Folgen des schweren Schädel-Hirn-Traumas. Eine epidemiologische Studie im Kanton St. Gallen [Sequelae of severe craniocerebral injuries. An epidemiological study in the Canton of St. Gallen]

Details

Serval ID
serval:BIB_45625C63F256
Type
Article: article from journal or magazin.
Collection
Publications
Title
Folgen des schweren Schädel-Hirn-Traumas. Eine epidemiologische Studie im Kanton St. Gallen [Sequelae of severe craniocerebral injuries. An epidemiological study in the Canton of St. Gallen]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Annoni J.M., Beer S., Kesselring J.
ISSN
0036-7672
Publication state
Published
Issued date
1991
Peer-reviewed
Oui
Volume
121
Number
7
Pages
207-213
Language
german
Notes
English Abstract Journal Article --- Old month value: Feb 16
Abstract
Severe head injuries often lead to serious medical and socioeconomic sequelae. The incidence rate indicated in other studies shows a wide variation due to differences in selection criteria. Based upon an unselected population, the incidence of severe head injury was calculated and the surviving patients were interviewed and clinically examined 3 years after the accident in order to describe the course, rehabilitation and psychosocial sequelae after severe head injury. Retrospectively we collected 80 patients living in the canton of St. Gallen who had a severe head injury requiring hospitalization in 1987, indicating an incidence of 20 per 100,000 inhabitants. 22 (28%) of these patients died as a consequence of the head trauma. The best predictor was the Glasgow coma score at admission, which showed a highly significant direct correlation with survival rate. Regarding the degree of impairment of survivors the duration of posttraumatic amnesia was the best predictive parameter. Of the 45 patients controlled 3 years after the head trauma only 11% were severely impaired in daily activities. 79% of the patients who were gainfully employed before the accident were working full- or at least part-time. However, only 3 patients (7%) were absolutely free of symptoms. Most patients suffered from cognitive and emotional deficits. Based on an estimated incidence for minor head trauma of 174 per 100,000 inhabitants, a total annual incidence for all head traumas of 194 per 100,000 inhabitants is calculated, with severe head injury representing about 1/9 of all head injuries.
Keywords
Adolescent, Adult, Aged, Brain Injuries, Child, Epidemiologic Methods, Epilepsy, Post-Traumatic, Female, Glasgow Coma Scale, Humans, Male, Mental Status Schedule, Middle Aged, Multiple Trauma, Prognosis, Retrospective Studies, Switzerland
Pubmed
Web of science
Create date
25/01/2008 12:37
Last modification date
03/03/2018 16:45
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