Brain injury due to head trauma. Epidemiology in urban areas of the People's Republic of China.

A door-to-door survey was carried out in six cities of the People's Republic of China during 1983 in a well-defined population of 63,195 to determine the prevalence of frequently occurring neurologic disorders, including brain injury. In the survey, trained health workers conducted a complete census and administered a questionnaire that had been pretested to assure a high level of sensitivity in identifying individuals suffering from brain injury due to head trauma. All those with responses suggesting brain injury were examined by senior neurosurgeons who used uniform diagnostic criteria and reviewed available medical records to establish a diagnosis. There was 100% cooperation with the screening and diagnostic phases of the survey. Based on this investigation, the age-adjusted (to the 1960 US population) prevalence ratio for brain injury due to head trauma is seven per 1,000, and the incidence rate is 56 per 100,000 per year. The ratios and rates are higher in male than female subjects. The main cause of brain injury due to head trauma in the People's Republic of China is bicycle accidents.