Evidence map›Paper›PMID 30995953›Full record

ArticleDeutsches Arzteblatt international2019

The Incidence and Management of Moderate to Severe Head Injury.

Marc Maegele, Rolf Lefering, Oliver Sakowitz, Marcel A Kopp, Jan M Schwab, Wolf-Ingo Steudel, Andreas Unterberg, Reinhard Hoffmann, Eberhard Uhl, Ingo Marzi

Abstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. [Traumatic brain injury].Der Nervenarzt · 2023
    Article
  10. Observational
  11. Article
  12. Dementia in Germany: Epidemiology and Prevention Potential.Deutsches Arzteblatt international · 2023
    Article
  13. Development and first results of a national databank on care and treatment outcome after traumatic brain injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marc MaegeleDepartment of Orthopaedic Surgery, Trauma Surgery, and Sports Medicine, Cologne Merheim Medical Center, Witten/Herdecke University, Cologne; Institute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Cologne; Neurosurgical Center Ludwigsburg-Heilbronn, RKH Klinikum Ludwigsburg, Academic Teaching Hospital of Heidelberg University, Ludwigsburg; Department of Neurology with Experimental Neurology, Charité-Universitätsmedizin Berlin and Berlin Institute of Health (QUEST), BIH Center for Transforming Biomedical Research, Berlin; Department of Neurology and Neuroscience, Director Spinal Cord Injury Division, Ohio State University, Columbus (Ohio) USA; Saarland University Medical Center, Homburg/Saar; Department of Neurosurgery, Heidelberg University Hospital, Heidelberg; BG Trauma Center Frankfurt/Main; Department of Neurosurgery Gießen, University Gießen-Marburg Gießen; Department of Trauma-, Handand Reconstructive Surgery, J.W. Goethe University Hospital, Frankfurt/Main.
Rolf Lefering
Oliver Sakowitz
Marcel A Kopp
Jan M Schwab
Wolf-Ingo Steudel
Andreas Unterberg
Reinhard Hoffmann
Eberhard Uhl
Ingo Marzi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe comprehensive expansion of the Trauma Register of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie; TR-DGU) now enables, for the first time, studies on traumatic brain injury (TBI) with special attention to care processes, clinical course, and outcomes of treatment on discharge or transfer from the acute-care hospital.

methodsRetrospective analysis of patients documented in the TR-DGU in the period 2013-2017 who had moderate to severe head injury as defined by the Abbreviated Injury Scale (AIS).

resultsIn the period 2013-2017, 41 101 patients with moderate to severe TBI were treated in TR-DGU-associated hospitals in Germany (n = 605 hospitals), corresponding to 8220 cases per year and thus to a population-wide incidence of 10.1 cases per 100 000 persons per year. TBI was present as an isolated injury in 39.1% of cases. The mean age of the patients was 60 years (median; range 0-104 years), and the male-to-female ratio was 2:1. 97.5% of the patients had blunt trauma. Falls from a low height were the most common cause of TBI (38.7%). 43.6% of the patients were intubated before arriving at the hospital, and more than 95% underwent cranial tomographic imaging within 22 minutes of arrival (standard deviation [SD] = 17 minutes). 18.4% underwent an emergency neurosurgical procedure. The in-hospital mortality was 23.5%, corresponding to a population-wide mortality from TBI of 2.4 per 100 000 persons per year. More than half of the patients recovered well or with only mild disability; 14.9% had persistent severe disability or remained in a vegetative state.

conclusionPutting these figures in the appropriate international context requires the acquisition of comparable data in multiple countries and is the main task of international TBI consortia.

Indexed as

Craniocerebral TraumaAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleGermanyHumansIncidenceInfantInfant, NewbornMaleMiddle AgedRegistries

Identifiers

PMID30995953
PMCPMC6482369

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.