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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.

Titel:	Incidence, causes and consequences of moderate and severe traumatic brain injury as determined by Abbreviated Injury Score in the Netherlands.
Autor/in / Beteiligte Person:	Jochems, D ; van Rein E ; Niemeijer, M ; van Heijl M ; van Es MA ; Nijboer, T ; Leenen, LPH ; Houwert, RM ; van Wessem KJP
Link:	Volltext (PDF) View record at Springer (Volltext)
Zeitschrift:	Scientific reports, Jg. 11 (2021-10-07), Heft 1, S. 19985
Veröffentlichung:	London : Nature Publishing Group, copyright 2011-, 2021
Medientyp:	academicJournal
ISSN:	2045-2322 (electronic)
DOI:	10.1038/s41598-021-99484-6
Schlagwort:	Accidental Falls statistics & numerical data Accidents, Traffic statistics & numerical data Aged Aged, 80 and over Brain Injuries, Traumatic mortality Cohort Studies Female Hospitalization Humans Incidence Injury Severity Score Male Middle Aged Multiple Trauma epidemiology Multiple Trauma etiology Multiple Trauma mortality Netherlands epidemiology Retrospective Studies Brain Injuries, Traumatic epidemiology Brain Injuries, Traumatic etiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Sci Rep] 2021 Oct 07; Vol. 11 (1), pp. 19985. <i>Date of Electronic Publication: </i>2021 Oct 07. MeSH Terms: Brain Injuries, Traumatic / epidemiology ; Brain Injuries, Traumatic / etiology ; Accidental Falls / statistics & numerical data ; Accidents, Traffic / statistics & numerical data ; Aged ; Aged, 80 and over ; Brain Injuries, Traumatic / mortality ; Cohort Studies ; Female ; Hospitalization ; Humans ; Incidence ; Injury Severity Score ; Male ; Middle Aged ; Multiple Trauma / epidemiology ; Multiple Trauma / etiology ; Multiple Trauma / mortality ; Netherlands / epidemiology ; Retrospective Studies References: Neuroepidemiology. 2017;48(1-2):63-70. (PMID: 28448968) ; Lancet Neurol. 2017 Dec;16(12):949-950. (PMID: 29122521) ; Eur J Emerg Med. 2018 Oct;25(5):355-361. (PMID: 28266943) ; J Am Med Dir Assoc. 2015 Jan;16(1):85.e9-85.e14. (PMID: 25528282) ; Eur J Neurol. 2019 Feb;26(2):274-280. (PMID: 30171654) ; Lancet. 2000 Sep 9;356(9233):923-9. (PMID: 11036909) ; Lancet Neurol. 2017 Dec;16(12):987-1048. (PMID: 29122524) ; Curr Neurol Neurosci Rep. 2017 Oct 7;17(12):92. (PMID: 28986740) ; Brain Inj. 2020 Mar 20;34(4):515-519. (PMID: 32050793) ; BMJ Open. 2019 Sep 13;9(9):e027845. (PMID: 31519669) ; Nat Rev Neurol. 2016 Aug;12(8):477-85. (PMID: 27418377) ; Nat Rev Neurol. 2013 Apr;9(4):231-6. (PMID: 23443846) ; Lancet Public Health. 2016 Dec;1(2):e76-e83. (PMID: 29253420) ; J Crit Care. 2017 Apr;38:197-201. (PMID: 27940095) ; MMWR Surveill Summ. 2017 Mar 17;66(9):1-16. (PMID: 28301451) ; Maandstat Bevolking. 1998 Aug;46(8):21-4. (PMID: 12294181) ; Acta Anaesthesiol Scand. 2017 Apr;61(4):408-417. (PMID: 28194757) ; Injury. 2015 Jan;46(1):86-93. (PMID: 25195181) ; World J Surg. 2015 Nov;39(11):2677-84. (PMID: 26183375) ; Langenbecks Arch Surg. 2014 Jan;399(1):109-26. (PMID: 24292078) ; J Head Trauma Rehabil. 2019 May/Jun;34(3):E1-E9. (PMID: 30418322) ; Ned Tijdschr Geneeskd. 2017;161:D1520. (PMID: 28537540) ; Dtsch Arztebl Int. 2019 Mar 8;116(10):167-173. (PMID: 30995953) ; BMJ Qual Saf. 2013 Sep;22(9):752-8. (PMID: 23674693) ; JAMA Surg. 2014 Jul;149(7):727-34. (PMID: 24899145) ; Brain Inj. 2016;30(10):1194-200. (PMID: 27466967) ; Crit Care Res Pract. 2018 Sep 23;2018:3769418. (PMID: 30345113) ; Injury. 2018 Sep;49(9):1661-1667. (PMID: 29903577) ; PLoS One. 2014 Oct 24;9(10):e110905. (PMID: 25343447) ; Eur J Trauma Emerg Surg. 2020 Jun 6;:. (PMID: 32506373) ; Eur J Emerg Med. 1998 Sep;5(3):341-53. (PMID: 9827839) Entry Date(s): Date Created: 20211008 Date Completed: 20220112 Latest Revision: 20220112 Update Code: 20240513 PubMed Central ID: PMC8497630

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