Epidemiology and 12-month outcomes from traumatic brain injury in australia and new zealand

The Journal of Trauma
John A MyburghNew Zealand Intensive Care Society Clinical Trials Group

Abstract

An epidemiologic profile of traumatic brain injury (TBI) in Australia and New Zealand was obtained following the publication of international evidence-based guidelines. Adult patients with TBI admitted to the intensive care units (ICU) of major trauma centers were studied in a 6-month prospective inception cohort study. Data including mechanisms of injury, prehospital interventions, secondary insults, operative and intensive care management, and outcome assessments 12-months postinjury were collected. There were 635 patients recruited from 16 centers. The mean (+/-SD) age was 41.6 years +/- 19.6 years; 74.2% were men; 61.4% were due to vehicular trauma, 24.9% were falls in elderly patients, and 57.2% had severe TBI (Glasgow Coma Scale score </=8). Secondary brain insults were recorded in 28.5% and 34.8% underwent neurosurgical procedures before ICU admission. There was concordance with TBI and ICU practice guidelines, although intracranial pressure monitoring was used in 44.5% patients with severe TBI. Twelve-month mortality was 26.9% in all patients and 35.1% in patients with severe TBI. Favorable outcomes at 12 months were recorded in 58.8% of all patients and in 48.5% of patients with severe TBI. In Australia and New Zealand...Continue Reading

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References

Mar 1, 1990·Annals of Neurology·M Goldstein
Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Aug 1, 1983·Journal of Neurosurgery·L F MarshallJ Warren
Jan 1, 1993·British Journal of Neurosurgery·M R FearnsideW A Lewis
Feb 1, 1993·The Journal of Trauma·R M ChesnutM A Foulkes
Jul 1, 1997·Social Science & Medicine·K McGregor, B Pentland
Dec 2, 1998·Journal of Neurosurgery·L E PettigrewG M Teasdale
Apr 24, 1999·Acta neurochirurgica·G D MurrayA Unterberg
Feb 15, 2000·The Journal of Head Trauma Rehabilitation·D J ThurmanJ E Sniezek
May 12, 2000·BMJ : British Medical Journal·K DickinsonI Roberts
Jun 4, 2002·Journal of Neurotrauma·Raj K NarayanLorraine Yurkewicz
Oct 22, 2003·Journal of Neurosurgery·Chantal W P M HukkelhovenAndrew I R Maas
Apr 28, 2004·Australian and New Zealand Journal of Public Health·Amanda Scoggins
Jul 6, 2004·Australian and New Zealand Journal of Public Health·Joan Ozanne-Smith
Sep 1, 2007·The New England Journal of Medicine·UNKNOWN SAFE Study InvestigatorsShirley Vallance

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Citations

Aug 10, 2011·Der Unfallchirurg·C Beynon, A W Unterberg
Feb 28, 2013·Nature Reviews. Neurology·Bob RoozenbeekDavid K Menon
May 3, 2013·The New England Journal of Medicine·Randall M ChesnutCarlos Rondina
Mar 26, 2011·The New England Journal of Medicine·D James CooperUNKNOWN Australian and New Zealand Intensive Care Society Clinical Trials Group
Dec 14, 2012·The New England Journal of Medicine·Randall M ChesnutUNKNOWN Global Neurotrauma Research Group
Dec 25, 2009·Journal of Neurotrauma·Tony FrugierCatriona A McLean
Nov 21, 2009·Journal of Neurotrauma·Ajit A SarnaikRobert S B Clark
Apr 16, 2010·Journal of Neurotrauma·Sherman C SteinSeema S Sonnad
Sep 9, 2010·Journal of Neurotrauma·Sarah C HellewellM Cristina Morganti-Kossmann
Jul 5, 2013·Journal of Neurotrauma·Bernhard WalderJoseph Osterwalder
Apr 25, 2013·Clinical and Experimental Pharmacology & Physiology·Dasuni S AlwisRamesh Rajan
Sep 12, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Rahul RajMarkus B Skrifvars
Mar 1, 2013·International Journal of Emergency Medicine·Latha Ganti SteadUNKNOWN Emergency Medicine Traumatic Brain Injury Research Network Investigators
Sep 21, 2013·Disease Models & Mechanisms·Dhananjay R NamjoshiCheryl L Wellington
Aug 31, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Alexis F TurgeonUNKNOWN Canadian Critical Care Trials Group
Sep 5, 2008·Molecular Medicine·Kathryn BeauchampPhilip F Stahel
Sep 15, 2009·Journal of Neurosurgery·Sherman C SteinOmar M El Falaky
Feb 1, 2011·Journal of Neurosurgery·David W CadotteFarhad Pirouzmand
Jan 1, 2010·Journal of Neurosciences in Rural Practice·A BajracharyaOwen Lewis
Dec 24, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·B Vigué, C Ract
Apr 9, 2014·Critical Care : the Official Journal of the Critical Care Forum·Rahul RajMatti Reinikainen
Jul 29, 2011·Neurocritical Care·P D Le RouxJ I Suarez
Aug 31, 2012·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Asher A MendelsonDonald E G Griesdale
Jul 11, 2014·Journal of Neurotrauma·Rahul RajJari Siironen
Feb 15, 2011·Journal of Women's Health·Karen L SabanTheresa Louise-Bender Pape
Feb 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M M F AubuchonP R G Brink
Apr 26, 2011·British Journal of Neurosurgery·G FullerF Lecky
Jun 3, 2011·Brain Injury : [BI]·Marek MajdanIngrid Wilbacher
May 11, 2012·Brain Injury : [BI]·James E HarrisonLisa M Jamieson
Nov 14, 2008·Brain Injury : [BI]·Ian J BaguleyShameran Slewa-Younan
Feb 25, 2015·Archives of Physical Medicine and Rehabilitation·Gurjit K ToorAngela Colantonio
Dec 2, 2015·Journal of Clinical Nursing·Duncan McKechnieJulie Pryor
Apr 16, 2011·World Neurosurgery·Patrick GeorgoffSherman C Stein

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