David J Skarupa1, Muhammad Khan2, Albert Hsu3, Firas G Madbak4, David J Ebler5, Brian Yorkgitis6, Gazanfar Rahmathulla7, Dunbar Alcindor8, Bellal Joseph9. 1. Division of Acute Care Surgery, Department of Surgery, College of Medicine, University of Florida, Jacksonville, FL, USA. Electronic address: David.Skarupa@jax.ufl.edu. 2. Division of Trauma, Critical Care, Burn & Emergency Surgery, Department of Surgery, College of Medicine, University of Arizona, Tucson, AZ, USA. Electronic address: mkhan17@surgery.arizona.edu. 3. Division of Acute Care Surgery, Department of Surgery, College of Medicine, University of Florida, Jacksonville, FL, USA. Electronic address: albert.hsu@jax.ufl.edu. 4. Division of Acute Care Surgery, Department of Surgery, College of Medicine, University of Florida, Jacksonville, FL, USA. Electronic address: firas.madbak@jax.ufl.edu. 5. Division of Acute Care Surgery, Department of Surgery, College of Medicine, University of Florida, Jacksonville, FL, USA. Electronic address: david.ebler@jax.ufl.edu. 6. Division of Acute Care Surgery, Department of Surgery, College of Medicine, University of Florida, Jacksonville, FL, USA. Electronic address: brian.yorkgitis2@jax.ufl.edu. 7. Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, FL, USA. Electronic address: gazanfar.rahmathulla@jax.ufl.edu. 8. Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, FL, USA. Electronic address: dunbar.alcindor@jax.ufl.edu. 9. Division of Trauma, Critical Care, Burn & Emergency Surgery, Department of Surgery, College of Medicine, University of Arizona, Tucson, AZ, USA. Electronic address: bjoseph@surgery.arizona.edu.
Abstract
INTRODUCTION: The aim of our study is to analyze the 5 years' trends, mortality rate, and factors that influence mortality after civilian penetrating traumatic brain injury (pTBI). METHODS: We performed a 5-year-analysis of all trauma patients diagnosed with pTBI in the TQIP. Our outcome measures were trends of pTBI. RESULTS: A total of 26,871 had penetrating brain injury over the 5-year period. Mean age was 36.2 ± 18 years. Overall 55% of the patients had severe TBI and mortality rate was 43.8%. There was an increase in the rate of pTBI from 3042/100,000 (2010) to 7578/100,000 trauma admissions (2014) (p < 0.001). The mortality rate has increased from 35% (2010) to 48% (2011) (p < 0.001) followed by a linear decrease in mortality to 40% (2014). Independent predictors of mortality were age, pre-hospital intubation, suicide attempt, and craniotomy/craniectomy. CONCLUSIONS: Incidence and mortality for patients who are brought to hospitals following pTBI have gradually increased over the five-year period. Self-inflicted injury and prehospital intubation were the two most significant predictors of mortality.
INTRODUCTION: The aim of our study is to analyze the 5 years' trends, mortality rate, and factors that influence mortality after civilian penetrating traumatic brain injury (pTBI). METHODS: We performed a 5-year-analysis of all traumapatients diagnosed with pTBI in the TQIP. Our outcome measures were trends of pTBI. RESULTS: A total of 26,871 had penetrating brain injury over the 5-year period. Mean age was 36.2 ± 18 years. Overall 55% of the patients had severe TBI and mortality rate was 43.8%. There was an increase in the rate of pTBI from 3042/100,000 (2010) to 7578/100,000 trauma admissions (2014) (p < 0.001). The mortality rate has increased from 35% (2010) to 48% (2011) (p < 0.001) followed by a linear decrease in mortality to 40% (2014). Independent predictors of mortality were age, pre-hospital intubation, suicide attempt, and craniotomy/craniectomy. CONCLUSIONS: Incidence and mortality for patients who are brought to hospitals following pTBI have gradually increased over the five-year period. Self-inflicted injury and prehospital intubation were the two most significant predictors of mortality.
Authors: D Bieler; E Kollig; L Hackenberg; J H Rathjen; R Lefering; A Franke Journal: Scand J Trauma Resusc Emerg Med Date: 2021-06-13 Impact factor: 2.953