@article{ref1,
title="Global outcome in acute phase of treatment following moderate-to-severe traumatic brain injury from motor vehicle collisions vs assaults",
journal="Brain injury",
year="2010",
author="Dagher, Jehane H. and Habra, Natalie and Lamoureux, Julie and De Guise, Elaine and Feyz, Mitra",
volume="24",
number="12",
pages="1389-1398",
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.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.3109/02699052.2010.523042",
url="http://dx.doi.org/10.3109/02699052.2010.523042"
}