Summary. Traumatic brain injury ranks first among all pediatric traumas, accounting for high rates of incidence, mortality and hospitalization.

Medical and organizational activities aimed at neurotraumatic care improvement as well as prevention measures planning should be optimized based on data from epidemiological studies conducted with due regard to gender, age and regional peculiarities, because causes of traumatic brain injuries much differ depending on social, geographic, meteorological, demographic and other factors.

Objective and data. To analyze and evaluate current epidemiological situation with regard to pediatric traumatic brain injuries in Moscow the authors have reviewed major trends in incidence and mortality for 2003-2010 in comparison with the average Russia rates.

Results and conclusions. Moscow is the high-risk area in terms of pediatric traumatic brain injury. Children account for one third of all cases of traumatic brain injuries; incidence in Moscow doubles the average Russia rates.

Owing to high organizational level of pre-admission and specialty care delivery and cluster of the relevant pediatric facilities in the capital Moscow reports low pediatric mortality from traumatic brain injuries.

On the one hand the identified range in pediatric traumatic brain injury incidence and mortality trends in Moscow indicates an opportunity for managing the situation at the level of care delivery to patients in order to decrease irrecoverable losses. On the other hand it calls for an intensive specialized approach to prevention of traumatic brain injuries based on analysis of epidemiological, social, economic and other peculiarities.

Êeywords: traumatic brain injury, children, epidemiological peculiarities, medical aid

References

1. Vazhdayeva N. Feminism is dangerous. Novye izvestiya 2007. March 28 (in Russian).
2. Valiullina SA, Roshal' LM, Al'bitskiy VYu, Semenova ZhB, Sharova EA. Craniocerebral trauma in children: epidemiological and social features. In: Actual problems of social pediatrics. Selected essays. Al'bitskiy VYu, editor. Ìoscow. 2012. Essay ¹22. P. 306-320 (in Russian).
3. Valiullina SA, Semenova ZhB, Sharova EA. Craniocerebral trauma in children: epidemiological features and a social and demographic portrait. Vestnik nevrologii, psikhiatrii i neyrokhirurgii 2010;(10):32-38 (in Russian).
4. Matuev KB. Craniocerebral trauma in children in Kabardino-Balkarian Republic (clinical and epidemiological study). Cand.Med.Sci [thesis]. Moscow; 2006. 24 p. (in Russian).
5. Midlenko AI. Craniocerebral trauma in children. Ul'yanovsk; 2004. 152 p. (in Russian).
6. Nepomnyashchiy VP, Likhterman LB, Yartsev VV. Epidemiology of craniocerebral trauma and its consequences. In: Clinic manual on craniocerebral trauma. Konovalov AN, Likhterman LB, editors. Moscow: Antidor; 1998. Vol. 1. P. 129-151 (in Russian).
7. Chirkin YuN. Prevalence of craniocerebral trauma and organization of neurosurgical care by an example of a particular region of the Russian Federation (Tambov). CandMedSci [thesis]. St. Petersburg; 2010. 21 p. (in Russian).
8. Tsap NA, Ageev VV, Petrosyan AA, et al. Providing health care in neuro-traumas to children in Sverdlovsk region. Proceedings II all - Russian Conference "Children neurosurgery". Moscow – Yekaterinburg; 2007. P.248-249 (in Russian).
9. Yanina NA. Concomitant and multiple craniocerebral traumas in children (clinical and statistical features and the ways to improve medical care). Cand.Med.Sci [thesis]. St.Petersburg; 2009. 21 p. (in Russian).
10. Flavin M.P., Dostaler S.M., Simpson K., Brison R.J., Pickett W. Stages of development and injury patterns in the early years: a population-based analysis. BMC Public Health 2006, 6: 187-97 (in Russian).
11. International Conference on Recent Advances in Neurotraumatology ICRAN - 2010 Neurotrauma: Basic and Applied Aspects Jun 29 – Jul 1 2010. Book of abstracts. St. Petersburg; 2010. 150 ð.

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