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Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study

ABSTRACT: Traumatic brain injury (TBI) represents a common cause of presentation in the emergency room and is considered a major health problem all over the world. Our study objective was to provide a regional perspective from a county hospital regarding epidemiologic aspect of TBI in a single year...

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Autores principales: ZORILĂ, A.L., ZORILĂ, M.V., ȚOLESCU, R.Ș., ZĂVOI, R.E., CERNEA, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical University Publishing House Craiova 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320471/
https://www.ncbi.nlm.nih.gov/pubmed/30746166
http://dx.doi.org/10.12865/CHSJ.44.02.13
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author ZORILĂ, A.L.
ZORILĂ, M.V.
ȚOLESCU, R.Ș.
ZĂVOI, R.E.
CERNEA, D.
author_facet ZORILĂ, A.L.
ZORILĂ, M.V.
ȚOLESCU, R.Ș.
ZĂVOI, R.E.
CERNEA, D.
author_sort ZORILĂ, A.L.
collection PubMed
description ABSTRACT: Traumatic brain injury (TBI) represents a common cause of presentation in the emergency room and is considered a major health problem all over the world. Our study objective was to provide a regional perspective from a county hospital regarding epidemiologic aspect of TBI in a single year and to compare it with existing studies. 592 patients fulfilled the inclusions criteria and their characteristics were noted. We observed that the highest rate of TBI was among older people with an age over >60 years with 40.88%, which represented 242 of cases. Middle age adults (40 to 60 years) represented 34.29% whereas young adults were 16.72%. The remaining cases of 8.11% suffered mostly of concussions (80%) and were encountered in the <20 years group. While comparing with the local population of the Dolj County we obtained an incidence of 89.6 per 100.000 people. When discussing gender, we observed that most of the patients were male with a ratio of 2,3:1. Over one year, 132 deaths were cause of TBI, with most of them being related to older age 55.71%, followed by the middle age adults with 37.93%. Direct cost was also assessed with 894.110.523 which represents more than 200.000 euro. Medium cost per patient was 6.296.552 RON, 1414 euro, with most of the patients having a medium admission of 10 days. TBI represents a major problem and perhaps a better assessment and a national program will help enhance the treatment quality and might also help reduce the cost.
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spelling pubmed-63204712019-02-11 Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study ZORILĂ, A.L. ZORILĂ, M.V. ȚOLESCU, R.Ș. ZĂVOI, R.E. CERNEA, D. Curr Health Sci J Original Paper ABSTRACT: Traumatic brain injury (TBI) represents a common cause of presentation in the emergency room and is considered a major health problem all over the world. Our study objective was to provide a regional perspective from a county hospital regarding epidemiologic aspect of TBI in a single year and to compare it with existing studies. 592 patients fulfilled the inclusions criteria and their characteristics were noted. We observed that the highest rate of TBI was among older people with an age over >60 years with 40.88%, which represented 242 of cases. Middle age adults (40 to 60 years) represented 34.29% whereas young adults were 16.72%. The remaining cases of 8.11% suffered mostly of concussions (80%) and were encountered in the <20 years group. While comparing with the local population of the Dolj County we obtained an incidence of 89.6 per 100.000 people. When discussing gender, we observed that most of the patients were male with a ratio of 2,3:1. Over one year, 132 deaths were cause of TBI, with most of them being related to older age 55.71%, followed by the middle age adults with 37.93%. Direct cost was also assessed with 894.110.523 which represents more than 200.000 euro. Medium cost per patient was 6.296.552 RON, 1414 euro, with most of the patients having a medium admission of 10 days. TBI represents a major problem and perhaps a better assessment and a national program will help enhance the treatment quality and might also help reduce the cost. Medical University Publishing House Craiova 2018 2018-03-27 /pmc/articles/PMC6320471/ /pubmed/30746166 http://dx.doi.org/10.12865/CHSJ.44.02.13 Text en Copyright © 2018, Medical University Publishing House Craiova http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an open-access article distributed under the terms of a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License, which permits unrestricted use, adaptation, distribution and reproduction in any medium, non-commercially, provided the new creations are licensed under identical terms as the original work and the original work is properly cited.
spellingShingle Original Paper
ZORILĂ, A.L.
ZORILĂ, M.V.
ȚOLESCU, R.Ș.
ZĂVOI, R.E.
CERNEA, D.
Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study
title Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study
title_full Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study
title_fullStr Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study
title_full_unstemmed Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study
title_short Epidemiology of Traumatic Brain Injury in Oltenia Region: a Retrospective Study
title_sort epidemiology of traumatic brain injury in oltenia region: a retrospective study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320471/
https://www.ncbi.nlm.nih.gov/pubmed/30746166
http://dx.doi.org/10.12865/CHSJ.44.02.13
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