ABSTRACT

Objective

We assessed for change in the number of admissions, demographics, mechanism, severity, operative management, length of stay, and in-hospital mortality of Traumatic Brain Injury (TBI) in patients admitted to a Neurosurgical Unit (NSU) in the Republic of Ireland in 2017 compared to 25 years previously.

Method

We performed a retrospective cohort study of TBI admissions during 2017 and compared the results with a prospective cohort study covering a one-year period across 1992 and 1993.

Results

In 2017, 184 patients (5.78 per 100,000) were admitted, compared to 225 in 1992/1993 (7.31 per 100,000). Mean age increased by 8.5 years. The contribution of road traffic collisions (RTCs) decreased by 62% while sports injuries increased by 300%, led by soccer. Falls replaced RTCs as the leading mechanism of injury. We report a decrease in severe injuries (GCS≤8) of 52% while mild injuries (GCS≥13) increased by 58%. The number undergoing neurosurgery remained comparable (2017: 55%, 1992/1993: 48%), as did in-hospital mortality (13%, 16%). Mean length of stay decreased by four days.

Conclusion

There has been a sizable change in the landscape of TBI as seen in the Republic of Ireland’s national NSU including in demographics, mechanism of injury, and injury severity.

中文翻译：

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爱尔兰共和国25年后的颅脑外伤：来自神经外科的两个队列比较。

摘要

目的

我们评估了爱尔兰共和国神经外科（NSU）住院患者的颅脑外伤（TBI）的入院次数，人口统计学，机理，严重性，手术管理，住院时间和住院死亡率的变化2017年为25年前。

方法

我们在2017年对TBI入学进行了一项回顾性队列研究，并将结果与​​一项涵盖1992年至1993年为期一年的前瞻性队列研究进行了比较。

结果

与1992/1993年的225名患者（每100,000例7.31）相比，2017年收治184名患者（每100,000例5.78）。平均年龄增加了8.5岁。在足球的带动下，道路交通事故（RTC）的贡献减少了62％，运动伤害增加了300％。跌倒取代了RTC作为伤害的主要机制。我们报告严重伤害（GCS≤8）减少52％，而轻度伤害（GCS≥13）增加58％。接受神经外科手术的人数保持可比性（2017：55％，1992/1993：48％），院内死亡率也是如此（13％，16％）。平均住院时间减少了四天。

结论

从爱尔兰共和国国家NSU可以看出，TBI的格局发生了巨大变化，包括人口统计，伤害机制和伤害严重程度。