Incidence and injury characteristics of traumatic brain injury: Comparison between children, adults and seniors in Israel
| Autor: | Boris Kessel, Dror Soffer, Maya Siman-Tov, Kobi Peleg, Daniel Simon, Gad Shaked, Irina Radomislensky, Igor Jeroukhimov, Michael D. Stein, Bala Miklosh Avraham Rivkind, Yoram Klein, Nachshon Knoller, Hany Bahouth, Moshe Michaelson |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent medicine.medical_treatment Population Neuroscience (miscellaneous) Poison control law.invention 03 medical and health sciences 0302 clinical medicine law Injury prevention Brain Injuries Traumatic Developmental and Educational Psychology medicine Humans Hospital Mortality Israel education Child Aged Retrospective Studies Aged 80 and over education.field_of_study Rehabilitation business.industry Incidence (epidemiology) Mortality rate Incidence Accidents Traffic Age Factors 030208 emergency & critical care medicine Middle Aged Intensive care unit nervous system Child Preschool Injury Severity Score Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Brain injury. 30(1) |
| ISSN: | 1362-301X |
| Popis: | To assess the incidence and injury characteristics of hospitalized trauma patients diagnosed with TBI.A retrospective study of all injured hospitalized patients recorded in the National Trauma Registry at 19 trauma centres in Israel between 2002-2011. Incidence and injury characteristics were examined among children, adults and seniors.The annual incidence rate of hospitalized TBI for the Israeli population in 2011 was 31.8/100,000. Age-specific incidence was highest among seniors with a dramatic decrease in TBI-related mortality rate among them. Adults, in comparison to children and seniors, had higher rates of severe TBI, severe and critical injuries, more admission to the intensive care unit, underwent surgery, were hospitalization for more than 2 weeks and were discharged to rehabilitation. After adjusting for age, gender, ethnicity, mechanism of injury and injury severity score, TBI-related in-hospital mortality was higher among seniors and adults compared to children.Seniors are at high risk for TBI-related in-hospital mortality, although adults had more severe and critical injuries and utilized more hospital resources. However, seniors showed the most significant reduction in mortality rate during the study period. Appropriate intervention programmes should be designed and implemented, targeted to reduce TBI among high risk groups. |
| Databáze: | OpenAIRE |
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