Incidence of Traumatic Brain Injuries within the Prehospital Trauma Registry System.
J Spec Oper Med
; 24(2): 24-33, 2024 Jun 25.
Article
in En
| MEDLINE
| ID: mdl-38865656
ABSTRACT
BACKGROUND:
Traumatic brain injury (TBI) is often underreported or undetected in prehospital civilian and military settings. This study evaluated the incidence of TBI within the Prehospital Trauma Registry (PHTR) system.METHODS:
We reviewed PHTR and the linked Department of Defense Trauma Registry (DoDTR) records of casualties from January 2003 through May 2019 for diagnostic data and surgical reports.RESULTS:
A total of 709 casualties met inclusion criteria. The most common mechanism was blast, including 328 (51%) in the non-TBI and 45 (63%) in the TBI cohorts. The median injury severity scores in the non-TBI and TBI cohorts were 5 and 14, respectively. The survival scores in the non-TBI and TBI cohorts were 98% and 92%, respectively. Subdural hematomas, followed by subarachnoid hemorrhages were the most common classifiable brain injuries. Other nonspecific TBIs occurred in 85% of the TBI cohort casualties. Seventy-two cases (10%) were documented by the Role 1 clinician. Based on coding or operative data, 15 of the 72 (21%) were identified as TBIs. Of the 637 cases, which could not be decided based on coding or operative data, TBI was suspected in 42 (7%) cases based on Role 1 records.CONCLUSIONS:
Over 1 in 10 casualties presenting to a Role 1 facility had a TBI requiring transfer to a higher level of care. Our findings suggest the need for improved diagnostic technologies and documentation systems at Role 1 facilities for accurate TBI diagnosis and reporting.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Injury Severity Score
/
Registries
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Emergency Medical Services
/
Brain Injuries, Traumatic
Limits:
Adolescent
/
Adult
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Female
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Humans
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Male
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Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
J Spec Oper Med
/
Journal of special operations medicine
Journal subject:
MEDICINA MILITAR
Year:
2024
Document type:
Article
Country of publication: