Epidemiology of traumatic brain injury in Europe

Background Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the...

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Veröffentlicht in:	Acta neurochirurgica Jg. 157; H. 10; S. 1683 - 1696
Hauptverfasser:	Peeters, Wouter, van den Brande, Ruben, Polinder, Suzanne, Brazinova, Alexandra, Steyerberg, Ewout W., Lingsma, Hester F., Maas, Andrew I. R.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Vienna Springer Vienna 01.10.2015 Springer Nature B.V
Schlagworte:	Accidental Falls - statistics & numerical data Accidents, Traffic - statistics & numerical data Adult Aged Brain Injuries - epidemiology Europe Female Hospitalization - statistics & numerical data Humans Interventional Radiology Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Review - Brain Injury Review Article - Brain Injury Surgical Orthopedics Systematic review External cause Traumatic brain injury Epidemiology Mortality Incidence
ISSN:	0001-6268, 0942-0940, 0942-0940
Online-Zugang:	Volltext
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Abstract	Background Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies. Method We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur, head injur and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included. Results In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived. Conclusions Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns.
AbstractList	Background Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the Epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies. Method We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur, head injur and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included. Results In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived. Conclusions Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns. Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies.BACKGROUNDTraumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies.We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur, head injur and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included.METHODWe performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur, head injur and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included.In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived.RESULTSIn total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived.Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns.CONCLUSIONSInterpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns. Background Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies. Method We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur, head injur and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included. Results In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived. Conclusions Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns. Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies. We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur, head injur and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included. In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived. Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns.
Author	Maas, Andrew I. R. van den Brande, Ruben Brazinova, Alexandra Peeters, Wouter Lingsma, Hester F. Steyerberg, Ewout W. Polinder, Suzanne
Author_xml	– sequence: 1 givenname: Wouter surname: Peeters fullname: Peeters, Wouter organization: University of Antwerp – sequence: 2 givenname: Ruben surname: van den Brande fullname: van den Brande, Ruben organization: University of Antwerp – sequence: 3 givenname: Suzanne surname: Polinder fullname: Polinder, Suzanne organization: Department of Public Health, Centre for Medical Decision Making, Erasmus MC – sequence: 4 givenname: Alexandra surname: Brazinova fullname: Brazinova, Alexandra organization: Faculty of Health Sciences and Social Work, Trnava University – sequence: 5 givenname: Ewout W. surname: Steyerberg fullname: Steyerberg, Ewout W. organization: Department of Public Health, Centre for Medical Decision Making, Erasmus MC – sequence: 6 givenname: Hester F. surname: Lingsma fullname: Lingsma, Hester F. organization: Department of Public Health, Centre for Medical Decision Making, Erasmus MC – sequence: 7 givenname: Andrew I. R. surname: Maas fullname: Maas, Andrew I. R. email: andrew.maas@uza.be organization: University of Antwerp, Department of Neurosurgery, Antwerp University Hospital
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/26269030$$D View this record in MEDLINE/PubMed
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Snippet	Background Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of... Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence,... Background Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of... Background: Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of...
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SubjectTerms	Accidental Falls - statistics & numerical data Accidents, Traffic - statistics & numerical data Adult Aged Brain Injuries - epidemiology Europe Female Hospitalization - statistics & numerical data Humans Interventional Radiology Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Review - Brain Injury Review Article - Brain Injury Surgical Orthopedics
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Title	Epidemiology of traumatic brain injury in Europe
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