@article{ref1,
title="Trends in civilian penetrating brain injury: a review of 26,871 patients",
journal="American journal of surgery",
year="2019",
author="Skarupa, David J. and Khan, Muhammad and Hsu, Albert and Madbak, Firas G. and Ebler, David J. and Yorkgitis, Brian and Rahmathulla, Gazanfar and Alcindor, Dunbar and Joseph, Bellal",
volume="218",
number="2",
pages="255-260",
abstract="INTRODUCTION: The aim of our study is to analyze the 5 years' trends, mortality rate, and factors that influence mortality after civilian penetrating traumatic brain injury (pTBI). <br><br>METHODS: We performed a 5-year-analysis of all trauma patients diagnosed with pTBI in the TQIP. Our outcome measures were trends of pTBI. <br><br>RESULTS: A total of 26,871 had penetrating brain injury over the 5-year period. Mean age was 36.2 ± 18 years. Overall 55% of the patients had severe TBI and mortality rate was 43.8%. There was an increase in the rate of pTBI from 3042/100,000 (2010) to 7578/100,000 trauma admissions (2014) (p < 0.001). The mortality rate has increased from 35% (2010) to 48% (2011) (p < 0.001) followed by a linear decrease in mortality to 40% (2014). Independent predictors of mortality were age, pre-hospital intubation, suicide attempt, and craniotomy/craniectomy. <br><br>CONCLUSIONS: Incidence and mortality for patients who are brought to hospitals following pTBI have gradually increased over the five-year period. Self-inflicted injury and prehospital intubation were the two most significant predictors of mortality.<br><br>Copyright © 2018 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2018.11.034",
url="http://dx.doi.org/10.1016/j.amjsurg.2018.11.034"
}