A population-based study on epidemiology of intensive care unit treated traumatic brain injury in Iceland.

• Published in: Acta Anaesthesiologica Scandinavica
• Main Authors: Jonsdottir, G M, Lund, S H, Snorradottir, B, Karason, S, Olafsson, I H, Reynisson, K, Mogensen, B, Sigvaldason, K
• Other Authors: 1 Natl Univ Hosp Iceland, Dept Anesthesia & Intens Care Med, Reykjavik, Iceland Show the Organization-Enhanced name(s) 2 Univ Iceland, Ctr Publ Hlth Sci, Reykjavik, Iceland Show the Organization-Enhanced name(s) 3 Univ Iceland, Fac Med, Reykjavik, Iceland Show the Organization-Enhanced name(s) 4 Natl Univ Hosp Iceland, Dept Neurosurg, Reykjavik, Iceland Show the Organization-Enhanced name(s) 5 Natl Univ Hosp Iceland, Dept Radiol, Reykjavik, Iceland Show the Organization-Enhanced name(s) 6 Natl Univ Hosp Iceland, Dept Emergency, Reykjavik, Iceland
• Format: Article in Journal/Newspaper
• Language: English
• Published: Wiley 2017
• Subjects: Heilaskaði; Faraldsfræði; AAA12; NEU12; DAI12; EAM12; APACHE; Accidental Falls; Accidents; Traffic; Adolescent; Adult; Age Factors; Aged; 80 and over; Brain Injuries; Traumatic; Child; Preschool; Glasgow Coma Scale; Humans; Iceland; Incidence; Infant; Newborn; Injury Severity Score; Intensive Care Units; Length of Stay; Middle Aged; Retrospective Studies; Sex Factors; Tomography; X-Ray Computed; Young Adult; Smella
• Online Access: http://hdl.handle.net/2336/620175; https://doi.org/10.1111/aas.12869

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn To access publisher's full text version of this article click on the hyperlink below Traumatic brain injury is a worldwide health issue and a significant cause of preventable deaths and disabilities. We aimed to describe population-based data on intensive care treated traumatic brain injury in Iceland over 15 years period. Retrospective review of all intensive care unit admissions due to traumatic brain injury at The National University Hospital of Iceland 1999-2013. Data were collected on demographics, mechanism of injury, alcohol consumption, glasgow come scale upon admission, Injury Severity Scoring, acute physiology and chronic health evaluation II score, length of stay, interventions and mortality (defined as glasgow outcome score one). All computerized tomography scans were reviewed for Marshall score classification. Intensive care unit admissions due to traumatic brain injury were 583. The incidence decreased significantly from 14/100.000/year to 12/100.000/year. Males were 72% and the mean age was 41 year. Majority of patients (42%) had severe traumatic brain injury. The most common mechanism of injury was a fall from low heights (36.3%). The mortality was 18.2%. Increasing age, injury severity score, Marshall score and acute physiology and chronic health evaluation II score are all independent risk factors for death. Glasgow coma scale was not an independent prognostic factor for outcome. Incidence decreased with a shift in injury mechanism from road traffic accidents to falls and an increased rate of traumatic brain injury in older patients following a fall from standing or low heights. Mortality was higher in older patients falling from low heights than in younger patients suffering multiple injuries in road traffic accidents. Age, injury severity score, acute physiology and chronic health evaluation II score and Marshall score are good prognostic factors for outcome. Traumatic brain injury continues to be a ...