The "Pecs Severe Traumatic Brain Injury Database”: Outcome Estimation in Case of Severe Head Injury in Hungary

Abstract

Event Abstract Back to Event The "Pecs Severe Traumatic Brain Injury Database”: Outcome Estimation in Case of Severe Head Injury in Hungary Endre Czeiter1*, Janos Sandor2, Noemi Kovacs1, Erzsebet Ezer1, Tamas Doczi1 and Andras Buki1 1 Department of Neurosurgery, University of Pécs, Hungary 2 Department of Public Health, University of Pécs, Hungary OBJECTIVE: In attempt to provide data on the pathogenesis, therapy and prognosis of severe traumatic brain injury (TBI) the Pécs Department of Neurosurgery established a severe TBI databank in 2002. METHOD: Systematic data collection including patients' records, results of neuromonitoring, computer tomography (CT) and magnetic resonance imaging (MR) scans as well as follow-up data has been started in conjuction with the introduction of the international (EBIC and AANS) guidelines for the treatment of severe TBI. The main inclusion criteria was GCS≤8. RESULT: Between July 2002, and December 2007, 266 consecutive severe TBI cases were treated, 59 Female and 207 Male. The mean age was 51,57±19,72 years. During the hospitalization 156 patients survive and 110 patients died from the 266 cases, the overall mortality was 41,4%. From the 266 cases 180 were treated with the usage of ventriculostomy (mortality: 33%) and 86 cases were managed without it (mortality: 59%). The difference was significant p<0,05 with chi-square test. There were 44 patients with coagulopathy on admission and 31 of them were died which means an extremly and significantly higher mortality rate 70% among this subgroup. CONCLUSION: The analysis of the databank reveals significant delay in secondary transfer, high proportion of patients with coagulopathies, and a resultant high mortality. Mortality rate is significantly lower in those patients whose treatment complied with the internationally recognized guidelines. Conference: 12th Meeting of the Hungarian Neuroscience Society, Budapest, Hungary, 22 Jan - 24 Jan, 2009. Presentation Type: Poster Presentation Topic: Pathophysiology and neurology - degenerative disorders Citation: Czeiter E, Sandor J, Kovacs N, Ezer E, Doczi T and Buki A (2009). The "Pecs Severe Traumatic Brain Injury Database”: Outcome Estimation in Case of Severe Head Injury in Hungary. Front. Syst. Neurosci. Conference Abstract: 12th Meeting of the Hungarian Neuroscience Society. doi: 10.3389/conf.neuro.01.2009.04.143 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 05 Mar 2009; Published Online: 05 Mar 2009. * Correspondence: Endre Czeiter, Department of Neurosurgery, University of Pécs, Pecs, Hungary, endre.czeiter@gmail.com Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Endre Czeiter Janos Sandor Noemi Kovacs Erzsebet Ezer Tamas Doczi Andras Buki Google Endre Czeiter Janos Sandor Noemi Kovacs Erzsebet Ezer Tamas Doczi Andras Buki Google Scholar Endre Czeiter Janos Sandor Noemi Kovacs Erzsebet Ezer Tamas Doczi Andras Buki PubMed Endre Czeiter Janos Sandor Noemi Kovacs Erzsebet Ezer Tamas Doczi Andras Buki Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.