Epidemiology and prevention of fatal head injuries in Germany – trends and the impact of the reunification

Steudel, Wolf-Ingo; Cortbus, F.; Schwerdtfeger, Karsten

doi:10.1007/s00701-004-0441-y

Cited by 69 publications

(53 citation statements)

References 7 publications

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“…Forty-five per cent of the patients were in the lowest GCS group [3,4] (table 2). Half of the patients in the oldest population had a GCS of 3–4, and 20% of the patients had a GCS of 5–6.…”

Section: Resultsmentioning

confidence: 99%

“…Prevention policies cannot be properly targeted without reliable data on the incidence, demography and external causes of injuries that aid in identifying the high-risk groups [2]. International epidemiological studies have reported changes during the last decades, with decreasing rate trends associated with TBI, incidence, hospitalizations and mortality [3,4]. The creation of regional trauma referral systems (level I trauma centres) and the introduction of standardized clinical procedures, such as guidelines that recommend transfer of severe TBI cases to neurosurgical centres irrespective of the need for neurosurgery, has resulted in significant reductions in TBI-associated mortality and morbidity [5].…”

Section: Introductionmentioning

confidence: 99%

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Incidence of Hospital-Admitted Severe Traumatic Brain Injury and In-Hospital Fatality in Norway: A National Cohort Study

et al. 2012

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Aims: The aims of this study were to assess the incidence of hospital-admitted severe traumatic brain injury (TBI) in the adult population in Norway, and to determine whether there were differences in the epidemiological characteristics of severe TBI between rural and urban regions. Methods: A prospective population-based study on adults with severe TBI admitted to the Norwegian Trauma Referral Centres during the 2-year period (2009–2010). The electronic patient register was searched weekly for ICD-10 diagnoses of intracranial injuries (S06.0–S06.9) to identify patients. Severe TBI was defined as lowest unsedated Glasgow Coma Scale Score ≤8 during the first 24 h after injury. Results: The annual age-adjusted incidence was estimated at 5.2/100,000 in 2009 and 4.1/100,000 in 2010. The highest frequency of hospitalized patients was found among the youngest and the oldest age groups. The most common causes of injury were falls and transport accidents. The highest in-hospital case-fatality rate was found among the oldest patients. There were consistent epidemiological characteristics of severe TBI from both rural and urban regions. Conclusions: The incidence of hospital-admitted patients with severe TBI in this national study supports the declining incidence of TBI reported internationally. No major differences were found in epidemiological characteristics between the urban and rural parts of Norway.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence of Hospital-Admitted Severe Traumatic Brain Injury and In-Hospital Fatality in Norway: A National Cohort Study

et al. 2012

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“…Table 2 gives an overview of 6 other studies conducted in Europe [15,16,17,18,19,20] reporting on the incidence of hospital admissions for TBI across shorter or longer time periods. These studies often focused on different time periods, thus making direct comparisons complex.…”

Section: Discussionmentioning

confidence: 99%

Changing Epidemiological Patterns in Traumatic Brain Injury: A Longitudinal Hospital-Based Study in Belgium

et al. 2017

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Background: Various reports have suggested that epidemiological patterns of Traumatic Brain Injury (TBI) are changing in high-income countries, but the evidence to support this is often indirect and only a few longitudinal studies exist. We aimed to explore epidemiological patterns of TBI in Belgium over a 10-year period. Methods: A retrospective analysis of Minimum Hospital Data provided by Statistics Belgium was performed for the period 2003-2012. ICD-9 classification was used to identify TBI and to differentiate subtypes. The annual incidence of hospital admissions and in-hospital mortality rates were calculated and further differentiated for age, gender and cause of injury. Results: The age-adjusted incidence of hospital admissions decreased by 3.6% per year. An increase in the number of elderly patients with TBI and a decrease in the younger age groups were found. Falls now represent the main cause of TBI. A mortality rate of 6.5 per 100,000 population per year was found and did not change significantly over time. Conclusions: This longitudinal study confirms that epidemiological patterns in TBI are changing: overall incidence is steadily decreasing, but in elderly patients, the incidence is increasing. Falls are the leading cause, occurring most frequently in elderly patients. These changes are relevant for prevention.

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“…Die rasante technische Entwicklung im neurochirurgischen Operationssaal mit Hochleistungsmikroskopen und dem intraoperativen Ultraschall oder den intraoperativen Dopplersonographiegeräten hat entscheidend hierzu beigetragen. So lag die Mortalitätsrate in Deutschland 1972 bei 27,2 pro 100.000 Einwohner und 2000 bei 9 Sterbefällen pro 100.000 Einwohner [22]. Auch nach den Ergebnissen der National Data Trauma Bank (www.facs.org/trauma/ntdb/index.html), dem IMPACT (www.tbi-impact.org), den WHO-Daten [26] und prospektiven bzw.…”

Section: Schlussfolgerungenunclassified

Neuromonitoring und operative Therapie beim schweren Schädel-Hirn-Trauma

Martínez

2015

Trauma Berufskrankh

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Epidemiology and prevention of fatal head injuries in Germany – trends and the impact of the reunification

Cited by 69 publications

References 7 publications

Incidence of Hospital-Admitted Severe Traumatic Brain Injury and In-Hospital Fatality in Norway: A National Cohort Study

Incidence of Hospital-Admitted Severe Traumatic Brain Injury and In-Hospital Fatality in Norway: A National Cohort Study

Changing Epidemiological Patterns in Traumatic Brain Injury: A Longitudinal Hospital-Based Study in Belgium

Neuromonitoring und operative Therapie beim schweren Schädel-Hirn-Trauma

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