Management of Patients with Severe Head Injury in the Preclinical Phase

Lehr, Donna H.; Baethmann, A.; Reulen, H. J.; Steiger, Hans‐Jakob; Lackner, Ch.; Stummer, Walter; Wirth, A.; Hölzel, Dieter; Stolpe, E.; Assal, J. P.; Belg, A.; Schrödel, M.; Muller, Nancy; Ueblacker, Peter; Chlistalla, A.; Schneider, G.-H.; Schweiberer, L.; Dietz, Hans-Georg; Trappe, A.; Göbel, W.-E.; Jaksche, H.; Messner, V.; Grumme, Th.; Wenger, Peter; Müller, Hans‐Werner; Döffinger, J.; Lumenta, Christianto B.; Gerstner, Werner; Prokscha, G.; Sackerer, Dieter; Hofner, F.; Eisenstein, Toby K.; Lenz, Georg; Preisz, Anne; Rothmeier, F.; Kirmayer, U.; Böhme, Michael; Horak, W; Weeß, Th.

doi:10.1097/00005373-199705001-00015

Cited by 28 publications

(9 citation statements)

References 9 publications

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“…This rate is low compared to other reports. In the literature, the annual incidence rates for TBI range between 13.6 and 300/100,000 [2, 5,7,[33][34][35][36][37][38] . Besides a general decrease in incidence, one reason for these discrepancies may have been a problem of TBI definition [6,[8][9][10][11][12] .…”

Section: Discussionmentioning

confidence: 99%

“…Despite its clinical relevance, valid epidemiological data on incidence, severity and outcome of TBI from Europe, in particular from Germany, are scarce and show great variation [5][6][7] . A major problem with epidemiological studies on TBI is still associated with inconsistencies in TBI definition and classification of injury severity [6,[8][9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

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Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years

et al. 2007

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Introduction: Valid epidemiological data on incidence and outcome of traumatic brain injury (TBI) show great variability. A study on incidence, severity and outcome of TBI was conducted in an urban area of one million inhabitants. Materials and Methods: 130,000 prehospital emergencies were screened for TBI. Inclusion criteria: Glasgow Coma Scale (GCS) score ≤8 and/or Abbreviated Injury Scale for head injuries (AIS_head) score ≧2 with confirmed TBI via appropriate diagnostics. Results: Annual incidence was 7.3/100,000. Overall mortality rate was 45.8%: 182 (28%) were prehospital deaths, 116 (17.8%) patients died in hospital. Two hundred and fourteen of 352 (60.8%) surviving patients were sufficiently rehabilitated at discharge [Glasgow Outcome Scale (GOS) score = 1], but 138 patients (39.2%) survived with persisting deficits. GOS was associated with initial GCS and AIS_head. Conclusion: The incidence of TBI was lower compared to the literature. The overall mortality was high, especially prehospital and early in-hospital mortality rates.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years

et al. 2007

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“…Schließt das Verletzungsmuster des Polytraumas ein höhergradiges SHT ein, ist dieses in der Regel noch immer prognoselimitierend [16,21]. Als führende innerklinische Todesursache gilt hierbei der sekundäre Hirnschaden.…”

Section: Herz-kreislauf-managementunclassified

Erweitertes medizinisches Qualitätsmanagement am Beispiel der „Tracer“-Diagnose „Polytrauma“

et al. 2012

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“…Emergency medical services (EMS) must be able to make an accurate assessment of the TBI patient at the scene, as a delay in care or transportation to an unprepared facility may have a negative impact on outcome [82]. The importance of the pre-hospital and early clinical management of severe TBI is undergoing a prospective analysis by Lehr and associates in order to determine the effect on outcome as measured by the GOS at 6 months post-injury [83]. An important aspect of acute TBI management should be to focus on the prevention of secondary injury.…”

Section: Emergency Department/ Intensive Care Unit Managementmentioning

confidence: 99%

Outcome from traumatic brain injury

Jallo¹,

Shutter²

1998

Trauma Quarterly

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Traumatic brain injury (TBI) continues to be a significant public health issue. Advances in acute medical care after brain injury have improved mortality, but the morbidity from residual neurological deficits remains high. Multiple variables have been shown to have an impact on the outcome from TBI and, although many of these factors are not modifiable, a number of them can be influenced by medical interventions. Multidimensional assessments of the early clinical findings can provide some predictions regarding the potential for recovery after TBI. In addition, an awareness of the modifiable factors may assist with the prevention of secondary injury and optimization of the long-term outcome. Certain neurodiagnostic studies can be used to supplement the patients' physical findings and help guide medical management. Finally, rehabilitation services have documented benefit in the TBI population and are being initiated earlier in the course of medical care. This article attempts to review many of these variables and provide information on the clinical outcomes following TBI.

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Management of Patients with Severe Head Injury in the Preclinical Phase

Cited by 28 publications

References 9 publications

Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years

Incidence and Outcome of Traumatic Brain Injury in an Urban Area in Western Europe over 10 Years

Erweitertes medizinisches Qualitätsmanagement am Beispiel der „Tracer“-Diagnose „Polytrauma“

Outcome from traumatic brain injury

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