@article{ref1,
title="Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years",
journal="European surgical research",
year="2007",
author="Maegele, Marc and Engel, D. and Bouillon, B. and Lefering, Rolf and Fach, H. and Raum, M. and Buchheister, B. and Schaefer, U. and Klug, Norfrid and Neugebauer, Edmund",
volume="39",
number="6",
pages="372-379",
abstract="Introduction: Valid epidemiological data on incidence and outcome of traumatic brain injury (TBI) show great variability. A study on incidence, severity and outcome of TBI was conducted in an urban area of one million inhabitants. Materials and Methods: 130,000 prehospital emergencies were screened for TBI. Inclusion criteria: Glasgow Coma Scale (GCS) score &lt;/=8 score (AIS(head)) injuries head for Scale Injury Abbreviated or and&gt;/=2 with confirmed TBI via appropriate diagnostics. Results: Annual incidence was 7.3/100,000. Overall mortality rate was 45.8%: 182 (28%) were prehospital deaths, 116 (17.8%) patients died in hospital. Two hundred and fourteen of 352 (60.8%) surviving patients were sufficiently rehabilitated at discharge [Glasgow Outcome Scale (GOS) score = 1], but 138 patients (39.2%) survived with persisting deficits. GOS was associated with initial GCS and AIS(head). Conclusion: The incidence of TBI was lower compared to the literature. The overall mortality was high, especially prehospital and early in-hospital mortality rates.   <p></p>  <p>Language: en</p>",
language="en",
issn="0014-312X",
doi="10.1159/000107097",
url="http://dx.doi.org/10.1159/000107097"
}