کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3059113 1187421 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Neurologic disorders, in-hospital deaths, and years of potential life lost in the USA, 1988–2011
ترجمه فارسی عنوان
اختلالات عصبی، مرگ و میر در بیمارستان و سالهای زندگی بالقوه از دست رفته در ایالات متحده آمریکا، 1988 تا 2011
کلمات کلیدی
مرگ و میر بیمارستان، نمونه های سرپایی در سراسر کشور، بار بیماری نورولوژیک، مرگ و میر زودرس، سلامت عمومی، آسیب تروماتیک مغز
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی

Premature mortality is a public health concern that can be quantified as years of potential life lost (YPLL). Studying premature mortality can help guide hospital initiatives and resource allocation. We investigated the categories of neurologic and neurosurgical conditions associated with in-hospital deaths that account for the highest YPLL and their trends over time. Using the Nationwide Inpatient Sample (NIS), we calculated YPLL for patients hospitalized in the USA from 1988 to 2011. Hospitalizations were categorized by related neurologic principal diagnoses. An estimated 2,355,673 in-hospital deaths accounted for an estimated 25,598,566 YPLL. The traumatic brain injury (TBI) category accounted for the highest annual mean YPLL at 361,748 (33.9% of total neurologic YPLL). Intracerebral hemorrhage, cerebral ischemia, subarachnoid hemorrhage, and anoxic brain damage completed the group of five diagnoses with the highest YPLL. TBI accounted for 12.1% of all inflation adjusted neurologic hospital charges and 22.4% of inflation adjusted charges among neurologic deaths. The in-hospital mortality rate has been stable or decreasing for all of these diagnoses except TBI, which rose from 5.1% in 1988 to 7.8% in 2011. Using YPLL, we provide a framework to compare the burden of premature in-hospital mortality on patients with neurologic disorders, which may prove useful for informing decisions related to allocation of health resources or research funding. Considering premature mortality alone, increased efforts should be focused on TBI, particularly in and related to the hospital setting.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 21, Issue 11, November 2014, Pages 1874–1880
نویسندگان
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