Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years
- 9 August 2007
- journal article
- Published by S. Karger AG in European Surgical Research
- Vol. 39 (6), 372-379
- https://doi.org/10.1159/000107097
Abstract
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. 130,000 prehospital emergencies were screened for TBI. Glasgow Coma Scale (GCS) score or=2 with confirmed TBI via appropriate diagnostics. 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). The incidence of TBI was lower compared to the literature. The overall mortality was high, especially prehospital and early in-hospital mortality rates.Keywords
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