Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action
American Journal of Internal Medicine
Volume 3, Issue 2, March 2015, Pages: 50-54
Received: Jan. 27, 2015; Accepted: Feb. 9, 2015; Published: Mar. 2, 2015
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Authors
Luca Masotti, Medicina Interna, Ospedale Santa Maria Nuova, Florence, Italy
Gianni Lorenzini, Medicina Interna, Ospedale di Borgo San Lorenzo, Florence, Italy
Irene Chiti, Medicina Interna, Ospedale di Pescia, Pistoia, Italy
Laura Policardo, Agenzia Regionale di Sanità della Toscana Osservatorio di Epidemiologia, Florence, Italy
Paolo Francesconi, Agenzia Regionale di Sanità della Toscana Osservatorio di Epidemiologia, Florence, Italy
Grazia Panigada, Medicina Interna, Ospedale di Pescia, Pistoia, Italy
Giancarlo Landini, Medicina Interna, Ospedale Santa Maria Nuova, Florence, Italy
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Abstract
Background: Traumatic brain injuries (TBIs) represent fearing occurrences in clinical practice, due to high mortality and morbidity. Whether the burden of TBIs is increased in Internal Medicine wards remains unclear, therefore the aim of our study was to provide information about it. Materials and Methods: International Classification of Diseases, 9th revision, Clinical Modification (ICD-9th CM) database referred to patients discharged from Tuscan Hospitals in the 2003, 2008 and 2012 years was analyzed. We searched for codes from 850 to 853.19 and from 854.00 to 854.19 as traumatic intracranial bleedings (TIBs) and codes from 800.00 to 804.99 as traumatic brain injuries without bleedings (TBIWBs) in the first six diagnoses of hospital discharge schedules referred to Internal Medicine wards. Results: Overall, hospital discharges for TBIs reduced over the years. However, hospital discharges for TBIs were 47,2% increased in Internal Medicine wards from 2003 to 2012. TBIs increased in 3,4% of patients under 75 years and 93,7% in patients over 75 years. Internal Medicine ward was the hospital setting in 11,20% and 16,70%of TIBs and TIBWBs in 2003 and 24,10% and 37.50%in 2012, respectively. In-hospital mortality in TBIs patients was unchanged over the years and was seven-tenfold greater in patients over 75 years compared to patients under 75 years. Conclusion: Admissions for TBIs are dramatically increased over the last 10 years in Internal Medicine wards, especially in patients over 75 years, making these conditions as a real emerging challenge for the Internists.
Keywords
Traumatic Brain Injury, Intracranial Bleedings, Epidemiology, Internal Medicine
To cite this article
Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, Grazia Panigada, Giancarlo Landini, Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action, American Journal of Internal Medicine. Vol. 3, No. 2, 2015, pp. 50-54. doi: 10.11648/j.ajim.20150302.12
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