Peter Schwenkreis, Andreas Bongartz, Florian Berg, Ullrich Meier, Witold Rogge, Ingo Schmehl, Bodo Christian Kern, Hans-Jörg Meisel, Kai Wohlfarth, Stefan Gross, Matthias Sczesny-Kaiser, Martin Tegenthoff, Jürgen Boschert, Ralf Bruckmoser, Andrea Fürst, Marc Schaan, Martin Strowitzki, Andreas Pingel, Lisa Linnea Jägers, Henrik Rudolf, Hans Joachim Trampisch, Johannes Lemcke
- \(\bf Objectives\)
Since 2000/2001, no large-scale prospective studies addressing traumatic brain injury (TBI) epidemiology in Germany have been published. Our aim was to look for a possible shift in TBI epidemiology described in other European countries, to look for possible changes in TBI management and to identify predictors of 1-year outcome especially in patients with mild TBI.
\(\bf Design\)
Observational cohort study.
\(\bf Setting\)
All patients suffering from a TBI of any degree between 1 October 2014 and 30 September 2015, and who arrived in one of the seven participating BG hospitals within 24 hours after trauma, were included.
\(\bf Participants\)
In total, 3514 patients were included.
\(\bf Outcome measures\)
Initial care, acute hospital care and rehabilitation were documented using standardised documentation forms. A standardised telephone interview was conducted 3 and 12 months after TBI in order to obtain information on outcome.
\(\bf Results\)
Peaks were identified in males in the early 20s and mid-50s, and in both sexes in the late 70s, with 25% of all patients aged 75 or older. A fall was the most frequent cause of TBI, followed by traffic accidents (especially bicyclists). The number of head CT scans increased, and the number of conventional X-rays of the skull decreased compared with 2000/2001. Besides, more patients were offered rehabilitation than before. Though most TBI were classified as mild, one-third of the patients participating in the telephone interview after 12 months still reported troubles attributed to TBI. Negative predictors in mild TBI were female gender, intracranial bleeding and Glasgow Coma Scale (GCS) 13/14.
\(\bf Conclusion\)
The observed epidemiologic shift in TBI (ie, elderly patients, more falls, more bicyclists) calls for targeted preventive measures. The heterogeneity behind the diagnosis ‘mild TBI’ emphasises the need for defining subgroups not only based on GCS.
MetadatenAuthor: | Peter SchwenkreisORCiDGND, Andreas BongartzGND, Florian BergGND, Ullrich MeierGND, Witold RoggeGND, Ingo SchmehlGND, Bodo Christian KernGND, Hans-Jörg MeiselGND, Kai WohlfarthGND, Stefan GrossGND, Matthias Sczesny-KaiserGND, Martin TegenthoffGND, Jürgen BoschertGND, Ralf BruckmoserGND, Andrea FürstGND, Marc SchaanGND, Martin StrowitzkiGND, Andreas PingelGND, Lisa Linnea JägersGND, Henrik RudolfORCiDGND, Hans Joachim TrampischORCiDGND, Johannes LemckeGND |
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URN: | urn:nbn:de:hbz:294-90221 |
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DOI: | https://doi.org/http://dx.doi.org/10.1136/ bmjopen-2020-045771 |
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Parent Title (English): | BMJ Open |
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Publisher: | BMJ |
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Place of publication: | London |
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Document Type: | Article |
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Language: | English |
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Date of Publication (online): | 2022/06/03 |
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Date of first Publication: | 2021/06/04 |
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Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
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Tag: | Open Access Fonds |
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Volume: | 11 |
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Issue: | 6, Artikel e045771 |
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First Page: | e045771-1 |
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Last Page: | e045771-11 |
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Note: | Article Processing Charge funded by the Open Access Publication Fund of Ruhr-Universität Bochum. |
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Institutes/Facilities: | Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Neurologische Universitätsklinik und Poliklinik |
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Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
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open_access (DINI-Set): | open_access |
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Licence (English): | Creative Commons - CC BY-NC 4.0 - Attribution-NonCommercial 4.0 International |
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