[Current clinical trends in brain trauma--Japan Neurotrauma Databank].

摘要: Traumatic brain injury is one of the subjects that always arouse intense attention from emergency medicine. In latter half 1960s, death by traffic accidents had drastically increased in Japan and, this period was called "the age war". considered to be major causes death, and need for neurosurgeons widely recognized. It should kept mind such a social condition acted as trigger foundation Society Neurotraumatology (JSNT) 1978. The 1970s were also remarkable because CT scan brought about radical changes diagnosis management diseases. Since 1970s, has been rapidly constantly advancing now an essential reliable diagnostic technique, even 1998, Neurotrauma Data Bank Committee (JNTDB) established part JSNT. aim committee conduct epidemiologic research on epidemiology traumatic injuries Japan. After conducting pilot study 1997, nationwide investigation conducted 3 years 1998 2001, at 10 medical centers. referred "Project 1998". Subsequently, Project 2004 performed over 2 years, 2006, 19 April 2009, we initiated another 2009 23 centers it planned completed 2011. 2000, JNST released first version Guideline Severe Brain Injury aroused widely. revised issued 2nd version. have reviewing guideline are currently preparing 3rd This time, report actual incidences We compared 1,002 cases with other 1,101 2004. think engaging medicine make continuous effort wards accumulating data regarding improving guideline.