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Journal Article

Citation

Dagher JH, Habra N, Lamoureux J, De Guise E, Feyz M. Brain Inj. 2010; 24(12): 1389-1398.

Affiliation

Physical Medicine and Rehabilitation Department, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada.

Copyright

(Copyright © 2010, Informa - Taylor and Francis Group)

DOI

10.3109/02699052.2010.523042

PMID

20887096

Abstract

Primary objective: To compare socio-demographic, medical characteristics and acute outcomes between patients with traumatic brain injuries (TBIs) from motor vehicle collision (MVC) or assault in an acute care setting. Research design: This descriptive, comparative retrospective cohort study included 415 patients with moderate and severe TBI secondary to an assault (n = 91) vs a motor vehicle collision (n = 324). Methods and procedures: Outcome measures were length of stay (LOS) in the intensive care unit and in hospital, Extended Glasgow Outcome Scale (GOS-E), FIM® instrument (‘FIM’) † and discharge destination. Main outcomes and results: Patients with TBI from MVC had a higher percentage of polytrauma, higher injury severity scores, required more orthopaedic surgeries and thoracic drain insertions. Patients with TBI from assault were more often non-Caucasian, young single men, less educated with higher unemployment rates and criminal records, with a history of alcohol and drug abuse and were more often intoxicated on admission. There was no significant group difference in the LOS and FIM ratings, but patients with assault-related TBI were more often discharged home and had a more favourable GOS-E. Conclusion: Variables such as injury severity, age, level of intoxication on admission and presence of surgeries should be considered when determining acute outcome.


Language: en

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