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

Publication

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

Journal Paper/Review - Aug 9, 2007

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

Citation

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.

Type

Journal Paper/Review (English)

Journal

Eur Surg Res 2007; 39

Publication Date

Aug 9, 2007

Issn Electronic

1421-9921

Pages

372-9

Brief description/objective

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.