The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study
Abstract Background Mild traumatic brain injury (MTBI) is a frequent medical condition, and some patients report long-lasting problems after MTBI. In order to prevent MTBI, knowledge of the epidemiology is important and potential bias in studies should be explored. Aims of this study were to describ...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13049-018-0495-0 |
| _version_ | 1824011965443342336 |
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| author | Toril Skandsen Cathrine Elisabeth Einarsen Ingunn Normann Stine Bjøralt Rune Hatlestad Karlsen David McDonagh Tom Lund Nilsen Andreas Nylenna Akslen Asta Kristine Håberg Anne Vik |
| author_facet | Toril Skandsen Cathrine Elisabeth Einarsen Ingunn Normann Stine Bjøralt Rune Hatlestad Karlsen David McDonagh Tom Lund Nilsen Andreas Nylenna Akslen Asta Kristine Håberg Anne Vik |
| author_sort | Toril Skandsen |
| collection | DOAJ |
| description | Abstract Background Mild traumatic brain injury (MTBI) is a frequent medical condition, and some patients report long-lasting problems after MTBI. In order to prevent MTBI, knowledge of the epidemiology is important and potential bias in studies should be explored. Aims of this study were to describe the epidemiological characteristics of MTBI in a Norwegian area and to evaluate the representativeness of patients successfully enrolled in the Trondheim MTBI follow-up study. Methods During 81 weeks in 2014 and 2015, all persons aged 16–60 years, presenting with possible MTBI to the emergency department (ED) at St. Olavs Hospital, Trondheim University Hospital or to Trondheim municipal outpatient ED, were evaluated for participation in the follow-up study. Patients were identified by CT referrals and patient lists. Patients who were excluded or missed for enrolment in the follow-up study were recorded. Results We identified 732 patients with MTBI. Median age was 28 years, and fall was the most common cause of injury. Fifty-three percent of injuries occurred during the weekend. Only 29% of MTBI patients were hospitalised. Study specific exclusion criteria were present in 23%. We enrolled 379 in the Trondheim MTBI follow-up study. In this cohort, Glasgow Coma Scale score was 15 at presentation in 73%; 45% of patients were injured under the influence of alcohol. Patients missed for inclusion were significantly more often outpatients, females, injured during the weekend, and suffering violent injuries, but differences between enrolled and not enrolled patients were small. Conclusion Two thirds of all patients with MTBI in the 16–60 age group were treated without hospital admission, patients were often young, and half of the patients presented during the weekend. Fall was the most common cause of injury, and patients were commonly injured under the influence of alcohol, which needs to be addressed when considering strategies for prevention. The Trondheim MTBI follow-up study comprised patients who were highly representative for the underlying epidemiology of MTBI. |
| first_indexed | 2024-12-18T21:42:10Z |
| format | Article |
| id | doaj.art-45b389fecca548249ad79bc11247659a |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-12-18T21:42:10Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-45b389fecca548249ad79bc11247659a2022-12-21T20:50:47ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412018-04-012611910.1186/s13049-018-0495-0The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up studyToril Skandsen0Cathrine Elisabeth Einarsen1Ingunn Normann2Stine Bjøralt3Rune Hatlestad Karlsen4David McDonagh5Tom Lund Nilsen6Andreas Nylenna Akslen7Asta Kristine Håberg8Anne Vik9Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyOrthopaedic Department, St. Olavs Hospital, Trondheim University HospitalDepartment of Public Health and Nursing, NTNU, Faculty of Medicine and Health SciencesDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyAbstract Background Mild traumatic brain injury (MTBI) is a frequent medical condition, and some patients report long-lasting problems after MTBI. In order to prevent MTBI, knowledge of the epidemiology is important and potential bias in studies should be explored. Aims of this study were to describe the epidemiological characteristics of MTBI in a Norwegian area and to evaluate the representativeness of patients successfully enrolled in the Trondheim MTBI follow-up study. Methods During 81 weeks in 2014 and 2015, all persons aged 16–60 years, presenting with possible MTBI to the emergency department (ED) at St. Olavs Hospital, Trondheim University Hospital or to Trondheim municipal outpatient ED, were evaluated for participation in the follow-up study. Patients were identified by CT referrals and patient lists. Patients who were excluded or missed for enrolment in the follow-up study were recorded. Results We identified 732 patients with MTBI. Median age was 28 years, and fall was the most common cause of injury. Fifty-three percent of injuries occurred during the weekend. Only 29% of MTBI patients were hospitalised. Study specific exclusion criteria were present in 23%. We enrolled 379 in the Trondheim MTBI follow-up study. In this cohort, Glasgow Coma Scale score was 15 at presentation in 73%; 45% of patients were injured under the influence of alcohol. Patients missed for inclusion were significantly more often outpatients, females, injured during the weekend, and suffering violent injuries, but differences between enrolled and not enrolled patients were small. Conclusion Two thirds of all patients with MTBI in the 16–60 age group were treated without hospital admission, patients were often young, and half of the patients presented during the weekend. Fall was the most common cause of injury, and patients were commonly injured under the influence of alcohol, which needs to be addressed when considering strategies for prevention. The Trondheim MTBI follow-up study comprised patients who were highly representative for the underlying epidemiology of MTBI.http://link.springer.com/article/10.1186/s13049-018-0495-0Cohort studiesMild traumatic brain injuryCTMedical careEpidemiology |
| spellingShingle | Toril Skandsen Cathrine Elisabeth Einarsen Ingunn Normann Stine Bjøralt Rune Hatlestad Karlsen David McDonagh Tom Lund Nilsen Andreas Nylenna Akslen Asta Kristine Håberg Anne Vik The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Cohort studies Mild traumatic brain injury CT Medical care Epidemiology |
| title | The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study |
| title_full | The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study |
| title_fullStr | The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study |
| title_full_unstemmed | The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study |
| title_short | The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study |
| title_sort | epidemiology of mild traumatic brain injury the trondheim mtbi follow up study |
| topic | Cohort studies Mild traumatic brain injury CT Medical care Epidemiology |
| url | http://link.springer.com/article/10.1186/s13049-018-0495-0 |
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