The structure of surgical activity and postoperative mortality for traumatic brain injury in adult population of Tyumen for 2016 2020

Abstract

Traumatic brain injury (TBI) is a complex multidisciplinary problem due to high disability and mortality rates associated with it. What is more, due to a number of behavioral and social factors, the young working population is especially predisposed to this type of injury. In order to optimize preventive measures and treatment protocols it is crucial to have thorough understanding of TBI regional features. The research objective was to analyze the structure of surgical interventions and outcomes for adult TBI patients in Tyumen during 2016‑2020. The inclusion criteria were as follows: confirmed TBI diagnosis (S06 ICD-10 code), adult age (18 years old and over), and trauma acquisition during 2016‑2020. We analyzed 3,558 TBI cases. 641 (18.0 %) patients required surgical treatment, 826 surgeries were carried out in total. The average annual number of surgeries was 162.5. Most surgeries were due to subdural hematoma — 316 patients. Postoperative mortality rate was 15.6±3.2 %; 100 patients had polytrauma. The average surgeries-to-patient ratio was 1.3:1 and 3.4:1 for those who had more than one surgical intervention; 224 patients were operated on for TBI more than once. Our research indicated no statistically significant dynamics of the number of annual operations, outcome structure and mortality rates within the studied population and during the studied period.