Trends in demographics and outcome of patients presenting with traumatic brain injury
Objective To analyze the trends in demographics and outcomes of patients presenting with traumatic brain injury by performing a retrospective database review of the Illinois Department of Public Health (IDPH) Trauma Registry. Methods We utilized the IDPH Trauma Registry to retrieve data on patients...
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2019-06-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-18-010.pdf |
| _version_ | 1797895617528201216 |
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| author | Rachel Kadar Daniel Rochford Ellen Omi Yalaunda Thomas Kunal Patel Erik Kulstad |
| author_facet | Rachel Kadar Daniel Rochford Ellen Omi Yalaunda Thomas Kunal Patel Erik Kulstad |
| author_sort | Rachel Kadar |
| collection | DOAJ |
| description | Objective To analyze the trends in demographics and outcomes of patients presenting with traumatic brain injury by performing a retrospective database review of the Illinois Department of Public Health (IDPH) Trauma Registry. Methods We utilized the IDPH Trauma Registry to retrieve data on patients treated for traumatic brain injuries at our large, tertiary care hospital from 2004 to 2012, inclusive. From this data, logistic regression models were used to analyze and compare basic demographics such as age, sex, and clinical outcome. Results Three thousand and thirty-nine patients were analyzed with a mean age of 43 (standard deviation, 24) and a median age of 41 (interquartile range, 23 to 60). Over the study period, patients’ age increased steadily from 32 to 49 years. The percentage of female patients increased, from 16.4% to 27.5% over the last 4 years. Overall mortality was greater for males than females (22.1% vs. 17.3%; odds ratio [OR], 1.36; 95% confidence interval [CI], 1.10 to 1.68). Mortality decreased over the period (OR, 0.88; 95% CI, 0.85 to 0.91), with a greater decrease in females (OR, 0.84; 95% CI, 0.78 to 0.90) than in males (OR, 0.90; 95% CI, 0.86 to 0.94). Conclusion Although the age of patients presenting with traumatic brain injury is increasing substantially, the data suggests that overall mortality appears to be decreasing, and this decrease appears to be greater in females than in males. These changes in trends found in the IDPH Trauma Registry supports the importance for further analysis of other reliable public datasets to identify areas of future study. |
| first_indexed | 2024-04-10T07:28:42Z |
| format | Article |
| id | doaj.art-58688626c86640af88cc25706fca02af |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:28:42Z |
| publishDate | 2019-06-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-58688626c86640af88cc25706fca02af2023-02-24T02:14:43ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252019-06-016211311810.15441/ceem.18.010226Trends in demographics and outcome of patients presenting with traumatic brain injuryRachel Kadar0Daniel Rochford1Ellen Omi2Yalaunda Thomas3Kunal Patel4Erik Kulstad5 Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL, USA Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL, USA Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL, USA Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL, USA MetroHealth Medical Center, Cleveland, OH, USA Department of Emergency Medicine, UT Southwestern Medical Center, Dallas, TX, USAObjective To analyze the trends in demographics and outcomes of patients presenting with traumatic brain injury by performing a retrospective database review of the Illinois Department of Public Health (IDPH) Trauma Registry. Methods We utilized the IDPH Trauma Registry to retrieve data on patients treated for traumatic brain injuries at our large, tertiary care hospital from 2004 to 2012, inclusive. From this data, logistic regression models were used to analyze and compare basic demographics such as age, sex, and clinical outcome. Results Three thousand and thirty-nine patients were analyzed with a mean age of 43 (standard deviation, 24) and a median age of 41 (interquartile range, 23 to 60). Over the study period, patients’ age increased steadily from 32 to 49 years. The percentage of female patients increased, from 16.4% to 27.5% over the last 4 years. Overall mortality was greater for males than females (22.1% vs. 17.3%; odds ratio [OR], 1.36; 95% confidence interval [CI], 1.10 to 1.68). Mortality decreased over the period (OR, 0.88; 95% CI, 0.85 to 0.91), with a greater decrease in females (OR, 0.84; 95% CI, 0.78 to 0.90) than in males (OR, 0.90; 95% CI, 0.86 to 0.94). Conclusion Although the age of patients presenting with traumatic brain injury is increasing substantially, the data suggests that overall mortality appears to be decreasing, and this decrease appears to be greater in females than in males. These changes in trends found in the IDPH Trauma Registry supports the importance for further analysis of other reliable public datasets to identify areas of future study.http://www.ceemjournal.org/upload/pdf/ceem-18-010.pdfbrain injuries, traumaticpatient outcome assessmentdemographyemergency service, hospital |
| spellingShingle | Rachel Kadar Daniel Rochford Ellen Omi Yalaunda Thomas Kunal Patel Erik Kulstad Trends in demographics and outcome of patients presenting with traumatic brain injury Clinical and Experimental Emergency Medicine brain injuries, traumatic patient outcome assessment demography emergency service, hospital |
| title | Trends in demographics and outcome of patients presenting with traumatic brain injury |
| title_full | Trends in demographics and outcome of patients presenting with traumatic brain injury |
| title_fullStr | Trends in demographics and outcome of patients presenting with traumatic brain injury |
| title_full_unstemmed | Trends in demographics and outcome of patients presenting with traumatic brain injury |
| title_short | Trends in demographics and outcome of patients presenting with traumatic brain injury |
| title_sort | trends in demographics and outcome of patients presenting with traumatic brain injury |
| topic | brain injuries, traumatic patient outcome assessment demography emergency service, hospital |
| url | http://www.ceemjournal.org/upload/pdf/ceem-18-010.pdf |
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