Journal of Korean Neurosurgical Society

  • 제62권2호
  • /
  • Pages.243-255
  • /
  • 2019
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Epidemiology and Outcomes of Traumatic Brain Injury in Elderly Population : A Multicenter Analysis Using Korean Neuro-Trauma Data Bank System 2010-2014

  • Eom, Ki Seong (Department of Neurosurgery, Wonkwang University Hospital)
  • 투고 : 2018.01.22
  • 심사 : 2018.05.09
  • 발행 : 2019.03.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective : Although traumatic brain injury (TBI) occurs in people of all age groups, the elderly population is at a particular risk. The proportion of elderly population in the society is markedly increasing and Korea is one of the most rapidly aging societies. Here, we analyzed the data from 904 patients older over 65 years who were registered in the Korean Neuro-Trauma Data Bank System (KNTDBS). Methods : The Korean Society of Neurotraumatology recorded data from 20 institutions between September 2010 and March 2014. This retrospective study examined the clinical epidemiology, sex difference, outcome epidemiology, sociodemographic variables, and outcomes in the geriatric population related to TBI based on data from the KNTDBS. Results : The study included 540 men and 364 women. The age distributions in the male and female groups were statistically significantly different. The most common cause of trauma was a fall and diagnosis was acute subdural hematoma. The incidence was the highest in men aged 80-84 years and in women aged 75-79 years. The most common time of arrival to hospital after TBI was within 1 hour and 119 rescue team provided first aid earliest to patients with TBI. The mortality rate stratified according to the cause of trauma was significantly different, with mortality rates of 3.77% in fall and 11.65% in traffic accident. The mortality rates according the severity of brain injury, Glasgow Coma Scale score, and treatment were statistically significant. Conclusion : To our knowledge, this study is the first to focus on elderly patients with TBI in Korea and particularly investigate mortality and characteristics related to TBI-related death based on data from the KNTDBS. Although the study has some limitations, our results may be used to obtain useful information to study targeted prevention and more effective treatment options for older TBI patients and establish novel treatment guidelines and health polish for the geriatric population.

