,主要原因是跌倒。总体而言,从1990年到2019年,5岁以下儿童的TBI发生率(-7.04%[95%UI 0.41 - -12.86%]),在过去的十年中观察到5.7%(95%UI 2.22-9.48)的增加(95%UI 2.22-9.48)。结论TBI案件在欧洲5岁以下的人口中有所减少。尽管如此,在过去的十年中,案件的增加是在中等/严重的情况下发生的。
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