In:
European Surgical Research, S. Karger AG, Vol. 39, No. 6 ( 2007), p. 372-379
Abstract:
〈 i 〉 Introduction: 〈 /i 〉 Valid epidemiological data on incidence and outcome of traumatic brain injury (TBI) show great variability. A study on incidence, severity and outcome of TBI was conducted in an urban area of one million inhabitants. 〈 i 〉 Materials and Methods: 〈 /i 〉 130,000 prehospital emergencies were screened for TBI. Inclusion criteria: Glasgow Coma Scale (GCS) score ≤8 and/or Abbreviated Injury Scale for head injuries (AIS 〈 sub 〉 head 〈 /sub 〉 ) score ≧2 with confirmed TBI via appropriate diagnostics. 〈 i 〉 Results: 〈 /i 〉 Annual incidence was 7.3/100,000. Overall mortality rate was 45.8%: 182 (28%) were prehospital deaths, 116 (17.8%) patients died in hospital. Two hundred and fourteen of 352 (60.8%) surviving patients were sufficiently rehabilitated at discharge [Glasgow Outcome Scale (GOS) score = 1], but 138 patients (39.2%) survived with persisting deficits. GOS was associated with initial GCS and AIS 〈 sub 〉 head 〈 /sub 〉 . 〈 i 〉 Conclusion: 〈 /i 〉 The incidence of TBI was lower compared to the literature. The overall mortality was high, especially prehospital and early in-hospital mortality rates.
Type of Medium:
Online Resource
ISSN:
0014-312X
,
1421-9921
Language:
English
Publisher:
S. Karger AG
Publication Date:
2007
detail.hit.zdb_id:
1468505-X
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