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A prospective observational cohort study of traumatic brain injury in the northern region of Sweden
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Neurosciences.ORCID iD: 0000-0003-3528-8502
2022 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 36, no 2, p. 191-198Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Generally, to map epidemiological and demographic features of patients with traumatic brain injury (TBI) in Umeå county, Sweden. Specifically, to evaluate the subjects needing a computed tomography (CT) of the head after suffering from TBI and frequencies of 1) intracranial lesions detected with CT, 2) need for neurosurgical intervention and 3) admission to hospital.

METHODS: Patients with a suspected TBI, undergoing CT within 24 hours of arrival to hospital, were included in a database for evaluation.

RESULTS: Out of 302 patients (63% male), 83% were GCS 13-15, 7% were GCS 9-12 and 10% were GCS <9. The frequency of abnormal CT findings was 23% in GCS 13-15, 67% in GCS 9-12 and 97% in GCS <9. Neurosurgical intervention was needed by 4% of those with GCS 13-15, 52% of those with GCS 9-12 and by 76% of those with GCS <9.

CONCLUSIONS: Subjects with GCS 13-15  had higher frequencies of abnormal CT findings, need for neurosurgical intervention and hospital admission than previously reported. A similar trend was observed for patients with GCS 9-12, which can be of serious nature, with a higher frequency of need for neurosurgical intervention than previously described.

Place, publisher, year, edition, pages
Taylor & Francis, 2022. Vol. 36, no 2, p. 191-198
Keywords [en]
CT scan, Traumatic brain injury, demographics, glasgow coma scale, intervention, outcome
National Category
Neurology
Identifiers
URN: urn:nbn:se:umu:diva-203262DOI: 10.1080/02699052.2022.2034952ISI: 000751693600001PubMedID: 35125045Scopus ID: 2-s2.0-85124365655OAI: oai:DiVA.org:umu-203262DiVA, id: diva2:1727710
Available from: 2023-01-17 Created: 2023-01-17 Last updated: 2023-03-24Bibliographically approved

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Magnusson, Beatrice M.Koskinen, Lars-Owe D.

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CiteExportLink to record
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