TY  - JOUR
PY  - 2007//
TI  - Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years
JO  - European surgical research
A1  - Maegele, Marc
A1  - Engel, D.
A1  - Bouillon, B.
A1  - Lefering, Rolf
A1  - Fach, H.
A1  - Raum, M.
A1  - Buchheister, B.
A1  - Schaefer, U.
A1  - Klug, Norfrid
A1  - Neugebauer, Edmund
SP  - 372
EP  - 379
VL  - 39
IS  - 6
N2  - 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>
LA  - en
SN  - 0014-312X
UR  - http://dx.doi.org/10.1159/000107097
ID  - ref1
ER  -