An Epidemiologic Study of Traumatic Brain Injuries in Emergency Department
Archives of Academic Emergency Medicine,
Vol. 3 No. 4 (2015),
1 November 2015
,
Page 141-145
https://doi.org/10.22037/aaem.v3i4.291
Abstract
Introduction: Traumatic brain injuries (TBI) are one of the most important causes of death in patients under the age of 25 years and is responsible for one third of total deaths caused by trauma. Therefore, knowing its epidemiologic pattern in different populations seems vital. Therefore, this study aims to examine the epidemiologic pattern of TBI in emergency department. Methods: In this cross-sectional study, the profiles of 1000 patients affected by TBI were selected using simple random sampling. The examined variables in this study included demographic, season, mechanism of injury, accompanying injuries, level of consciousness, hospitalization duration, computed tomography (CT) scan results, needing surgery, admission to intensive care unit, and outcome of the patient. In the end, independent risk factors for the death of patients were determined. Results: 1000 patients suffering from were studied (81.8% male; mean age 38.5±21.7 years). The frequency of their referral to hospital in spring (31.4%) was more (p<0.01). 45.9% of the patients had a level of consciousness less than 9 based on the Glasgow Coma Scale (GCS). Subdural (45.9%) and epidural bleeding (23.7%) were the most common findings in CT scans in this study (p<0.001). Finally, 233 (23.3%) of the patients were dead. Over 60 years of age, falling and motorcycle accidents, intracranial hemorrhage accompanied by brain contusion, subdural bleeding, a GCS of less than 9, and the need to be admitted to intensive care unit were independent risk factors of death in TBI. Conclusion: Age Over 60 years, falling and motorcycle accidents, intracranial hemorrhage accompanied by brain contusion, subdural bleeding, a GCS of less than 9, and need to be admitted to intensive care unit were independent risk factors for the death in TBI patients.- Brain injuries
- head injuries
- epidemiology
- mortality
- risk factors
How to Cite
References
World Health Organization. Violence, Injuries, and Disability: Biennial 2006–2007 Report. Geneva, Switzerland: 2008.
Saadat S, Yousefifard M, Asady H, Jafari AM, Fayaz M, Hosseini M. The Most Important Causes of Death in Iranian Population; a Retrospective Cohort Study. Emergency. 2014;3(1):16-21.
Roozenbeek B, Maas AI, Menon DK. Changing patterns in the epidemiology of traumatic brain injury. Nat Rev Neurol. 2013;9:231-6.
Leitgeb J, Mauritz W, Brazinova A, Majdan M, Wilbacher I. Impact of concomitant injuries on outcomes after traumatic brain injury. Arch Orthop Trauma Surg. 2013;133(5):659-68.
Greenwald BD, Burnett DM, Miller MA. Congenital and acquired brain injury. 1. Brain injury: epidemiology and pathophysiology. Arch Phys Med Rehabil. 2010;91(3):3-7.
Park E, Bell JD, Baker AJ. Traumatic brain injury: can the consequences be stopped? CMAJ. 2010;178(9):1163-70.
Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol. 2008;7(8):728-41.
HÃjar M1, Pérez-Núñez R, Inclán-Valadez C, Silveira-Rodrigues EM. Road safety legislation in the Americas. Rev Panam Salud Publica. 2012 32(1):70-6.
Asadi P, Kasmaie VM, Zohrevandi B, Ziabari SMZ, Marzbani BBMB. Disposition of Patients Before and After Establishment of Emergency Medicine Specialists. Iran J Emerg Med. 2014;1(1):28-33.
Fakharian E, Fazel MR, Tabesh H, Nabavi Z. Incidence of mild head injury, management, and expenses in Kashan, 2003-2004. Feyz J Kashan Uni Med Sci. 2007;11(3):21-6. [In persian].
Wu X, Hu J, Zhuo L, et al. Epidemiology of traumatic brain injury in eastern China, 2004: a prospective large case study. J Trauma. 2008;64(5):1313-9.
Chiu W-T, Huang S-J, Tsai S-H, et al. The impact of time, legislation, and geography on the epidemiology of traumatic brain injury. J Clin Neurosci. 2007;14(10):930-5.
Andelic N, Sigurdardottir S, Brunborg C, Roe C. Incidence of hospital-treated traumatic brain injury in the Oslo population. Neuroepidemiology. 2008;30(2):120-8.
McGarry LJ, Thompson D, Millham FH, et al. Outcomes and costs of acute treatment of traumatic brain injury. J Trauma. 2002;53(6):1152-9.
Faul M, Xu L, Wald M, Coronado VG. Traumatic brain injury in the United States: emergency department visits, hospitalizations and deaths 2002–2006. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. 2010:2-70.
Masson F, Thicoipe M, Aye P, et al. Epidemiology of severe brain injuries: a prospective population-based study. J Trauma. 2001;51(3):481-9.
Kleiven S, Peloso PM, Holst H. The epidemiology of head injuries in Sweden from 1987 to 2000. Inj Control Saf Promot. 2003;10(3):173-80.
Steudel W, Cortbus F, Schwerdtfeger K. Epidemiology and prevention of fatal head injuries in Germany–trends and the impact of the reunification. Acta Neurochir (Wien). 2005;147(3):231-42.
Maegele M, Engel D, Bouillon B, et al. Incidence and outcome of traumatic brain injury in an urban area in Western Europe over 10 years. Eur Surg Res. 2007;39(6):372-9.
Ducrocq SC, Meyer PG, Orliaguet GA, et al. Epidemiology and early predictive factors of mortality and outcome in children with traumatic severe brain injury: Experience of a French pediatric trauma center. Pediatr Crit Care Med. 2006;7(5):461-7.
Hukkelhoven CW, Steyerberg EW, Rampen AJ, et al. Patient age and outcome following severe traumatic brain injury: an analysis of 5600 patients. J Neurosurg. 2003;99(4):666-73.
Tohme S, Delhumeau C, Zuercher M, Haller G, Walder B. Prehospital risk factors of mortality and impaired consciousness after severe traumatic brain injury: an epidemiological study. Scand J Trauma Resusc Emerg Med. 2014;22(1):1-10.
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