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Vol.3 , No. 1, Publication Date: Feb. 5, 2018, Page: 16-25
 is a very usual event, associated with very high morbidity’s rate. Moreover, the mild TBI consume a lot of resources, both human and financial. The target of this study was to describe a large series of adult patients suffering mild TBI, treated at the University Hospital of Getafe, between 2010 and 2015 (n = 2480), studying the epidemiological profile and analyzing the diagnosis and treatment, to establish the main prognostic factors that influence the final result. A retrospective study has been performed, reviewing medical history. Mild TBI is more common in men, and the most common causative mechanism is the traffic accident, in our region. A model for classifying patients according to risk groups is proposed, which divided them into low, intermediate or high risk, which correlates well with the final result. The indication of skull radiography and computed tomography (CT) has been studied, as well as hospital admission for clinical observation. In this study, the presence of neurological focus on clinical examination, the existence of fracture on plain radiographs, the age and the coagulation disorders are associated with increased likelihood of developing intracranial, and worse prognosis in patients that suffer traumatic injuries. The Glasgow Coma Scale is deficient in determining the outcome of the patient suffering TBI, because do not consider factors such as amnesia or loss of consciousness, very common in patients suffering mild head trauma.&picture=http://www.aascit.org/aascit/decorators/img/journal/829.jpg)
| [1] | José Manuel Ortega Zufiría, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
| [2] | Pilar Jerez Fernández, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
| [3] | Pedro Poveda Núñez, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
| [4] | Martin Tamarit Degenhardt, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
| [5] | Remedios López Serrano, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
| [6] | Noemí Lomillos Prieto, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
| [7] | Bernardino Choque Cuba, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
| [8] | Mario Sierra Rodríguez, Neurosurgery Department, University Hospital of Getafe, Madrid, Spain. |
Traumatic brain injury (TBI) is a very usual event, associated with very high morbidity’s rate. Moreover, the mild TBI consume a lot of resources, both human and financial. The target of this study was to describe a large series of adult patients suffering mild TBI, treated at the University Hospital of Getafe, between 2010 and 2015 (n = 2480), studying the epidemiological profile and analyzing the diagnosis and treatment, to establish the main prognostic factors that influence the final result. A retrospective study has been performed, reviewing medical history. Mild TBI is more common in men, and the most common causative mechanism is the traffic accident, in our region. A model for classifying patients according to risk groups is proposed, which divided them into low, intermediate or high risk, which correlates well with the final result. The indication of skull radiography and computed tomography (CT) has been studied, as well as hospital admission for clinical observation. In this study, the presence of neurological focus on clinical examination, the existence of fracture on plain radiographs, the age and the coagulation disorders are associated with increased likelihood of developing intracranial, and worse prognosis in patients that suffer traumatic injuries. The Glasgow Coma Scale is deficient in determining the outcome of the patient suffering TBI, because do not consider factors such as amnesia or loss of consciousness, very common in patients suffering mild head trauma.
Keywords
Brain Injuries, Prognosis, Diagnostic Techniques and Procedures
Reference
| [01] | Nguyen R, Fiest KM, McChesney J, Kwon CS, Jette N, Frolkis AD, Atta C, Mah S, Dhaliwal H, Reid A, Pringsheim T, Dykeman J, Gallagher C. The International Incidence of Traumatic Brain Injury: A Systematic Review and Meta-Analysis. Can JNeurol Sci. 2016; 27: 1-12. |
| [02] | Barker-Collo S, Theadom A, Jones K, Feigin VL, Kahan M. Accuracy of an International Classification of Diseases Code Surveillance System in the Identification of Traumatic Brain Injury. Neuroepidemiology. 2016; 47 (1): 46-52. |
| [03] | Thompson FJ, Hou J, Bose PK. Closed-Head TBI Model of Multiple Morbidity. Methods Mol Biol. 2016; 1462: 521-36. |
| [04] | Pülhorn H, Westmoreland L, McMahon C. The management of minor head trauma (GCS 15-13) across a Trauma Network. Br J Neurosurg. 2016; 30 (5): 536-40. |
| [05] | Morrison CA, Gross BW, Cook AD, Estrella L, Gillio M, Alzate J, Vogel A, DallyJ, Wu D, Rogers FB. An analysis of neurosurgical practice patterns and outcomesfor serious to critical traumatic brain injuries in a mature trauma state. JTrauma Acute Care Surg. 2016; 80 (5): 755-61. |
| [06] | Sauter TC, Ziegenhorn S, Ahmad SS, Hautz WE, Ricklin ME, Leichtle AB, Fiedler GM, Haider DG, Exadaktylos AK. Age is not associated with intracranial haemorrhage in patients with mild traumatic brain injury and oral anticoagulation. J Negat Results Biomed. 2016; 15 (1): 12. |
| [07] | Livingston DH, Lavery RF, Passannante MR, Skurnick JH, Baker S, Fabian TC, Fry DE, Malangoni MA. Emergency department discharge of patients with a negative cranial computed tomography scan after minimal head injury. Ann Surg. 2000; 232 (1): 126-32. |
| [08] | Thiruppathy SP, Muthukumar N. Mild head injury: revisited. Acta Neurochir (Wien). 2004; 146 (10): 1075-82. |
| [09] | Shetty VS, Reis MN, Aulino JM, Berger KL, Broder J, Choudhri AF, Kendi AT, Kessler MM, Kirsch CF, Luttrull MD, Mechtler LL, Prall JA, Raksin PB, Roth CJ, Sharma A, West OC, Wintermark M, Cornelius RS, Bykowski J. ACR Appropriateness Criteria Head Trauma. J Am Coll Radiol. 2016; 13 (6): 668-79. |
| [10] | Uccella L, Zoia C, Perlasca F, Bongetta D, Codecà R, Gaetani P. Mild Traumatic Brain Injury in Patients on Long-Term Anticoagulation Therapy: Do They Really Need Repeated Head CT Scan? World Neurosurg. 2016; 93: 100-3. |
| [11] | Stocker R, Letta C. [Minor Head Injury – a Silent Epidemic]. Praxis (Bern 1994). 2016; 105 (10): 569-75. |
| [12] | Pearn ML, Niesman IR, Egawa J, Sawada A, Almenar-Queralt A, Shah SB, Duckworth JL, Head BP. Pathophysiology Associated with Traumatic Brain Injury: Current Treatments and Potential Novel Therapeutics. Cell Mol Neurobiol. 2016; (8): 6. Review. |
| [13] | Gonschorek AS, Schwenkreis P, Guthke T. [Mental disorders after mild traumatic brain injury]. Nervenarzt. 2016; 87 (5): 567-79. |
| [14] | Viola-Saltzman M, Musleh C. Traumatic brain injury-induced sleep disorders. Neuropsychiatr Dis Treat. 2016; 12: 339-48. |
| [15] | Scott KL, Strong CA, Gorter B, Donders J. Predictors of Post-concussion Rehabilitation Outcomes at Three-month Follow-up. Clin Neuropsychol. 2016; 30 (1): 66-81. |