키워드

참고문헌

  1. Albrecht JS, McCunn M, Stein DM, Simoni-Wastila L, Smith GS : Sex differences in mortality following isolated traumatic brain injury among older adults. J Trauma Acute Care Surg 81 : 486-492, 2016 https://doi.org/10.1097/TA.0000000000001118
  2. Berry C, Ley EJ, Tillou A, Cryer G, Margulies DR, Salim A : The effect of gender on patients with moderate to severe head injuries. J Trauma 67 : 950-953, 2009 https://doi.org/10.1097/TA.0b013e3181ba3354
  3. Chan V, Zagorski B, Parsons D, Colantonio A : Older adults with acquired brain injury: a population based study. BMC Geriatr 13 : 97, 2013 https://doi.org/10.1186/1471-2318-13-97
  4. Davis DP, Douglas DJ, Smith W, Sise MJ, Vilke GM, Holbrook TL, et al. : Traumatic brain injury outcomes in pre- and post- menopausal females versus age-matched males. J Neurotrauma 23 : 140-148, 2006 https://doi.org/10.1089/neu.2006.23.140
  5. Fu TS, Jing R, McFaull SR, Cusimano MD : Recent trends in hospitalization and in-hospital mortality associated with traumatic brain injury in Canada: a nationwide, population-based study. J Trauma Acute Care Surg 79 : 449-454, 2015 https://doi.org/10.1097/TA.0000000000000733
  6. Fu WW, Fu TS, Jing R, McFaull SR, Cusimano MD : Predictors of falls and mortality among elderly adults with traumatic brain injury: a nationwide, population-based study. PLoS One 21 : 12, e0175868, 2017 https://doi.org/10.1371/journal.pone.0175868
  7. Hukkelhoven CW, Steyerberg EW, Rampen AJ, Farace E, Habbema JD, Marshall LF, et al. : Patient age and outcome following severe traumatic brain injury: an analysis of 5600 patients. J Neurosurg 99 : 666-673, 2003 https://doi.org/10.3171/jns.2003.99.4.0666
  8. Jamjoom A, Nelson R, Stranjalis G, Wood S, Chissell H, Kane N, et al. : Outcome following surgical evacuation of traumatic intracranial haematomas in the elderly. Br J Neurosurg 6 : 27-32, 1992 https://doi.org/10.3109/02688699209002898
  9. Korean Statistical Information Service : Statistical database, Population census. Available from : http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01
  10. Leitgeb J, Mauritz W, Brazinova A, Janciak I, Majdan M, Wilbacher I, et al. : Effects of gender on outcomes after traumatic brain injury. J Trauma 71 : 1620-1626, 2001 https://doi.org/10.1097/TA.0b013e318226ea0e
  11. McIntyre A, Mehta S, Aubut J, Dijkers M, Teasell RW : Mortality among older adults after a traumatic brain injury: a meta-analysis. Brain Inj 27 : 31-40, 2013 https://doi.org/10.3109/02699052.2012.700086
  12. Nakamura N, Yamaura A, Shigemori M, Ogawa T, Tokutomi T, Ono J, et al. : Final report of the Japan Neurotrauma Data Bank Project 1998-2001: 1,002 cases of traumatic brain injury. Neurol Med Chir (Tokyo) 46 : 567-574, 2006. https://doi.org/10.2176/nmc.46.567
  13. Shimoda K, Maeda T, Tado M, Yoshino A, Katayama Y, Bullock MR : Outcome and surgical management for geriatric traumatic brain injury: analysis of 888 cases registered in the Japan Neurotrauma Data Bank. World Neurosurg 82 : 1300-1306, 2014 https://doi.org/10.1016/j.wneu.2014.08.014
  14. Song SY, Lee SK, Eom KS, KNTDB Investigators : Analysis of Mortality and Epidemiology in 2617 Cases of Traumatic Brain Injury : Korean Neuro-Trauma Data Bank System 2010-2014. J Korean Neurosurg Soc 59 : 485-491, 2016 https://doi.org/10.3340/jkns.2016.59.5.485
  15. Susman M, DiRusso SM, Sullivan T, Risucci D, Nealon P, Cuff S, et al. : Traumatic brain injury in the elderly: increased mortality and worse functional outcome at discharge despite lower injury severity. J Trauma 53 : 219-223, 2002 https://doi.org/10.1097/00005373-200208000-00004
  16. Thompson HJ, McCormick WC, Kagan SH : Traumatic brain injury in older adults: epidemiology, outcomes, and future implications. J Am Geriatr Soc 54 : 1590-1595, 2006 https://doi.org/10.1111/j.1532-5415.2006.00894.x
  17. Tokutomi T, Miyagi T, Ogawa T, Ono J, Kawamata T, Sakamoto T, et al. : Age-associated increases in poor outcomes after traumatic brain injury: a report from the Japan Neurotrauma Data Bank. J Neurotrauma 25 : 1407-1414, 2008 https://doi.org/10.1089/neu.2008.0577
  18. Utomo WK, Gabbe BJ, Simpson PM, Cameron PA : Predictors of inhospital mortality and 6-month functional outcomes in older adults after moderate to severe traumatic brain injury. Injury 40 : 973-977, 2009 https://doi.org/10.1016/j.injury.2009.05.034

피인용 문헌

  1. 성인과 노인에서 외상성 급성 경막하 혈종의 예후 비교에 대한 융합적 연구: 후향적 조사 연구 vol.11, pp.6, 2020, https://doi.org/10.15207/jkcs.2020.11.6.411
  2. Decreasing Incidence and Mortality in Traumatic Brain Injury in Korea, 2008–2017: A Population-Based Longitudinal Study vol.17, pp.17, 2019, https://doi.org/10.3390/ijerph17176197
  3. Neurocritical Management of Traumatic Acute Subdural Hematomas vol.16, pp.2, 2019, https://doi.org/10.13004/kjnt.2020.16.e43