Lifetime prevalence of traumatic brain injury with loss of consciousness

Corrigan, John; Yang, Jingzhen; Singichetti, Bhavna; Manchester, Kara; Bogner, Jennifer

doi:10.1136/injuryprev-2017-042371

Cited by 47 publications

(39 citation statements)

References 33 publications

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“…T raumatic brain injury (TBI) of all severities is one of the greatest health care-related problems facing our country and the entire world today [1][2][3][4]. The majority of the 1.7 million estimated TBIs occurring in the United States each year are mild [5].…”

Section: Introductionmentioning

confidence: 99%

The Frequency of Brain CT-Scan Findings in Patients with Scalp Lacerations Following Mild Traumatic Brain Injury; A Cross-Sectional Study

Hamrah¹,

Mehrvarz²,

Mirghassemi³

2018

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Objective: To determine the frequency of the brain CT-scan findings in patients with mild traumatic brain injury (TBI) and scalp lacerations. Methods: This cross-sectional study was conducted during a 1-year period from March 2016 to March 2017 in Level I trauma center in Shiraz, Southern Iran. We included all the adult patients (≥18 years) admitted to our emergency room with mild TBI (GCS on admission of 15) and scalp lacerations. All the patients underwent Brain CT-Scan and the scans were reviewed by two radiologists who were unaware of the patients' clinical findings. The results are reported as proportions and frequencies. Results: Overall we included a total number of 94 patients with minimal TBI who had a scalp laceration on admission. The mean age of the patients was 30.78±8.01 (ranging from 18 to 47) years. There were 58 (61.7%) men and 36 (38.3%) women among the patients. The most common finding of the Brain CT-Scan was subgaleal hematoma in 76 (80.9%) patients followed by base skull base fracture in 7 (7.4%), linear skull fracture in 7 (7.4%), brain contusion in 3 (3.2%) and subdural hematoma in 1 (1.1%). Conclusion:The results of the current study indicate that scalp lacerations are associated with intracranial injuries in about 20% of the patients with mild TBI. Thus brain CT-scan is recommended in all the patients with mild TBI and scalp lacerations.

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Section: Introductionmentioning

confidence: 99%

The Frequency of Brain CT-Scan Findings in Patients with Scalp Lacerations Following Mild Traumatic Brain Injury; A Cross-Sectional Study

Hamrah¹,

Mehrvarz²,

Mirghassemi³

2018

BEAT

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“…These questions were adapted from The Ohio State University TBI Identification Method (OSU TBI-ID) 11 12. A description of the module and its inclusion in the Ohio BRFSS is described elsewhere 9. The study used de-identified, archival data and thus was considered exempt from human subjects review by the host Institutional Review Board.…”

Section: Methodsmentioning

confidence: 99%

“…Consequences of TBI may not all be immediate and continuous, instead emerging or re-emerging later in life 1. Thus, examining lifetime exposure as a risk factor for current health and behavioural functioning would provide a more complete characterisation of the public health burden due to TBI 9. The objective of the current study was to examine the association between lifetime exposure to TBI and current physical health status and health-related risk behaviours among non-institutionalised adults in Ohio.…”

Section: Introductionmentioning

confidence: 99%

Current health status and history of traumatic brain injury among Ohio adults

et al. 2019

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IntroductionLifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) is prevalent in 21% of adult, non-institutionalised residents of Ohio. Prior history has been associated with lower incomes, inability to work and disability. The current study sought to evaluate the relationship between lifetime history and adverse health conditions.MethodsData came from the 2014 Ohio Behavioral Risk Factors Surveillance System, which included a state-specific module eliciting lifetime history of TBI.ResultsNon-institutionalised adults living in Ohio who have had at least one TBI with LOC were more likely to report fair or poor health, more days of poor health, more days when poor health limited activities, being diagnosed with a chronic condition and having less than 7 hours of sleep per night. The relationship with increasing number of TBIs was monotonic, with the likelihood of adverse health increasing as the number increased. A similar relationship was observed for increasing severity of the worst lifetime TBI. Experiencing a first TBI before age 15 was associated with poorer health but was not statistically different than incurring a first after age 15.ConclusionsAdults who have experienced TBI with LOC in their lifetime are two to three times more likely to experience adverse health conditions when compared with same age-matched, sex-matched and race-matched adults without such history. These findings support re-examining the public health burden of TBI in light of lifetime exposure and not just the consequences of an index injury.

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“…Estados Unidos causa más de 50,000 muertes, 280000 hospitalizaciones y 2.2 millones de ingresos al servicio de urgencias anualmente 6…”

Section: Corrigan Y Colaboradores (2017) Reportan Que Enunclassified