Incidence and structure of TBI in adults in Tyumen during 2016–2020 period
https://doi.org/10.56618/20712693_2022_14_3_97
Abstract
TBI is a major multidisciplinary problem due to high incidence, disability and mortality rates. Thorough understanding of various morbidity aspects is essential to optimize prevention and treatment of that trauma type.
STUDY GOAL: to analyze morbidity, outcomes and structure of TBI cases involving adult population of Tyumen during 2016–2020 period.
MATERIALS AND METHODS: We studied 3558 cases of TBI which met inclusion criteria. Those were: cases coded S06 (MKB‑10), patients who are 18 y. o. or older, and trauma occurrence during studied period (2016–2020). We also had exclusion criteria: head trauma without confirmed TBI and patients younger than 18 years.
RESULTS. Most cases of TBI occurred during 2016–855 cases, 24 % — while lowest incidence occurred in 2020–552 cases, 15,5 %. Most common trauma type was concussion (1500 cases, 42,2 %). Men were 2,1 times more prone to TBI — 2409 (67,7 %) cases as opposed to 1149 (32,3 %) cases involving females (p <0,05). Young patients (18–44 y. o.) were most prone to TBI — 1890 cases (53,1 %). Average annual incidence was 9,4±1,8 cases (for 10 thousand people), we discovered statistically significant decrease in incidence during studied period (p<0,05).
CONCLUSION. Based on our study we established that average incidence in adults of Tyumen is lower that that of many other Russian regions; mortality and morbidity decreased during studied period, which was statistically significant, and is probably due to favorable social and economic environment in Tyumen.
About the Authors
A. B. SominovRussian Federation
Sominov Artem Borisovich
54, Odessa st., Tyumen, 625023
I. A. Lebedev
Russian Federation
Lebedev Ilya Arkadyevich
54, Odessa st., Tyumen, 625023
D. P. Vorobev
Russian Federation
Vorobyov Dmitry Petrovich
54, Odessa st., Tyumen, 625023; 75, Melnikaite st., Tyumen, 625039
S. S-H. Gaibov
Russian Federation
Gaibov Saydi SaitHuseynovich
54, Odessa st., Tyumen, 625023; 75, Melnikaite st., Tyumen, 625039
E. V. Zakharchuk
Russian Federation
Zaharchuk, Ekaterina Vldimirovna
54, Odessa st., Tyumen, 625023; 75, Melnikaite st., Tyumen, 625039
O. A. Nesterova
Russian Federation
Nesterova Olga Andreevna
54, Odessa st., Tyumen, 625023
O. A. Dubrovina
Russian Federation
Dubrovina Oksana Aleksandrovna
75, Melnikaite st., Tyumen, 625039
References
1. Dreval O.N. Neurosurgery. Clinical guidelines in 2 ch. M: GEOTAR-Media, 2013. (in Russ.)
2. Gusev E.I. Neurology and Neurosurgery in 2 ch. M: GEOTAR-Media, 2015. (in Russ.)
3. Krylov V. V. Neurosurgery and Neuroreanimatology. M.: ABV-press, 2018. 137–154
4. Konovalov A.N. TBI guidelines. M: Andidor, 2002. (in Russ.)
5. Konovalov A.N. Reconstructive and minimally invasive post-TBI surgery. M: Antidor, 2012 (in Russ.)
6. Крылов В.В., Талыпов А.Э., Пурас Ю.В. Декомпрессионная трепанация черепа при тяжёлой черепно-мозговой травме. M.: ГЭОТАР-Медиа, 2014.
7. Krylov V. V. Neuroreanimatology. Practical guidelines. M.: GEOTAR-Media, 2016. (in Russ.)
8. Lichterman L.B., Potapov A. A., Serbienko F. A. et al. Classification and modern concepts of post-TBI surgery. Neurosurgery, 2004; 1: 32–33 (in Russ.)
9. Potapov A. A., Lichterman L.B. Evidencebased neurotraumatology. M.: Antidor, 2003. (in Russ.)
10. Murunov V. U., Ostapchuk E.S. Epidemiology and structure of TBI in Surgut and Surgutsky district. Surgut, Prophylactic Medicine, 2015: 14–15. (in Russ.)
11. Chernyshev K. A., Rybalkin R. V. Analysis and structure of TBI based on coronary studies of Khabarovsks forensics bureau. 2005; 7: 87–90 (in Russ.)
12. Posha taev K. E. Epidemiological and clinical aspects of traumatic brain injury (literature review). Bulletin of Neurology, Psychiatry and Neurosurgery. 2010; 9: 57–62 (in Russ.).
13. Klevno V. A., Kononov R. V., Chirkov O. Y. Analysis and structure of TBI (based on data from Altay regional forensics bureau in 2000). Biomedical journal Medline, 2003; 65–67 (in Russ.)
14. Ministry of Health of Russian Federation. Morbidity of Russian population, 2000–2018 (statistical data). 2001–2019 (in Russ.)
15. Karimov R.H., Danilov V.I., Pankova V. P. Epidemiological aspects of timely medical treatment in TBI. Neurological herald, 2006, 1: 43–48 (in Russ.)
16. Bogdan E. L., Shanko Y. G., Sidorovich R. R. et al. Epidemiology of TBI and organization of medical treatment in the Republic of Belarus. Minsk, Zdravoohranenie, 2016; 6: 25–33 (in Russ.)
Review
For citations:
Sominov A.B., Lebedev I.A., Vorobev D.P., Gaibov S.S., Zakharchuk E.V., Nesterova O.A., Dubrovina O.A. Incidence and structure of TBI in adults in Tyumen during 2016–2020 period. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(3):97-102. (In Russ.) https://doi.org/10.56618/20712693_2022_14_3_97