Department of Surgery and Perioperative Sciences, Anesthesiology and Intensive Care Medicine, Umeå University, Sweden.
Department of Clinical Science, Neurosciences, Umeå University, Sweden.
Brain Inj. 2022 Jan 28;36(2):191-198. doi: 10.1080/02699052.2022.2034952. Epub 2022 Feb 5.
Generally, to map epidemiological and demographic features of patients with traumatic brain injury (TBI) in Umeå county, Sweden. Specifically, to evaluate the subjects needing a computed tomography (CT) of the head after suffering from TBI and frequencies of 1) intracranial lesions detected with CT, 2) need for neurosurgical intervention and 3) admission to hospital.
Patients with a suspected TBI, undergoing CT within 24 hours of arrival to hospital, were included in a database for evaluation.
Out of 302 patients (63% male), 83% were GCS 13-15, 7% were GCS 9-12 and 10% were GCS <9. The frequency of abnormal CT findings was 23% in GCS 13-15, 67% in GCS 9-12 and 97% in GCS <9. Neurosurgical intervention was needed by 4% of those with GCS 13-15, 52% of those with GCS 9-12 and by 76% of those with GCS <9.
Subjects with GCS 13-15 had higher frequencies of abnormal CT findings, need for neurosurgical intervention and hospital admission than previously reported. A similar trend was observed for patients with GCS 9-12, which can be of serious nature, with a higher frequency of need for neurosurgical intervention than previously described.
总体上，绘制瑞典于默奥县创伤性脑损伤（TBI）患者的流行病学和人口统计学特征图。具体来说，评估因 TBI 而需要进行头部计算机断层扫描（CT）的受试者以及以下三种情况的频率：1）CT 检测到颅内病变的频率，2）需要神经外科干预的频率，3）需要住院治疗的频率。
将在入院后 24 小时内接受 CT 检查的疑似 TBI 患者纳入数据库进行评估。
在 302 名患者中（63%为男性），83%的格拉斯哥昏迷量表（GCS）评分为 13-15，7%的 GCS 评分为 9-12，10%的 GCS 评分<9。GCS 评分为 13-15 的患者中异常 CT 发现的频率为 23%，GCS 评分为 9-12 的患者中异常 CT 发现的频率为 67%，GCS 评分<9 的患者中异常 CT 发现的频率为 97%。GCS 评分为 13-15 的患者中需要神经外科干预的比例为 4%，GCS 评分为 9-12 的患者中需要神经外科干预的比例为 52%，GCS 评分<9 的患者中需要神经外科干预的比例为 76%。
GCS 评分为 13-15 的患者的异常 CT 发现、需要神经外科干预和住院治疗的频率高于之前的报道。GCS 评分为 9-12 的患者也存在类似的趋势，其严重程度可能较高，需要神经外科干预的频率高于之前的描述。
