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학술저널
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Rachel Kadar (Department of Emergency Medicine Advocate Christ Medical Center Oak Lawn IL USA) Daniel Rochford (Department of Emergency Medicine Advocate Christ Medical Center Oak Lawn IL USA) Ellen Omi (Department of Emergency Medicine Advocate Christ Medical Center Oak Lawn IL USA) Yalaunda Thomas (Department of Emergency Medicine Advocate Christ Medical Center Oak Lawn IL USA) Kunal Patel (MetroHealth Medical Center Cleveland OH USA) Erik Kulstad (Department of Emergency Medicine UT Southwestern Medical Center Dallas TX USA)
저널정보
대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.6 No.2
발행연도
2019.1
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113 - 118 (6page)

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Objective To analyze the trends in demographics and outcomes of patients presenting with traumatic brain injury by performing a retrospective database review of the Illinois Department of Public Health (IDPH) Trauma Registry. Methods We utilized the IDPH Trauma Registry to retrieve data on patients treated for traumat­ic brain injuries at our large, tertiary care hospital from 2004 to 2012, inclusive. From this data, logistic regression models were used to analyze and compare basic demographics such as age, sex, and clinical outcome. Results Three thousand and thirty-nine patients were analyzed with a mean age of 43 (standard deviation, 24) and a median age of 41 (interquartile range, 23 to 60). Over the study period, pa­tients’ age increased steadily from 32 to 49 years. The percentage of female patients increased, from 16.4% to 27.5% over the last 4 years. Overall mortality was greater for males than females (22.1% vs. 17.3%; odds ratio [OR], 1.36; 95% confidence interval [CI], 1.10 to 1.68). Mortality decreased over the period (OR, 0.88; 95% CI, 0.85 to 0.91), with a greater decrease in females (OR, 0.84; 95% CI, 0.78 to 0.90) than in males (OR, 0.90; 95% CI, 0.86 to 0.94). Conclusion Although the age of patients presenting with traumatic brain injury is increasing substantially, the data suggests that overall mortality appears to be decreasing, and this de­crease appears to be greater in females than in males. These changes in trends found in the IDPH Trauma Registry supports the importance for further analysis of other reliable public data­sets to identify areas of future study.

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