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Increased Incidence...
Increased Incidence and Mortality of Civilian Penetrating Traumatic Brain Injury in Sweden : A Single-Center Registry-Based Study
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- Lilford, Robert D. (author)
- Karolinska Inst, Dept Neurosci, Stockholm, Sweden.,Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Hossain, Iftakher (author)
- Uppsala universitet,Neurokirurgi,Karolinska Inst, Dept Neurosci, Stockholm, Sweden; Turku Univ Hosp, Dept Neurosurg, Neuroctr, Turku, Finland; Univ Cambridge, Addenbrookes Hosp, Dept Clin Neurosci, Neurosurg Unit, Cambridge, England,Karolinska institutet; Turku University Hospital, Turku, Finland; Neurosurgery Unit, University of Cambridge, Addenbrooke’s Hospital, Cambridge, United Kingdom; Uppsala universitet;
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- Dahlberg, Martin (author)
- Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, Stockholm, Sweden.,Karolinska institutet
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- Wahlgren, Carl-Magnus (author)
- Karolinska Institutet,Karolinska Inst, Ctr Trauma Res, Dept Mol Med & Surg, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Vasc Surg, Stockholm, Sweden.
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- Bellander, Bo-Michael (author)
- Karolinska Univ Hosp, Dept Neurosurg, Stockholm, Sweden.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.,Department of Neurosurgery and Department of Clinical Neuroscience, Karolinska Uni. Hospital and Karolinska Institutet, Stockholm, Sweden
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- Rostami, Amir, 1971- (author)
- Högskolan i Gävle,Kriminologi,Institute for Future Studies, Stockholm, Sweden,Univ Gävle, Dept Social Work & Criminol, Gävle, Sweden.;Inst Future Studies, Stockholm, Sweden.
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- Günther, Mattias (author)
- Karolinska Institutet,Karolinska Inst, Dept Neurosci, Stockholm, Sweden.;Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, Stockholm, Sweden.
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- Bartek, Jiri (author)
- Karolinska Institutet,Karolinska Univ Hosp, Dept Neurosurg, Stockholm, Sweden.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Rigshosp, Dept Neurosurg, Copenhagen, Denmark.
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- Rostami, Elham, 1979- (author)
- Uppsala universitet,Neurokirurgi,Karolinska Inst, Dept Neurosci, Stockholm, Sweden,Department of Neuroscience, Karolinska Institutet, Stockholm; Department of medical sciences, section for Neurosurgery, Uppsala University, Uppsala, Sweden, Sweden;
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Karolinska Inst, Dept Neurosci, Stockholm, Sweden Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden (creator_code:org_t)
- Elsevier, 2024
- 2024
- English.
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In: World Neurosurgery. - : Elsevier. - 1878-8750 .- 1878-8769. ; 182, s. e493-e505
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Abstract
Subject headings
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- BackgroundPenetrating trauma to the head and neck has increased during the past decade in Sweden. The aim of this study was to characterize these injuries and evaluate the outcomes for patients treated at a tertiary trauma center.MethodsSwedish trauma registry data were extracted on patients with head and neck injuries admitted to Karolinska University Hospital (Stockholm, Sweden) between 2011 and 2019. Outcome information was extracted from hospital records, with the primary endpoints focusing on the physiological outcome measures and the secondary endpoints on the surgical and radiological outcomes.ResultsOf 1436 patients with penetrating trauma, 329 with penetrating head and neck injuries were identified. Of the 329 patients, 66 (20%) had suffered a gunshot wound (GSW), 240 (73%) a stab wound (SW), and 23 (7%) an injury from other trauma mechanisms (OTMs). The median age for the corresponding 3 groups of patients was 25, 33, and 21 years, respectively. Assault was the primary intent, with 54 patients experiencing GSWs (81.8%) and 158 SWs (65.8%). Patients with GSWs had more severe injuries, worse admission Glasgow coma scale, motor, scores, and a higher intubation rate at the injury site. Most GSW patients underwent major surgery (59.1%) as the initial procedure and were more likely to have intracranial hemorrhage (21.2%). The 30-day mortality was 45.5% (n = 30) for GSWs, 5.4% (n = 13) for SWs, and 0% (n = 0) for OTMs. There was an annual increase in the incidence and mortality for GSWs and SWs.ConclusionsBetween 2011 and 2019, an increasing annual trend was found in the incidence and mortality from penetrating head and neck trauma in Stockholm, Sweden. GSW patients experienced more severe injuries and intracranial hemorrhage and underwent more surgical interventions compared with patients with SWs and OTMs.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- SAMHÄLLSVETENSKAP -- Annan samhällsvetenskap (hsv//swe)
- SOCIAL SCIENCES -- Other Social Sciences (hsv//eng)
Keyword
- Civilian penetrating traumatic brain injury
- GSW
- Head and neck trauma
- Incidence
- Penetrating trauma
- SW
- Sweden
- Health-Promoting Work
- Brottslighet
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Lilford, Robert ...
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Hossain, Iftakhe ...
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Dahlberg, Martin
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Wahlgren, Carl-M ...
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Bellander, Bo-Mi ...
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Rostami, Amir, 1 ...
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Günther, Mattias
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Bartek, Jiri
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Rostami, Elham, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Other Social Sci ...
- Articles in the publication
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World Neurosurge ...
- By the university
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Uppsala University
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University of Gävle
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Karolinska Institutet