Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands

Abstract Traumatic brain injury (TBI) is a leading cause of death and disability. Epidemiology seems to be changing. TBIs are increasingly caused by falls amongst elderly, whilst we see less polytrauma due to road traffic accidents (RTA). Data on epidemiology is essential to target prevention strate...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Denise Jochems, Eveline van Rein, Menco Niemeijer, Mark van Heijl, Michael A. van Es, Tanja Nijboer, Luke P. H. Leenen, R. Marijn Houwert, Karlijn J. P. van Wessem
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/34cf6fe7f4ee48a39b546e69f12bf028
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:34cf6fe7f4ee48a39b546e69f12bf028
record_format	dspace
spelling	oai:doaj.org-article:34cf6fe7f4ee48a39b546e69f12bf0282021-12-02T17:13:17ZIncidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands10.1038/s41598-021-99484-62045-2322https://doaj.org/article/34cf6fe7f4ee48a39b546e69f12bf0282021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-99484-6https://doaj.org/toc/2045-2322Abstract Traumatic brain injury (TBI) is a leading cause of death and disability. Epidemiology seems to be changing. TBIs are increasingly caused by falls amongst elderly, whilst we see less polytrauma due to road traffic accidents (RTA). Data on epidemiology is essential to target prevention strategies. A nationwide retrospective cohort study was conducted. The Dutch National Trauma Database was used to identify all patients over 17 years old who were admitted to a hospital with moderate and severe TBI (AIS ≥ 3) in the Netherlands from January 2015 until December 2017. Subgroup analyses were done for the elderly and polytrauma patients. 12,295 patients were included in this study. The incidence of moderate and severe TBI was 30/100.000 person-years, 13% of whom died. Median age was 65 years and falls were the most common trauma mechanism, followed by RTAs. Amongst elderly, RTAs consisted mostly of bicycle accidents. Mortality rates were higher for elderly (18%) and polytrauma patients (24%). In this national database more elderly patients who most often sustained the injury due to a fall or an RTA were seen. Bicycle accidents were very frequent, suggesting prevention could be an important aspect in order to decrease morbidity and mortality.Denise JochemsEveline van ReinMenco NiemeijerMark van HeijlMichael A. van EsTanja NijboerLuke P. H. LeenenR. Marijn HouwertKarlijn J. P. van WessemNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Denise Jochems Eveline van Rein Menco Niemeijer Mark van Heijl Michael A. van Es Tanja Nijboer Luke P. H. Leenen R. Marijn Houwert Karlijn J. P. van Wessem Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands
description	Abstract Traumatic brain injury (TBI) is a leading cause of death and disability. Epidemiology seems to be changing. TBIs are increasingly caused by falls amongst elderly, whilst we see less polytrauma due to road traffic accidents (RTA). Data on epidemiology is essential to target prevention strategies. A nationwide retrospective cohort study was conducted. The Dutch National Trauma Database was used to identify all patients over 17 years old who were admitted to a hospital with moderate and severe TBI (AIS ≥ 3) in the Netherlands from January 2015 until December 2017. Subgroup analyses were done for the elderly and polytrauma patients. 12,295 patients were included in this study. The incidence of moderate and severe TBI was 30/100.000 person-years, 13% of whom died. Median age was 65 years and falls were the most common trauma mechanism, followed by RTAs. Amongst elderly, RTAs consisted mostly of bicycle accidents. Mortality rates were higher for elderly (18%) and polytrauma patients (24%). In this national database more elderly patients who most often sustained the injury due to a fall or an RTA were seen. Bicycle accidents were very frequent, suggesting prevention could be an important aspect in order to decrease morbidity and mortality.
format	article
author	Denise Jochems Eveline van Rein Menco Niemeijer Mark van Heijl Michael A. van Es Tanja Nijboer Luke P. H. Leenen R. Marijn Houwert Karlijn J. P. van Wessem
author_facet	Denise Jochems Eveline van Rein Menco Niemeijer Mark van Heijl Michael A. van Es Tanja Nijboer Luke P. H. Leenen R. Marijn Houwert Karlijn J. P. van Wessem
author_sort	Denise Jochems
title	Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands
title_short	Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands
title_full	Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands
title_fullStr	Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands
title_full_unstemmed	Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands
title_sort	incidence, causes and consequences of moderate and severe traumatic brain injury as determined by abbreviated injury score in the netherlands
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/34cf6fe7f4ee48a39b546e69f12bf028
work_keys_str_mv	AT denisejochems incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT evelinevanrein incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT menconiemeijer incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT markvanheijl incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT michaelavanes incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT tanjanijboer incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT lukephleenen incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT rmarijnhouwert incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands AT karlijnjpvanwessem incidencecausesandconsequencesofmoderateandseveretraumaticbraininjuryasdeterminedbyabbreviatedinjuryscoreinthenetherlands
_version_	1718381369638256640

Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands

Ejemplares similares