Moderate and severe traumatic brain injury in general hospitals: a ten-year population-based retrospective cohort study in central Norway

Patients with moderate and severe traumatic brain injury (TBI) are admitted to general hospitals (GHs) without neurosurgical services, but few studies have addressed the management of these patients. This study aimed to describe these patients, the rate of and reasons for managing patients entirely...

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Bibliographic Details
Published in:Scandinavian journal of trauma, resuscitation and emergency medicine resuscitation and emergency medicine, 2022-12, Vol.30 (1), p.68-68, Article 68
Main Authors: Rahim, Shavin, Laugsand, Eivor Alette, Fyllingen, Even Hovig, Rao, Vidar, Pantelatos, Rabea Iris, Müller, Tomm Brostrup, Vik, Anne, Skandsen, Toril
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Anticoagulants
Brain
Brain Injuries, Traumatic - diagnosis
Brain Injuries, Traumatic - epidemiology
Brain Injuries, Traumatic - therapy
Cohort analysis
Consultants
Craniocerebral trauma
Emergency medical care
General hospitals
Glasgow Coma Scale
Hospital care
Hospitals
Hospitals, General
Humans
Infant
Injuries
Medical imaging
Medical records
Original Research
Patients
Population-based studies
Referral and consultation
Retrospective Studies
Statistics
Tertiary care centers
Trauma
Trauma Centers
Traumatic brain injuries
Traumatic brain injury
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Description
Summary:Patients with moderate and severe traumatic brain injury (TBI) are admitted to general hospitals (GHs) without neurosurgical services, but few studies have addressed the management of these patients. This study aimed to describe these patients, the rate of and reasons for managing patients entirely at the GH, and differences between patients managed entirely at the GH (GH group) and patients transferred to the regional trauma centre (RTC group). We specifically examined the characteristics of elderly patients. Patients with moderate (Glasgow Coma Scale score 9-13) and severe (score ≤ 8) TBIs who were admitted to one of the seven GHs without neurosurgical services in central Norway between 01.10.2004 and 01.10.2014 were retrospectively identified. Demographic, injury-related and outcome data were collected from medical records. Head CT scans were reviewed. Among 274 patients admitted to GHs, 137 (50%) were in the GH group. The transferral rate was 58% for severe TBI and 40% for moderate TBI. Compared to the RTC group, patients in the GH group were older (median age: 78 years vs. 54 years, p 
ISSN:1757-7241
1757-7241
DOI:10.1186/s13049-022-01050-0