Temporal trends in traumatic brain injury

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dc.contributor.authorForrest, C.
dc.contributor.authorHealy, V.
dc.contributor.authorPlant, R.
dc.date.accessioned2022-10-07T11:37:43Z
dc.date.available2022-10-07T11:37:43Z
dc.date.issued2022-05-25
dc.date.updated2022-10-07T11:33:36Z
dc.description.abstractAims: Traumatic brain injury (TBI) is a leading cause of preventable mortality and morbidity. Our aim was to examine the demographics, injury characteristics and management of TBI patients treated in an intensive care unit (ICU) in an Irish tertiary-level hospital with a neurosurgical department. Methods: A retrospective, longitudinal study of all TBI patients treated in ICU between 2013-2018. Results: 77% (n=171) were male and median age was 46 (Q1-Q3: 28-62). The most common mechanism of injury was fall from less than two meters (<2m) followed by road traffic accident (RTA). The proportion of injuries due to RTA increased over the six-year period (p=0.006). 41.4% (n=92) of injuries had reported alcohol involvement. Patients with fall<2m had double the median age and double the rate of alcohol involvement compared to those suffering RTA (p<0.001, p<0.001). The neurosurgical intervention rate was 74% (n=165). The median duration of ICU admission and of intracranial-pressure monitoring, advanced ventilation and inotropic therapy increased over the six year period (p=0.031, p=0.038, p=0.033, p<0.001). Discussion: This study’s findings could inform precise and impactful public prevention measures. The increasing duration of ICU admission and of other interventions should be examined further for their effect on patient outcome and resource consumption.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleidP597en
dc.identifier.citationForrest, C., Healy, V. and Plant, R. (2022) 'Temporal trends in traumatic brain injury'. Irish Medical Journal, 115 (5), P597 (11 pp). Available at: https://imj.ie/temporal-trends-in-traumatic-brain-injury/en
dc.identifier.endpage11en
dc.identifier.issn0332-3102
dc.identifier.issued5en
dc.identifier.journaltitleIrish Medical Journalen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/13757
dc.identifier.volume115en
dc.language.isoenen
dc.publisherIrish Medical Organisationen
dc.relation.urihttps://imj.ie/temporal-trends-in-traumatic-brain-injury/
dc.rights© 2022, Irish Medical Journal. All rights reserved.en
dc.subjectBrain injuryen
dc.subjectTraumatic brain injury (TBI)en
dc.subjectICU admissionsen
dc.subjectPatient outcomeen
dc.titleTemporal trends in traumatic brain injuryen
dc.typeArticle (peer-reviewed)en
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