Sharova EA
Clinical and Research Institute of Urgent Pediatric Surgery and Trauma, Moscow

Abstract. Traumatic brain injury in children is one of the urgent healthcare problems with associated preventable health loss.

The conceptual approach to reduce preventable health loss in children is based on the idea of estimation of healthy life years at different stages of health loss as well as possibility of preventing the associated health loss relying on modern knowledge and medical expertise.

DALY indexes are most relevant to estimate life years lost, and also help to identify major challenges that healthcare services face in this respect.

The aim of the study was to estimate major health loss due to traumatic brain injury in children in order to evaluate the associated “burden of disease” and identify priority measures aimed at reducing preventable health loss in children with traumatic brain injury.

Methods and data. – main trends of DALY indexes in case of traumatic brain injury (morbidity DALY, mortality DALY and summary DALY) in children population of Russia and its regions in 2003-2010 based on data of the State statistical reporting.

Results and conclusions. Index dynamics of lost life years in children due to traumatic brain injury reflects current epidemiological situation with pediatric brain injury: the highest loss of healthy life years due to traumatic brain injury is associated with increased morbidity especially in girls against the background of reduced mortality.

Regional comparison by DALY indexes and their dynamics allows to evaluate the regional situation in general including both final figures and current changes. This helps to determine the correct focus of measures and priority selection.

To reduce health loss due to traumatic brain injury in children it is most appropriate to use a comprehensive approach that includes the following: a) preventive social and legal measures aimed at developing health protective behavior in population of different ages; b) optimization of health care delivery to children with traumatic brain injury at all stages.

Keywords: health loss; children; traumatic brain injury; DALY criterion

References:

1. Akhmadov T.Z., Bartiev R.A. Classification, formulation and coding of craniocerebral trauma and its consequences: Methodical guidelines. Grozny: GUP «Knizhnoe izdatel'stvo»; 2009. 76p. (In Russian).
2. Valiullina S.A., Roshal' L.M., Al'bitskiy V.Yu., Semenova Zh.B., Sharova E.A. Craniocerebral trau ma in children: epidemiological and social features. In: Actual problems of social pediatrics. Selected essays. V.Yu. Al'bitskiy, editor . Moscow. 2012. Essay ¹22. P. 306-320. (In Russian).
3. Valiullina S.A., Sharova E.A. Regional features of craniocerebral trauma in children of Russia. Obshchestvennoe zdorov'e i zdravookhranenie 2014; (1): 25-32. (In Russian).
4. Geevskaya N.V. Clinical aspects of consequences of minor closed craniocerebral trauma in children: [thesis]. Novosibirsk. 2005. 21 p. (In Russian).
5. Lubenets A.E. Craniocerebral trauma in children as a factor of reduced life quality: [thesis]. Moscow. 2012. 28 p. (In Russian).
6. Melekh A.V. Catamnesis in children who had craniocerebral trauma: [thesis]. St. Petersburg. 2000. 24 p. (In Russian).
7. Baranov A.A., Al'bitskiy V.Yu. Assessment methods and concepts to reduce preventable losses of children’s health. Moscow: Union of pediatricians of Russia; 2013. 92 p. (In Russian).
8. Tsibizov A.I. The results of treatment and life quality in children who had severe craniocerebral trauma: [thesis]. St. Petersburg. 2007. 17 p. (In Russian).
9. Sharova E.A. On the problem of craniocerebral trauma in children. Vestnik nevrologii, psikhiatrii i neyrokhirurgii 2013; (4): 53-64. (In Russian).
10. Yakovenko I.V. Health and social aspects of concomitant craniocerebral trauma and ways to improve medical care to the injured (in cities with various population numbers): [thesis]. St. Petersburg. 2008. 27 p. (In Russian).
11. Yanina N.A. Concomitant and multiple craniocerebral traumas in children (clinical and statistical characteristics and ways to improve medical care): [thesis]. St. Petersburg. 2009. 21 p. (In Russian).
12. The Global Burden of Disease. 2004 update. WHO. Library Cataloguing –in-Publication Data. Geneva, 2008.
13. Murray CJL, Lopez AD. Quantifying disability: data, methods and results. Bull World Health Organ. 1994; 72 (3): 481-494.
14. Murray CJL. Quantifying the burden of disease: the technical basis for disabled-adjusted life years. Bull World Health Organ. 1994; 72:429–445.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*