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Chapter 5 - Prognostication in Traumatic Brain Injury

from Part I - Disease-Specific Prognostication

Published online by Cambridge University Press:  14 November 2024

By
Courtney Takahashi
Edited by
David M. Greer  and
Neha S. Dangayach
David M. Greer
Affiliation:
Boston University School of Medicine and Boston Medical Center
Neha S. Dangayach
Affiliation:
Icahn School of Medicine at Mount Sinai and Mount Sinai Health System
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Summary

Traumatic brain injury (TBI) has increased in incidence and prevalence; between 2006 and 2014, the total number of emergency department visits, hospitalizations, and deaths increased by 53%.[1] More recently, hospitalizations alone have stabilized and decreased by 8%, but there is still significant disability associated with the disease.[2] Demographic data show that approximately 3 million persons in the United States (1.1% of the population) live with permanent disabilities as a result of TBI.[3] Because TBI disproportionately affects younger patients (with the potential for lost income and productivity) and males, accurate prognosis is especially crucial.[4]

Determining prognosis is difficult in every disease state, but there are special challenges to consider with TBI. Different injury patterns, such as contusions and other traumatic intra-axial hemorrhages, are all classified as TBI. Furthermore, patients may have any mix of various injuries spread among varied anatomical areas.

Type
Chapter
Information
Neuroprognostication in Critical Care , pp. 84 - 93
Publisher: Cambridge University Press
Print publication year: 2024

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