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Maegele, M; Engel, D; Bouillon, B; Lefering, R; Fach, H; Raum, M; Buchheister, B; Schaefer, U; Klug, N; Neugebauer, E.
Incidence and outcome of traumatic brain injury in an urban area in Western Europe over 10 years.
Eur Surg Res. 2007; 39(6):372-379 Doi: 10.1159/000107097
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Co-authors Med Uni Graz: Schäfer Ute
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Abstract:: 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.
Find related publications in this database (using NLM MeSH Indexing): Adolescent -; Adult -; Aged -; Aged, 80 and over -; Brain Injuries - diagnosis; Child - diagnosis; Child, Preschool - diagnosis; Female - diagnosis; Germany - epidemiology; Glasgow Coma Scale - epidemiology; Humans - epidemiology; Incidence - epidemiology; Male - epidemiology; Middle Aged - epidemiology; Treatment Outcome - epidemiology; Urban Population - epidemiology
Find related publications in this database (Keywords): traumatic brain injury; incidence; traumatic brain injury, outcome; urban area in western Europe