Trends in demographics and outcome of patients presenting with traumatic brain injury

Rachel Kadar, Daniel Rochford, Ellen Omi, Yalaunda Thomas, Kunal Patel, Erik Kulstad

Research output: Contribution to journalArticle

Abstract

Objective To analyze the trends in demographics and outcomes of patients presenting with traumatic brain injury by performing a retrospective database review of the Illinois Department of Public Health (IDPH) Trauma Registry. Methods We utilized the IDPH Trauma Registry to retrieve data on patients treated for traumatic brain injuries at our large, tertiary care hospital from 2004 to 2012, inclusive. From this data, logistic regression models were used to analyze and compare basic demographics such as age, sex, and clinical outcome. Results Three thousand and thirty-nine patients were analyzed with a mean age of 43 (standard deviation, 24) and a median age of 41 (interquartile range, 23 to 60). Over the study period, pa-tients’ age increased steadily from 32 to 49 years. The percentage of female patients increased, from 16.4% to 27.5% over the last 4 years. Overall mortality was greater for males than females (22.1% vs. 17.3%; odds ratio [OR], 1.36; 95% confidence interval [CI], 1.10 to 1.68). Mortality decreased over the period (OR, 0.88; 95% CI, 0.85 to 0.91), with a greater decrease in females (OR, 0.84; 95% CI, 0.78 to 0.90) than in males (OR, 0.90; 95% CI, 0.86 to 0.94). Conclusion Although the age of patients presenting with traumatic brain injury is increasing substantially, the data suggests that overall mortality appears to be decreasing, and this decrease appears to be greater in females than in males. These changes in trends found in the IDPH Trauma Registry supports the importance for further analysis of other reliable public data-sets to identify areas of future study.

Original languageEnglish (US)
Pages (from-to)113-118
Number of pages6
JournalClinical and Experimental Emergency Medicine
Volume6
Issue number2
DOIs
StatePublished - Jun 1 2019

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Demography
Odds Ratio
Confidence Intervals
Registries
Public Health
Mortality
Wounds and Injuries
Logistic Models
Tertiary Healthcare
Tertiary Care Centers
Traumatic Brain Injury
Databases

Keywords

  • Brain injuries
  • Demography
  • Emergency ser-vice
  • Hospital
  • Patient outcome assessment
  • Traumatic

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Trends in demographics and outcome of patients presenting with traumatic brain injury. / Kadar, Rachel; Rochford, Daniel; Omi, Ellen; Thomas, Yalaunda; Patel, Kunal; Kulstad, Erik.

In: Clinical and Experimental Emergency Medicine, Vol. 6, No. 2, 01.06.2019, p. 113-118.

Research output: Contribution to journalArticle

Kadar, Rachel ; Rochford, Daniel ; Omi, Ellen ; Thomas, Yalaunda ; Patel, Kunal ; Kulstad, Erik. / Trends in demographics and outcome of patients presenting with traumatic brain injury. In: Clinical and Experimental Emergency Medicine. 2019 ; Vol. 6, No. 2. pp. 113-118.
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abstract = "Objective To analyze the trends in demographics and outcomes of patients presenting with traumatic brain injury by performing a retrospective database review of the Illinois Department of Public Health (IDPH) Trauma Registry. Methods We utilized the IDPH Trauma Registry to retrieve data on patients treated for traumatic brain injuries at our large, tertiary care hospital from 2004 to 2012, inclusive. From this data, logistic regression models were used to analyze and compare basic demographics such as age, sex, and clinical outcome. Results Three thousand and thirty-nine patients were analyzed with a mean age of 43 (standard deviation, 24) and a median age of 41 (interquartile range, 23 to 60). Over the study period, pa-tients’ age increased steadily from 32 to 49 years. The percentage of female patients increased, from 16.4{\%} to 27.5{\%} over the last 4 years. Overall mortality was greater for males than females (22.1{\%} vs. 17.3{\%}; odds ratio [OR], 1.36; 95{\%} confidence interval [CI], 1.10 to 1.68). Mortality decreased over the period (OR, 0.88; 95{\%} CI, 0.85 to 0.91), with a greater decrease in females (OR, 0.84; 95{\%} CI, 0.78 to 0.90) than in males (OR, 0.90; 95{\%} CI, 0.86 to 0.94). Conclusion Although the age of patients presenting with traumatic brain injury is increasing substantially, the data suggests that overall mortality appears to be decreasing, and this decrease appears to be greater in females than in males. These changes in trends found in the IDPH Trauma Registry supports the importance for further analysis of other reliable public data-sets to identify areas of future study.",
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