Analysis of Mortality and Epidemiology in 2617 Cases of Traumatic Brain Injury : Korean Neuro-Trauma Data Bank System 2010–2014

Song, Seung Yoon; Lee, Sang Koo; Eom, Ki‐Seong

doi:10.3340/jkns.2016.59.5.485

Cited by 40 publications

(35 citation statements)

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“…The reasons for this much differences with study of Shimoda et al [13], the proportion of severe (GCS, 3–8) was 15.6% and surgery group was 27.0% patient in our study, while the proportion of severe (GCS, 3–8) was 76.4% and surgery group was 44.1% patient in Shimoda et al’s [13] study. Among 125 hospitalized non-survivors, the proportions of the cause of death and the time interval from TBI onset to death was not much different with those reported in a previous study including all age groups [14]. Most patients died of direct brain damage within 7 days (Fig.…”

Section: Discussionmentioning

confidence: 63%

Epidemiology and Outcomes of Traumatic Brain Injury in Elderly Population : A Multicenter Analysis Using Korean Neuro-Trauma Data Bank System 2010–2014

Eom

2019

J Korean Neurosurg Soc

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ObjectiveAlthough traumatic brain injury (TBI) occurs in people of all age groups, the elderly population is at a particular risk. The proportion of elderly population in the society is markedly increasing and Korea is one of the most rapidly aging societies. Here, we analyzed the data from 904 patients older over 65 years who were registered in the Korean Neuro-Trauma Data Bank System (KNTDBS). MethodsThe Korean Society of Neurotraumatology recorded data from 20 institutions between September 2010 and March 2014. This retrospective study examined the clinical epidemiology, sex difference, outcome epidemiology, sociodemographic variables, and outcomes in the geriatric population related to TBI based on data from the KNTDBS. ResultsThe study included 540 men and 364 women. The age distributions in the male and female groups were statistically significantly different. The most common cause of trauma was a fall and diagnosis was acute subdural hematoma. The incidence was the highest in men aged 80–84 years and in women aged 75–79 years. The most common time of arrival to hospital after TBI was within 1 hour and 119 rescue team provided first aid earliest to patients with TBI. The mortality rate stratified according to the cause of trauma was significantly different, with mortality rates of 3.77% in fall and 11.65% in traffic accident. The mortality rates according the severity of brain injury, Glasgow Coma Scale score, and treatment were statistically significant. ConclusionTo our knowledge, this study is the first to focus on elderly patients with TBI in Korea and particularly investigate mortality and characteristics related to TBI-related death based on data from the KNTDBS. Although the study has some limitations, our results may be used to obtain useful information to study targeted prevention and more effective treatment options for older TBI patients and establish novel treatment guidelines and health polish for the geriatric population.

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Section: Discussionmentioning

confidence: 63%

Epidemiology and Outcomes of Traumatic Brain Injury in Elderly Population : A Multicenter Analysis Using Korean Neuro-Trauma Data Bank System 2010–2014

Eom

2019

J Korean Neurosurg Soc

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“…The Korean Society of Neurotraumatology recorded data from 2,617 patients with TBI from 20 institutions between September 2010 and March 2014 and provided various demographic data related to TBI in Korea though an established KNTDBS website. 17) The author investigated the gender, age distribution, Glasgow coma scale (GCS), surgical treatment, and survival before comparing this study with various data from KNTDBS after obtaining permission from KNTDBS to analyze demographic characteristics. Other demographic and clinical characteristics of patients with TP, including cause of injury, leakage of cerebrospinal fluid (CSF), clinical manifestation (review of system) except headache, presence of scalp laceration, Glasgow outcome scale (GOS), and hospital stay, were investigated.…”

Section: Methodsmentioning

confidence: 99%

Clinical and Radiological Characteristics of Traumatic Pneumocephalus after Traumatic Brain Injury

