Association of traumatic brain injury severity and time to definitive care in three low-middle-income European countries
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PEEK-ASA, Corinne L., COMAN, Madalina Adina, ZORN, Alison, CHIKHLADZE, Nino N., CEBANU, Serghei, TADEVOSYAN, Artashes E., HAMANN, Cara. Association of traumatic brain injury severity and time to definitive care in three low-middle-income European countries. In: Injury Prevention, 2022, nr. 1(28), pp. 54-60. ISSN 1353-1353. DOI: https://doi.org/10.1136/injuryprev-2020-044049
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Injury Prevention
Numărul 1(28) / 2022 / ISSN 1353-1353 /ISSNe 1475-5785

Association of traumatic brain injury severity and time to definitive care in three low-middle-income European countries

DOI:https://doi.org/10.1136/injuryprev-2020-044049

Pag. 54-60

Peek-Asa Corinne L.1, Coman Madalina Adina2, Zorn Alison1, Chikhladze Nino N.3, Cebanu Serghei4, Tadevosyan Artashes E.5, Hamann Cara1
 
1 University of Iowa, Iowa City,
2 Babeș-Bolyai University,
3 Ivane Javakhishvili Tbilisi State University,
4 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
5 State Medical University of Yerevan „Mhitar Gerats“
 
 
Disponibil în IBN: 3 martie 2022


Rezumat

Low-middle-income countries experience among the highest rates of traumatic brain injury in the world. Much of this burden may be preventable with faster intervention, including reducing the time to definitive care. This study examines the relationship between traumatic brain injury severity and time to definitive care in major trauma hospitals in three low-middle-income countries. Methods A prospective traumatic brain injury registry was implemented in six trauma hospitals in Armenia, Georgia and the Republic of Moldova for 6 months in 2019. Brain injury severity was measured using the Glasgow Coma Scale (GCS) at admission. Time to definitive care was the time from injury until arrival at the hospital. Cox proportionate hazards models predicted time to care by severity, controlling for age, sex, mechanism, mode of transportation, location of injury and country. Results Among 1135 patients, 749 (66.0%) were paediatric and 386 (34.0%) were adults. Falls and road traffic were the most common mechanisms. A higher proportion of adult (23.6%) than paediatric (5.4%) patients had GCS scores indicating moderate (GCS 9-11) or severe injury (GCS 0-8) (p<0.001). Less severe injury was associated with shorter times to care, while more severe injury was associated with longer times to care (HR=1.05, 95% CI 1.01 to 1.09). Age interacted with time to care, with paediatric cases receiving faster care. Conclusions Implementation of standard triage and transport protocols may reduce mortality and improve outcomes from traumatic brain injury, and trauma systems should focus on the most severe injuries.

Cuvinte-cheie
global, registry, traumatic brain injury