Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study
Purpose: Patients’ gender, which can be one of the most important determinants of traumatic brain injury (TBI) outcomes, is also likely to interact with many other outcome variables of TBI. This multicenter descriptive study investigated gender differences in epidemiological, clinical, treatment, mo...
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2021
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oai:doaj.org-article:bd6c560663a440c5936bcdb5306e3ae12021-11-18T04:43:43ZGender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study1008-127510.1016/j.cjtee.2021.06.004https://doaj.org/article/bd6c560663a440c5936bcdb5306e3ae12021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1008127521000997https://doaj.org/toc/1008-1275Purpose: Patients’ gender, which can be one of the most important determinants of traumatic brain injury (TBI) outcomes, is also likely to interact with many other outcome variables of TBI. This multicenter descriptive study investigated gender differences in epidemiological, clinical, treatment, mortality, and variable characteristics in adult TBI patients. Methods: The selection criteria were defined as patients who had been diagnosed with TBI and were admitted to the hospital between January 1, 2016 and December 31, 2018. A total of 4468 adult TBI patients were enrolled at eight University Hospitals. Based on the list of enrolled patients, the medical records of the patients were reviewed and they were registered online at each hospital. The registered patients were classified into three groups according to the Glasgow coma scale (GCS) score: mild (13–15), moderate (9−12), and severe (3–8), and the differences between men and women in each group were investigated. The risk factors of moderated and severe TBI compared to mild TBI were also investigated. Results: The study included 3075 men and 1393 women and the proportion of total males was 68.8%. Among all the TBI patients, there were significant differences between men and women in age, past history, and GCS score. While the mild and severe TBI groups showed significant differences in age, past history, and clinical symptoms, the moderate TBI group showed significant differences in age, past history, cause of justice, and diagnosis. Conclusion: To the best of our knowledge, this multicenter study is the first to focus on gender differences of adult patients with TBI in Korea. This study shows significant differences between men and women in many aspects of adult TBI. Therefore, gender differences should be strongly considered in TBI studies.Ki Seong EomJang Hun KimSang Hoon YoonSeong-jong LeeKyung-Jae ParkSung-Kon HaJin-gyu ChoiKwang-Wook JoJongYeon KimSuk Hyung KangJong-Hyun KimElsevierarticleTraumatic brain injuriesGenderEpidemiologyGlasgow coma scaleMedicine (General)R5-920ENChinese Journal of Traumatology, Vol 24, Iss 6, Pp 333-343 (2021) |
institution |
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DOAJ |
language |
EN |
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Traumatic brain injuries Gender Epidemiology Glasgow coma scale Medicine (General) R5-920 |
spellingShingle |
Traumatic brain injuries Gender Epidemiology Glasgow coma scale Medicine (General) R5-920 Ki Seong Eom Jang Hun Kim Sang Hoon Yoon Seong-jong Lee Kyung-Jae Park Sung-Kon Ha Jin-gyu Choi Kwang-Wook Jo JongYeon Kim Suk Hyung Kang Jong-Hyun Kim Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study |
description |
Purpose: Patients’ gender, which can be one of the most important determinants of traumatic brain injury (TBI) outcomes, is also likely to interact with many other outcome variables of TBI. This multicenter descriptive study investigated gender differences in epidemiological, clinical, treatment, mortality, and variable characteristics in adult TBI patients. Methods: The selection criteria were defined as patients who had been diagnosed with TBI and were admitted to the hospital between January 1, 2016 and December 31, 2018. A total of 4468 adult TBI patients were enrolled at eight University Hospitals. Based on the list of enrolled patients, the medical records of the patients were reviewed and they were registered online at each hospital. The registered patients were classified into three groups according to the Glasgow coma scale (GCS) score: mild (13–15), moderate (9−12), and severe (3–8), and the differences between men and women in each group were investigated. The risk factors of moderated and severe TBI compared to mild TBI were also investigated. Results: The study included 3075 men and 1393 women and the proportion of total males was 68.8%. Among all the TBI patients, there were significant differences between men and women in age, past history, and GCS score. While the mild and severe TBI groups showed significant differences in age, past history, and clinical symptoms, the moderate TBI group showed significant differences in age, past history, cause of justice, and diagnosis. Conclusion: To the best of our knowledge, this multicenter study is the first to focus on gender differences of adult patients with TBI in Korea. This study shows significant differences between men and women in many aspects of adult TBI. Therefore, gender differences should be strongly considered in TBI studies. |
format |
article |
author |
Ki Seong Eom Jang Hun Kim Sang Hoon Yoon Seong-jong Lee Kyung-Jae Park Sung-Kon Ha Jin-gyu Choi Kwang-Wook Jo JongYeon Kim Suk Hyung Kang Jong-Hyun Kim |
author_facet |
Ki Seong Eom Jang Hun Kim Sang Hoon Yoon Seong-jong Lee Kyung-Jae Park Sung-Kon Ha Jin-gyu Choi Kwang-Wook Jo JongYeon Kim Suk Hyung Kang Jong-Hyun Kim |
author_sort |
Ki Seong Eom |
title |
Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study |
title_short |
Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study |
title_full |
Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study |
title_fullStr |
Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study |
title_full_unstemmed |
Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study |
title_sort |
gender differences in adult traumatic brain injury according to the glasgow coma scale: a multicenter descriptive study |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/bd6c560663a440c5936bcdb5306e3ae1 |
work_keys_str_mv |
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