Blunt versus penetrating violent traumatic brain injury: frequency and factors associated with secondary conditions and complications.
J Head Trauma Rehabil
; 17(6): 489-96, 2002 Dec.
Article
em En
| MEDLINE
| ID: mdl-12802240
ABSTRACT
OBJECTIVE:
To compare types and frequency of medical complications and comorbidities associated with violence-related penetrating traumatic brain injury (TBI) as compared to violence-related blunt TBI.METHOD:
Data were collected prospectively at four medical centers participating in the TBI Model Systems (TBIMS) of Care project. A total of 317 individuals met the inclusion criteria for the TBIMS (i.e., showed evidence of a TBI, were age 16 or older, presented to the TBIMS emergency department within 24 hours of injury, and received acute and rehabilitation services within the model system). MAIN OUTCOMEMEASURES:
Frequency of medical complications and comorbid diseases.RESULTS:
Patients with penetrating injuries suffered significantly higher rates of respiratory failure (P =.004), pneumonitis/pneumonia, (P =.002), skull fracture (P =.001), cerebrospinal fluid leak (P =.0005), and hypotonia (P =.001) than did patients with blunt injuries. Prediction of complications and comorbidities via multiple regression revealed that a penetrating violent injury and the severity of injury were independent predictors of a higher rate of medical complications, whereas age and gender did not account for unique variance in the equation.CONCLUSIONS:
Penetrating injuries are associated with higher rates of certain medical complications, especially to the pulmonary and central nervous systems. Acute care physicians and physiatrists must be prepared to treat these complications more often in patients with penetrating injuries.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Violência
/
Ferimentos não Penetrantes
/
Ferimentos Penetrantes
/
Lesões Encefálicas
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Head Trauma Rehabil
Assunto da revista:
REABILITACAO
/
TRAUMATOLOGIA
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Estados Unidos