MỘT SỐ ĐẶC ĐIỂM DỊCH TỄ HỌC BỆNH NHÂN CHẤN THƯƠNG SỌ NÃO TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objectives: Describe some epidemiological characteristics of traumatic brain injury (TBI) patients treated at Viet Duc University Hospital. Subjects and methods: A prospective study was conducted on 1002 patients with traumatic brain injury at Viet Duc University Hospital from  01/03/2020 to 31/08/2020. Results: We have selected a total of 1002 patients eligible for the study, including 787 (78.5%) male patients and 215 (21.5%) female patients. The average age is 38.66+19.30 years old. Traffic accident (69.96%), domestic accident (18.96%), work accident (13.1%) of the patient. More than 90% of traumatic brain injury patients due to traffic accidents are related to motorcycles. Vehicle used by patients: 79.32% of motorbike riders, 9.43% pedestrians and 5.28% cyclists, while electric motorcycles/electric bicycles are 3.85% of patients. There are 34.38% of traffic accident patients using alcohol, 44.78% of patients use a helmet. From 20-40 years old, accounting for 42.23% of the total  number of TBI patients and 58.92% of patients  using  alcohol. The TBI level distribution is based on the Glasgow scale, the TBI mild  of 59.58%, the TBI moderate of 18.66% and the TBI severe of 21.76%. 36.9% of patients received surgical treatment. The proportion of patients surviving hospital discharge was 86.3% of patients. The mortality rate increased in the group> 60 years old, the group of medium to severe TBI and the group who did not use a helmet when riding a motorcycle. Conclusion: It is essential to enforce compulsory helmet wearing laws and decree 100 on the prevention of alcohol in traffic as well as a fall prevention program for the elderly to prevent TBI.