Τίτλος:
Outcome in 1,000 head injury hospital admissions: The athens head trauma registry
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
BACKGROUND:: The aim of this study was to establish a head trauma registry to (a) examine demographics, etiology, severity, clinical course, and outcome; (b) compare results with previous published series; (c) identify causes of bad outcomes; and (d) propose methods to improve therapy and prognosis. METHODS:: The following data were collected on 1,000 consecutive victims with head injury over 14 years of age admitted during a 4-year period: demographic characteristics, cause of injury, clinical variables, neuroimaging, therapy data, and outcome in 6 months. RESULTS:: Seventy-four percent were men, and mean age was 43 years. Seventy-one percent suffered injuries due to road crashes, 14% due to alcohol, and 2% due to substances. The secondary transfer rate was 49%. For severe injuries, the time intervals from incident to hospital and subsequently to neurosurgical unit were 35 minutes and 4 hours, respectively. In 65% and 72% of cases, there was no record of preresuscitation hypoxia or hypotension, respectively, whereas suspected or definite episodes of hypoxia and hypotension were 27% and 13%, respectively. Most cases were mild trauma (63%), the remaining were severe (26%) and moderate (11%) injuries. Severe systemic trauma coexisted in 18%. Cranial surgery rate was 19% and it increased to 39% in severe trauma. The 6-month overall good outcome was 71%, with lower rates in moderate (58%) and severe (24%) injuries. CONCLUSIONS:: The organization of Greece's first head injury registry offered an important preliminary core data concerning brain trauma etiology, management, and long-term outcome. © 2008 by Lippincott Williams & Wilkins.
Συγγραφείς:
Stranjalis, G.
Bouras, T.
Korfias, S.
Andrianakis, I.
Pitaridis, M.
Tsamandouraki, K.
Alamanos, Y.
Sakas, D.E.
Marmarou, A.
Περιοδικό:
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
adolescent; adult; aged; article; demography; disease registry; female; head injury; hospital admission; human; hypotension; hypoxia; injury scale; major clinical study; male; neuroimaging; neurosurgery; outcome assessment; patient transport; priority journal; resuscitation; skull surgery; traffic accident; age distribution; cause of death; Glasgow coma scale; Greece; head injury; hospitalization; incidence; middle aged; mortality; register; sex ratio; statistics; survival; urban population, Adolescent; Adult; Age Distribution; Aged; Aged, 80 and over; Cause of Death; Craniocerebral Trauma; Female; Glasgow Coma Scale; Greece; Hospital Mortality; Hospitalization; Humans; Incidence; Injury Severity Score; Male; Middle Aged; Patient Admission; Registries; Sex Distribution; Survival Analysis; Urban Population
DOI:
10.1097/TA.0b013e3181469e26
