Disease spectrum difference in patients with craniocerebral injury in high altitude and plain areas
10.3760/cma.j.issn.1001-8050.2012.07.004
- VernacularTitle:高海拔与平原地区颅脑外伤住院患者疾病谱差异的回顾性分析
- Author:
Yunming LI
;
Jianwen GU
;
Jihong ZHOU
;
Yongqin KUANG
;
Jun QIU
;
Xinyan ZHANG
;
Shan OU
;
Xiushan ZHENG
;
Xun XIA
;
Hui ZHU
- Publication Type:Journal Article
- Keywords:
Craniocerebral trauma;
Disease attributes;
Altitude;
Trauma database
- From:
Chinese Journal of Trauma
2012;28(7):588-591
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the differences of disease spectrum between patients with brain trauma injury (TBI) in the high altitude areas and those in the plain areas.Methods The front page information of medical records of local TBI patients admitted to military hospitals from 2001 to 2007 was extracted from the Chinese Trauma Database.Ten military hospitals from high altitude areas (high altitude group) and 10 military hospitals with the same hospital level from plain areas (plain group) were selected and the patients in the two groups were compared for their differences in general condition and disease spectrum.Results High altitude group displayed a larger proportion of male patients (P＜0.01),a lower age (P＜0.01),a smaller proportion of patients with Han nationality (P＜0.01),asmaller proportion of emergency patients (P＜0.01),a larger proportion of critically ill patients (P＜0.01),a lower median of hospital days (P＜0.01),a lower operation rate (P＜0.01),as compared with the plain group.The injury of the patients with TBI in turn were intracranial organ injury (excluding those with skull fracture),open wound of head,neck,and trunk,skull fracture,injury of nerves and spinal cord.The orders of TBI disease spectrum of the high altitude and plain groups were the same,but the disease compositions of the two groups had significant difference (P＜0.01).Conclusions Thereexist significant differences in demographics,admission status and disease spectrum of TBI patients inhigh altitude and plain areas.However,the current clinical treatments of TBI in high altitude areas are usually with reference to the experience in plain areas,which is worthy of paying attention by relevant departments.
