TY  - JOUR
PY  - 2019//
TI  - Trends in civilian penetrating brain injury: a review of 26,871 patients
JO  - American journal of surgery
A1  - Skarupa, David J.
A1  - Khan, Muhammad
A1  - Hsu, Albert
A1  - Madbak, Firas G.
A1  - Ebler, David J.
A1  - Yorkgitis, Brian
A1  - Rahmathulla, Gazanfar
A1  - Alcindor, Dunbar
A1  - Joseph, Bellal
SP  - 255
EP  - 260
VL  - 218
IS  - 2
N2  - 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>
LA  - en
SN  - 0002-9610
UR  - http://dx.doi.org/10.1016/j.amjsurg.2018.11.034
ID  - ref1
ER  -