Epidemiology of Mild Brain Injury

Kraus, Jess F.; McArthur, David L.; Silberman, T

doi:10.1055/s-2008-1041052

Cited by 89 publications

(74 citation statements)

References 1 publication

(1 reference statement)

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“…In the studied sample, there was a predominance of young adult males, which is corroborated by other series described 4,5,6,7,8 . There was a higher prevalence of severe TBI, due to the research scenario: the intensive care unit.…”

Section: Discussionsupporting

confidence: 90%

Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit

Almeida¹,

Rodrigues

Lemos

et al. 2016

Arq. Neuro-Psiquiatr.

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Objective To identify the factors associated with the intra-hospital mortality in patients with traumatic brain injury (TBI) admitted to intensive care unit (ICU). Methods The sample included patients with TBI admitted to the ICU consecutively in a period of one year. It was defined as variables the epidemiological characteristics, factors associated with trauma and variables arising from clinical management in the ICU. Results The sample included 87 TBI patients with a mean age of 28.93 ± 12.72 years, predominantly male (88.5%). The intra-hospital mortality rate was of 33.33%. The initial univariate analysis showed a significant correlation of intra-hospital death and the following variables: the reported use of alcohol (p = 0.016), hemotransfusion during hospitalization (p = 0.036), and mechanical ventilation time (p = 0.002). Conclusion After multivariate analysis, the factors associated with intra-hospital mortality in TBI patients admitted to the intensive care unit were the administration of hemocomponents and mechanical ventilation time.

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Section: Discussionsupporting

confidence: 90%

Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit

Almeida¹,

Rodrigues

Lemos

et al. 2016

Arq. Neuro-Psiquiatr.

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“…[14]. It accounts for 70 to 80 percent of TBI in the United States [15][16][17]. Individuals ranged in age from 24 to 70 years (mean ± standard deviation: 45.7 ± 3.1 yr).…”

Section: Subjectsmentioning

confidence: 99%

Vergence in mild traumatic brain injury: A pilot study

Szymanowicz

Ciuffreda²,

Thiagarajan³

et al. 2012

JRRD

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Abstract-Vergence dysfunction in individuals with mild traumatic brain injury (mTBI) may have a negative effect on quality of life, functional abilities, and rehabilitative progress. In this study, we used a range of dynamic and static objective and subjective measures of vergence to assess 21 adult patients with mTBI and nearwork symptoms. The results were compared with 10 control adult subjects. With respect to dynamic parameters, responses in those with mTBI were slowed, variable, and delayed. With respect to static parameters, reduced near point of convergence and restricted near vergence ranges were found in those with mTBI. The present results provide evidence for the substantial adverse effect of mTBI on vergence function.

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“…Traumatic brain injury (TBI) is one the most frequent causes of the world's morbimortality 1 . It turns productive and young individuals into dependent patients who usually require decades of specialized and highly expensive care.…”

mentioning

confidence: 99%

Clinical application of magnetic resonance in acute traumatic brain injury

Morais

Spotti

Tognola

et al. 2008

Arq. Neuro-Psiquiatr.

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-Purpose:To evaluate the clinical applications of magnetic resonance imaging (MRI) in patients with acute traumatic brain injury (TBI): to identify the type, quantity, severity; and improvement clinical-radiological correlation. Method: Assessment of 55 patients who were imaged using CT and MRI, 34 (61.8%) males and 21 (38.2%) females, with acute (0 to 5 days) and closed TBI. Results: Statistical significant differences (McNemar test): ocurred fractures were detected by CT in 29.1% and by MRI in 3.6% of the patients; subdural hematoma by CT in 10.9% and MRI in 36.4 %; diffuse axonal injury (DAI) by CT in 1.8% and MRI in 50.9%; cortical contusions by CT in 9.1% and MRI in 41.8%; subarachnoid hemorrhage by CT in 18.2% and MRI in 41.8%. Conclusion: MRI was superior to the CT in the identification of DAI, subarachnoid hemorrhage, cortical contusions, and acute subdural hematoma; however it was inferior in diagnosing fractures. The detection of DAI was associated with the severity of acute TBI.Key woRDS: magnetic resonance imaging, traumatic brain injury. Aplicação clínica da ressonância magnética em pacientes com traumatismo craniencefálico agudoResumo -Propósito: Avaliar a aplicação clínica da ressonância magnética (RM) em pacientes vítimas de traumatismo craniencefálico (TCe) agudo, na identificação do tipo, número, gravidade e correlação clínica-radiológica. Método: Foram estudados prospectivamente 55 pacientes vítimas de TCe agudo fechado (0-5 dias), por TC e RM, sendo 34 do sexo masculino e 21 do feminino. Resultados: Houve diferença estatisticamente significante (teste McNemar): fraturas de crânio foram detectadas em 29,1% pacientes na TC e 3,6% pela RM; hematoma subdural 10,9% na TC e 36,4% pela RM; lesão axonal difusa (LAD) 1,8% pela TC e 50,9% na RM; contusões corticais 9,1% na TC e 41,8% pela RM, hemorragia subaracnóidea 18,2% na TC e 41,8% pela RM. Conclusão: A RM foi superior à TC na identificação da LAD, hemorragia subaracnóidea, contusões corticais e hematoma subdural agudo, porém inferior no diagnóstico de fraturas. A detecção de LAD pela RM foi associada com maior gravidade do TCe agudo. PALAVRAS-CHAVe: ressonância magnética, traumatismo craniencefálico.

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Epidemiology of Mild Brain Injury

Cited by 89 publications

References 1 publication

Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit

Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit

Vergence in mild traumatic brain injury: A pilot study

Clinical application of magnetic resonance in acute traumatic brain injury

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