Incidence and outcome of traumatic brain injury in an urban area in Western Europe over 10 years

Publikation

Incidence and outcome of traumatic brain injury in an urban area in Western Europe over 10 years

Wissenschaftlicher Artikel/Review - 09.08.2007

Maegele M, Klug N, Schaefer U, Buchheister B, Raum M, Fach H, Lefering R, Bouillon B, Engel Doortje, Neugebauer E

Zitation

Maegele M, Klug N, Schaefer U, Buchheister B, Raum M, Fach H, Lefering R, Bouillon B, Engel D, Neugebauer E. Incidence and outcome of traumatic brain injury in an urban area in Western Europe over 10 years. Eur Surg Res 2007; 39:372-9.

Art

Wissenschaftlicher Artikel/Review (Englisch)

Zeitschrift

Eur Surg Res 2007; 39

Veröffentlichungsdatum

09.08.2007

eISSN (Online)

1421-9921

Seiten

372-9

Kurzbeschreibung/Zielsetzung

INTRODUCTION
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.

MATERIALS AND METHODS
130,000 prehospital emergencies were screened for TBI. Inclusion criteria: Glasgow Coma Scale (GCS) score or=2 with confirmed TBI via appropriate diagnostics.

RESULTS
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(head).

CONCLUSION
The incidence of TBI was lower compared to the literature. The overall mortality was high, especially prehospital and early in-hospital mortality rates.