Epidemiology and Pattern of Traumatic Brain Injury in a Developing Country Regional Trauma Center

Saatian, Mohammad Reza; Ahmadpoor, Jamal; Mohammadi, Younes; Mazloumi, Ehsan

doi:10.29252/beat-060107

Cited by 42 publications

(36 citation statements)

References 24 publications

(25 reference statements)

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“…TBI is found to be common among children and young adults. In addition, males are more predisposed to suffer from TBI compared with females due to higher risks for RTI and violence-related injuries 6…”

Section: Introductionmentioning

confidence: 99%

Causes and outcomes of traumatic brain injuries in Uganda: analysis from a pilot hospital registry

Zia

Mehmood

Namaganda

et al. 2019

Trauma Surg Acute Care Open

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BackgroundTraumatic brain injury (TBI) is an important cause of morbidity and mortality in low/middle-income countries. The objective was to assess causes and outcomes of unintentional and intentional TBI among patients presenting to a tertiary care hospital in Uganda.MethodsThis study was conducted at Mulago National Referral Hospital, Kampala, Uganda, for 15 months in 2016–2017. Patients of all ages, males and females, presenting to the emergency department with suspected or documented TBI were enrolled. Patient demographics, TBI causes and outcomes were recorded. The outcome of interest was unintentional and intentional TBI.ResultsIntent was known for 3749 patients, of these 69.7% were unintentional TBI and 30.3% were intentional TBI. The average age of patients in both groups was similar (28±14 years) with over 70% of patients between 19 and 45 years age group. About 80% were males in both groups. The main causes of unintentional TBI were road traffic injuries (RTI) (88.9%) and falls (11.1%). Pedestrians (42.1%) and motorcycle drivers (28.1%) were the most common road users. Among patients with unintentional TBI, about 43.6% were admitted, 34.0% were sent home. There were 73 deaths: 63 were patients with RTI and 10 had a fall. Although assault (97.1%) was the main cause of intentional TBI, those patients with self-harm were likely to be in severe Glasgow Coma Scale range (39.4%) compared with victims of assault (14.2%). Among patients with intentional TBI, 42.6% were admitted and 37.1% were sent home. There were 30 deaths: 29 were assault victims and 1 of self-harm.DiscussionUnintentional TBI caused by RTI and intentional TBI caused by assault are common among young males attending Mulago Hospital in Kampala.Level of evidenceProspective observational study, level III.

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Section: Introductionmentioning

confidence: 99%

Causes and outcomes of traumatic brain injuries in Uganda: analysis from a pilot hospital registry

Zia

Mehmood

Namaganda

et al. 2019

Trauma Surg Acute Care Open

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“…Rio Branco (AC), Brazil. E-mail: Francisco.jose.queiroz@hotmail.com ORCID iD: https://orcid.org/0000-0001-8255-8080; 3 PhD (Postdoctoral student), Federal University of Acre / UFAC. Rio Branco (AC), Brazil.…”

Section: Nursementioning

confidence: 99%

“…2 The increase in incidence is particularly noticeable in developing countries. 3 It is known that in the United States, TBI is the third most frequent cause of death among young people and adults 4 and it is estimated that, annually, 1.7 million cases of TBI are recorded with 52 thousand deaths, for about 80% of trauma deaths in children. 1 It is estimated that, in Brazil, the mortality rate from TBI is between 26.2 and 39.3 cases per 100 thousand inhabitants, 4 being responsible for high mortality rates, 1 with a higher prevalence among young males.…”

Section: Original Articlementioning

confidence: 99%

Fatores relacionados ao óbito em pacientes com traumatismo cranioencefálico

Israel

Queiroz²,

Amaral

et al. 2019

Rev enferm UFPE on line.

