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Trends in Hospitalization Associated with TBI in an Urban Level 1 Trauma Centre

Published online by Cambridge University Press:  20 October 2014

Elaine de Guise ,
Joanne LeBlanc ,
Jehane Dagher ,
Simon Tinawi ,
Julie Lamoureux ,
Judith Marcoux ,
Mohammed Maleki  and
Mitra Feyz
Elaine de Guise*
Affiliation:
Neurology and Neurosurgery Department, McGill University Health Centre Psychology Department, University of Montreal, Montreal, Quebec, Canada
Joanne LeBlanc
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre
Jehane Dagher
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre Physical Medicine and Rehabilitation Service, McGill University Health Centre
Simon Tinawi
Affiliation:
Traumatic Brain Injury Program, McGill University Health Centre Physical Medicine and Rehabilitation Service, McGill University Health Centre
Julie Lamoureux
Affiliation:
Social and Preventive Medicine Department, University of Montreal, Montreal, Quebec, Canada
Judith Marcoux
Affiliation:
Neurology and Neurosurgery Department, McGill University Health Centre
Mohammed Maleki
Affiliation:
Neurology and Neurosurgery Department, McGill University Health Centre
*
Traumatic Brain Injury Program, McGill University Health Centre, Montreal General Hospital site, Room D13-124, 1650 Cedar Avenue, Montreal, Quebec, H3G 1A4, Canada. Email: elaine.de.guise@umontreal.ca.
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Abstract

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Objective:

Traumatic brain injury (TBI) is the single largest cause of death and disability following injury worldwide. The aim of this study was to determine the demographic, clinical, medical and accident related trends for patients with TBI hospitalized in an urban level 1 Trauma Centre.

Methods:

Data were retrospectively collected on individuals (n = 5,642) who were admitted to the Traumatic Brain Injury Program of the McGill University Health Centre - Montreal General Hospital from 2000 to 2011.

Results:

Regression analysis showed a significant upward trend in the yearly number of cases as well as an upward trending by year in the proportion of TBI cases aged 70-years-old or more. The Injury Severity Scale scores were positively associated with year indicating a slight increase in injury severity over the years and there was an increase in patient psychological, social and medical premorbid complexity. In addition, the Extended Glasgow Outcome Scale score tended to become more severe over the years. There was a slight decrease in the proportion of discharges home and in the proportion of deaths.

Conclusions:

These results will help to understand the impact of TBI in an urban Canadian level 1 Trauma Centre. This information should be used to develop public prevention strategies and to educate the community about the risk of TBI especially the risk of falls in the ageing population. These findings can also provide information to help health policy makers plan for future resources.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 41 , Issue 4 , July 2014 , pp. 466 - 475
Copyright
Copyright © The Canadian Journal of Neurological 2014

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