Hospital discharge records from military facilities and private facilities reimbursed by Civilian Health and Medical Program of the Uniformed Services for fiscal year 1992 were reviewed to identify head injury admissions.
Incidence rates, case fatality rates, causes of head injuries, and direct cost for hospital admissions were computed in this well-defined population.
For fiscal year 1992, there were 5,568 hospitalized cases of noncombat head injury in the military medical system.
The age-adjusted head injury rates for ages 15-44 years are higher in active-duty individuals compared with other beneficiaries (1.6 times greater for men and 2.5 times greater for women).
The total cost for hospitalization in this population was $43 million.
Private facility rehabilitation accounted for 26% of all private facility costs but only 6% of head injury cases.
Firearms and motor vehicle crashes caused the most severe injuries for cases admitted to military facilities.
Motor vehicle crashes, falls, and fighting accounted for 80% of the total military facility cost for head injuries.
Military active-duty individuals are at increased risk for noncombat head injury.
Prevention of head injury in military settings should focus on motor vehicle crashes, fist fights (assault), and falls.
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Homme, Epidémiologie, Santé publique, Milieu militaire, Etats Unis, Amérique du Nord, Amérique, Etiologie, Economie santé, Analyse coût, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie
Mots-clés Pascal anglais : Trauma, Craniocerebral, Human, Epidemiology, Military environment, United States, North America, America, Etiology, Health economy, Cost analysis, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0143450
Code Inist : 002B16B. Création : 199608.