Epidemiological Pattern of Traumatic Brain Injury in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Damara, Fachreza Aryo; Muchamad, Galih Ricci; Anton, Anton; Ramdhani, Alfya Nandika; Channel, Ivan Christian; Faried, Dand Ahmad

doi:10.1016/j.wneu.2022.02.081

Cited by 11 publications

(14 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another two articles from Austria [ 18 ] and Finland [ 19 ] have shown a significant reduction in the incidence of TBIs. The meta-analysis, totaling 18,490 patients from 13 studies, came to the same conclusion [ 10 ]. The primary rationale for the finding is believed to be the lockdown and the stay-at-home strategies during the pandemic, which significantly reduced foot and vehicle traffic [ 20 , 21 , 22 , 23 ], as the leading cause of TBI in Poland [ 24 ] is motor vehicle accidents.…”

Section: Discussionmentioning

confidence: 79%

“…This finding was replicated in two studies from India [ 36 , 37 ] but not in articles from Germany [ 38 ] or Ireland [ 39 ]. Most notably, the recent meta-analysis [ 10 ] has shown that mortality was increased only in low- to middle-income countries. As a high-income country, Poland may be a disturbing exception to this rule.…”

Section: Discussionmentioning

confidence: 99%

“…This, in turn, affected the pattern of trauma, including TBI. It has been reported that lower mobility due to the pandemic resulted in a lower rate of road traffic accidents [ 9 ], but on the other hand, the incidence of violence-related TBIs increased [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Increased Mortality Rate with Lower Incidence of Traumatic Brain Injury during the COVID-19 Pandemic: A National Study

et al. 2022

View full text Add to dashboard Cite

Background: the COVID-19pandemic with the following lockdown strategies have affected virtually all aspects of everyday life. Health services all over the world faced the crisis on an unprecedented scale, hampering timely care delivery. The present study was designed to assess the impact of the COVID-19 outbreak on the incidence and treatment of traumatic brain injuries in Poland. Methods: the data on hospital admissions with traumatic brain injuries as the primary diagnosis were extracted from the National Health Fund of Poland. For the purpose of this study, the search was limited to four relevant diagnosis-related groups. The overall in-house mortality was calculated. Results: there were 115,200 hospitalizations due to traumatic brain injury identified in the database. Overall, in comparison with the average of six prior years, in 2020 the volume of patients with traumatic brain injury dropped by 24.68% while the in-house mortality rate was increased by 26.75%. Conclusions: the COVID-19 pandemic with the resulting lockdown caused a radical reduction in human mobility. It had a profound impact on the incidence of traumatic brain injury, which dropped significantly. At the same time, the mortality rate increased drastically.

show abstract

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Increased Mortality Rate with Lower Incidence of Traumatic Brain Injury during the COVID-19 Pandemic: A National Study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…For example, Grassner et al reported in a large international study that patients who needed neurosurgical intervention from Austrian, Swiss, and Czech centers were fewer during the SARS-CoV-2 pandemic than in previous years [ 25 ]. On the other hand, a recent meta-analysis did not find significant differences in frequencies for moderate and severe TBI before and during the SARS-CoV-2 pandemic [ 28 ]. Our results follow the results of the meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

“…A recent meta-analysis demonstrated that low- and middle-income countries were most affected, where mortality rates increased due to TBI [ 28 ]. In some countries, road accidents paradoxically increased despite lockdowns [ 29 ], while others decreased [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Traumatic Brain Injury during the SARS-CoV-2 Pandemics in Slovenia: A Single Center Study

Laufer

Petek

Rakusa

et al. 2022

JCM

View full text Add to dashboard Cite

(1) Background: The SARS-CoV-2 pandemic had a significant impact on the management of traumatic brain injury (TBI). We aimed to compare the clinical characteristics and outcomes of TBI patients before and during the SARS-CoV-2 pandemic.; (2) Methods: We analyzed depicted data from existing medical records on sex, age, mechanism of injury, clinical performance at admission and discharge, neuroimaging, laboratory values at admission, mortality, duration of hospitalization, and referrals after discharge from the traumatology department for all adult patients during the SARS-CoV-2 pandemic and a year before. Variables were compared using the Chi-square or t-test between both groups.; (3) Results: Most patients had mild (n = 477), followed by moderate (11) and severe (11) TBI. Mild TBI was less frequent during the SARS-CoV-2 period (n = 174 vs. n = 303). The incidence of high falls increased during the SARS-CoV-2 period (14.5% vs. 24.7%; p < 0.05) in the group with mild TBI. Patients had similar mean Glasgow Coma Scales (GCS), Glasgow Outcome Scales-Extended (GOSE), and glucose levels at admission before and during the pandemic. Serum ethanol levels were significantly lower during the SARS-CoV-2 period (1.3 ± 0.7 mmol/L vs. 0.7 ± 1.2 mmol/L; p < 0.001). At discharge, the mean GCS was significantly lower (14.7 ± 1.8 vs. 14.1 ± 0.5; p < 0.05) for patients treated during the SARS-CoV-2 period than before the SARS-CoV-2 period. There were no differences in GOSE; (4) Conclusions: our results demonstrated a significant impact of SARS-CoV-2 pandemic on the frequency, mechanism, and consequences of TBI, and may help improve care for our patients.

show abstract

The Impact of the COVID-19 Shelter-in-Place Order on Traumatic Brain Injuries in San Francisco, California

Madhok

Nardone

Caceres

et al. 2023

The Journal of Emergency Medicine

View full text Add to dashboard Cite

Epidemiological Pattern of Traumatic Brain Injury in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Cited by 11 publications

References 42 publications

The Increased Mortality Rate with Lower Incidence of Traumatic Brain Injury during the COVID-19 Pandemic: A National Study

The Increased Mortality Rate with Lower Incidence of Traumatic Brain Injury during the COVID-19 Pandemic: A National Study

Traumatic Brain Injury during the SARS-CoV-2 Pandemics in Slovenia: A Single Center Study

The Impact of the COVID-19 Shelter-in-Place Order on Traumatic Brain Injuries in San Francisco, California

Contact Info

Product

Resources

About