Eom

2020

Korean J Neurotrauma

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Objective: Traumatic pneumocephalus (TP) is a common complication of traumatic brain injury (TBI), which is characterized by the abnormal entrapment of air in the intracranial cavity after TBI to the meninges. The purpose of this study was to investigate the clinical and radiological characteristics related to TP associated with TBI. Methods: From January 2013 to March 2018, the data from 71 patients with TP after TBI were collected. Demographic and clinical characteristics were investigated and the distribution of TP was investigated as radiological characteristics. The author compared the demographic characteristics of TP to the data from the Korean Neurotrauma Data Bank System (KNTDBS). Results: There was a higher ratio of males in patients with TP compared with KNTDBS. The mean age was 48.4±20.5 years and the incidence was highest in those 41-60 years of age (42.3%). Surgical treatment was performed in 23.9% patients. The mortality associated with the TP was 4.2%. The most common cause of injury was a traffic accident (52.1%). TP was mainly located in the epidural space (53.5%) and showed a scatter pattern (60.6%). It was mostly located in the frontal and temporal area (81.7%). Skull fractures were observed in 40.8% in the temporal bone and 25.4% in the frontal bone. Conclusion: The author identified epidemiology, clinical, and radiological characteristics of TP associated with TBI. Although this study has many limitations, the author believes it is worthwhile as it examines various characteristics of TP, which previously had relatively little clinical interest.

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“…Road traffic collisions are a significant source of TBI. 24,161,216,231,257,259 Using national registries, populationbased literature, and statistical modeling, the Global Burden of Disease (GBD) Study 2015 (GBD 2015) 116 estimated the incidence of road traffic injuries (RTIs) in countries worldwide. By understanding the relationship between RTI and TBI, the incidence of TBI can be estimated.…”

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confidence: 99%

Estimating the global incidence of traumatic brain injury

Dewan

Rattani

Gupta

et al. 2019

Journal of Neurosurgery

1,950

1,349

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OBJECTIVE Traumatic brain injury (TBI)-the "silent epidemic"-contributes to worldwide death and disability more than any other traumatic insult. Yet, TBI incidence and distribution across regions and socioeconomic divides remain unknown. In an effort to promote advocacy, understanding, and targeted intervention, the authors sought to quantify the case burden of TBI across World Health Organization (WHO) regions and World Bank (WB) income groups. METHODS Open-source epidemiological data on road traffic injuries (RTIs) were used to model the incidence of TBI using literature-derived ratios. First, a systematic review on the proportion of RTIs resulting in TBI was conducted, and a meta-analysis of study-derived proportions was performed. Next, a separate systematic review identified primary source studies describing mechanisms of injury contributing to TBI, and an additional meta-analysis yielded a proportion of TBI that is secondary to the mechanism of RTI. Then, the incidence of RTI as published by the Global Burden of Disease Study 2015 was applied to these two ratios to generate the incidence and estimated case volume of TBI for each WHO region and WB income group. RESULTS Relevant articles and registries were identified via systematic review; study quality was higher in the high-income countries (HICs) than in the low- and middle-income countries (LMICs). Sixty-nine million (95% CI 64-74 million) individuals worldwide are estimated to sustain a TBI each year. The proportion of TBIs resulting from road traffic collisions was greatest in Africa and Southeast Asia (both 56%) and lowest in North America (25%). The incidence of RTI was similar in Southeast Asia (1.5% of the population per year) and Europe (1.2%). The overall incidence of TBI per 100,000 people was greatest in North America (1299 cases, 95% CI 650-1947) and Europe (1012 cases, 95% CI 911-1113) and least in Africa (801 cases, 95% CI 732-871) and the Eastern Mediterranean (897 cases, 95% CI 771-1023). The LMICs experience nearly 3 times more cases of TBI proportionally than HICs. CONCLUSIONS Sixty-nine million (95% CI 64-74 million) individuals are estimated to suffer TBI from all causes each year, with the Southeast Asian and Western Pacific regions experiencing the greatest overall burden of disease. Head injury following road traffic collision is more common in LMICs, and the proportion of TBIs secondary to road traffic collision is likewise greatest in these countries. Meanwhile, the estimated incidence of TBI is highest in regions with higher-quality data, specifically in North America and Europe.

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Analysis of Mortality and Epidemiology in 2617 Cases of Traumatic Brain Injury : Korean Neuro-Trauma Data Bank System 2010–2014

Cited by 40 publications

References 15 publications

Epidemiology and Outcomes of Traumatic Brain Injury in Elderly Population : A Multicenter Analysis Using Korean Neuro-Trauma Data Bank System 2010–2014

Epidemiology and Outcomes of Traumatic Brain Injury in Elderly Population : A Multicenter Analysis Using Korean Neuro-Trauma Data Bank System 2010–2014

Clinical and Radiological Characteristics of Traumatic Pneumocephalus after Traumatic Brain Injury

Estimating the global incidence of traumatic brain injury

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