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Objective: to identify the epidemiological profile and the factors related to death in critical patients who suffered traumatic brain injury. Method: this is a quantitative, descriptive and cross-sectional study, whose data collection was performed, and the information analyzed in the medical records. Descriptive statistics and Fisher's exact test were used with p-value <0.05 as significant. The results are presented in the table. Results: it was revealed that of the 61 patients, 80.3% were male; 72.1% were <40 years of age; in 72.5% the trauma occurred due to a motorcycle accident; 91.8% were considered serious; 65.5%, circulatory insufficiency; 48.1% had sequelae on discharge due to neurological deficit and 32.7% due to motor deficit and 16.4% died. It was added that males (p-value = 0.02) and circulatory insufficiency (p-value = 0.05) had a correlation with death. Conclusion: it was identified that most of the patients were young men, with motorcycle trauma, they presented severe, with sequels and the death was related to the male sex and the circulatory insufficiency. It is believed that the percentage of deaths was not high, but morbidity was high. Descriptors: Intensive Care Units; Craniocerebral Trauma; Morbidity; Epidemiology; Mortalitty; Patient Care.RESUMOObjetivo: identificar o perfil epidemiológico e os fatores relacionados ao óbito em pacientes críticos que sofreram traumatismo cranioencefálico. Método: trata-se de um estudo quantitativo, descritivo e transversal, com coleta de dados em prontuários. Realizaram-se estatísticas descritivas e o teste exato de Fisher adotando-se p-valor <0,05 como significativo. Apresentam-se os resultados em tabela. Resultados: revelam-se que, dos 61 pacientes, 80,3% eram do sexo masculino; 72,1% tinham <40 anos de idade; em 72,5% o traumatismo ocorreu por acidente motociclístico; 91,8% foram considerados graves; 65,5%, insuficiência circulatória; 48,1% apresentaram sequelas na alta por deficit neurológico e 32,7% por deficit motor e 16,4% foram a óbito. Acrescenta-se que o sexo masculino (p-valor = 0,02) e a insuficiência circulatória (p-valor = 0,05) apresentaram correlação com o óbito. Conclusão: identificou-se que a maioria dos pacientes era homens jovens, com trauma por motocicletas, apresentaram-se graves, com sequelas e o óbito relacionou-se com o sexo masculino e a insuficiência circulatória. Acredita-se que o percentual de óbitos não foi alto, porém, a morbidade foi elevada. Descritores: Unidades de Terapia Intensiva; Traumatismos Craniocerebrais; Morbidade; Epidemiologia; Mortalidade; Assistência ao Paciente.RESUMENObjetivo: identificar el perfil epidemiológico y los factores relacionados al óbito en pacientes críticos que sufrieron traumatismo craneoencefálico. Método: se trata de un estudio cuantitativo, descriptivo y transversal, cuya recolección de datos fue realizada y analizadas las informaciones en prontuarios. Se realizaron estadísticas descriptivas y la prueba exacta de Fisher adoptando p-valor <0,05 como significativo. Se presentan los resultados en tabla. Resultados: se revelan que, de los 61 pacientes, el 80,3% eran del sexo masculino; 72,1% tenían <40 años de edad; en el 72,5% el traumatismo ocurrió por accidente motociclístico; el 91,8% se consideró grave; 65,5%, insuficiencia circulatoria; 48,1% presentaron secuelas en la alta por déficit neurológico y 32,7% por déficit motor y el 16,4% fueron a muerte. Se añade que el sexo masculino (p-valor = 0,02) y la insuficiencia circulatoria (p-valor = 0,05) presentaron correlación con el óbito. Conclusión: se identificó que la mayoría de los pacientes eran hombres jóvenes, con trauma por motocicletas, se presentaron graves, con secuelas y el óbito se relacionó con el sexo masculino y la insuficiencia circulatoria. Se cree que el porcentaje de muertes no fue alto, pero la morbilidad fue elevada. Descriptores: Unidades de Cuidados Intensivos; Traumatismos Craneocerebrales; Morbilidad; Epidemiología; Mortalidad; Atención al Paciente.

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“…In Iran, 76% of the deaths were caused by non-communicable diseases. Of these, 13% were due to different types of cancers and these are the second causes of non-accidental deaths, following cardiovascular deaths [5,6].…”

Section: Introductionmentioning

confidence: 99%

Common Cancers Among Kurdish People in the Northwest of Iran: Current Status and Future Prospects

Hosseini

Fereidunian

Jamshidi

et al. 2018

SN Compr. Clin. Med.

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Northwest of Iran is a high-risk area with the highest annual incidence of cancers. Despite the growing epidemic of incidence of cancers, little information is available about that in the Kurdistan region. This was a cross-sectional epidemiological study during 2010-2015. The crude incidence rates (CRs) and age-standardized incidence rates (ASRs) were calculated per 100,000 people by different categories. Of 9218 patients, 5320 (57.71%) were male. The mean ages were 63.4 (± 21.43) and 55.8 (± 18.50) for male and female, respectively. The most common cancer (cases/100,000, percentage) among male gender was stomach cancer (24.23, 22%) and among female gender was breast cancer (18.38, 24%). Besides skin cancer, other most common cancers were bladder (12.33, 11%), colorectal (11.78, 11%), and esophageal (11.14, 10%) cancers in men. Esophageal (9.57, 13%), colorectal (8.68, 11%), and stomach (8.34, 11%) were the common cancers among women. The overall ASR of cancers was 94.98 and 131.99 per 100,000 among females and males. The standard sex ratio (male to female) was 1.39. Broadly applying effective prevention measures such as vaccination, use of early detection tests, awareness campaign, and lifestyle modifications could be adopted by local health authority for the reduction of such important public health priority.

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Epidemiology and Pattern of Traumatic Brain Injury in a Developing Country Regional Trauma Center

Cited by 42 publications

References 24 publications

Causes and outcomes of traumatic brain injuries in Uganda: analysis from a pilot hospital registry

Causes and outcomes of traumatic brain injuries in Uganda: analysis from a pilot hospital registry

Fatores relacionados ao óbito em pacientes com traumatismo cranioencefálico

Common Cancers Among Kurdish People in the Northwest of Iran: Current Status and Future Prospects

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