American Journal of Internal Medicine

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Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action

Received: 27 January 2015    Accepted: 09 February 2015    Published: 02 March 2015
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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.

DOI 10.11648/j.ajim.20150302.12
Published in American Journal of Internal Medicine (Volume 3, Issue 2, March 2015)
Page(s) 50-54
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Traumatic Brain Injury, Intracranial Bleedings, Epidemiology, Internal Medicine

References
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[2] Pérez K, Novoa AM, Santamariña-Rubio E et al.; Working Group for Study of Injuriesof Spanish Society of Epidemiology. Incidence trends of traumatic spinal cord injury and traumatic brain injury in Spain, 2000-2009. Accid Anal Prev 2012; 46: 37-44.
[3] Selassie AW, Zaloshnja E, Langlois JA, Miller T, Jones P, Steiner C. Incidence of long-term disability following traumatic brain injury hospitalization, UnitedStates, 2003. J Head Trauma Rehabil. 2008 Mar-Apr; 23(2):123-31.
[4] Rusticali B, Villani R; Working Group. Treatment of minor and severe traumatic brain injury. National reference guidelines. Minerva Anestesiol 2008; 74):583-616.
[5] Brain Trauma Foundation; American Association of Neurological Surgeons; Congress of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury. J Neurotrauma. 2007; 24Suppl 1:S1-106.
[6] Andelic N, Anke A, Skandsen T, Sigurdardottir S, Sandhaug M, Ader T, Roe C. Incidence of hospital-admitted severe traumatic brain injury and in-hospital fatality in Norway: a national cohort study. Neuroepidemiology 2012; 38:259-67.
[7] Colantonio A, Croxford R, Farooq S, Laporte A, Coyte PC. Trends in hospitalization associated with traumatic brain injury in a publicly insured population, 1992-2002. J Trauma 2009; 66:179-83.
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Author Information
  • Medicina Interna, Ospedale Santa Maria Nuova, Florence, Italy

  • Medicina Interna, Ospedale di Borgo San Lorenzo, Florence, Italy

  • Medicina Interna, Ospedale di Pescia, Pistoia, Italy

  • Agenzia Regionale di Sanità della Toscana Osservatorio di Epidemiologia, Florence, Italy

  • Agenzia Regionale di Sanità della Toscana Osservatorio di Epidemiologia, Florence, Italy

  • Medicina Interna, Ospedale di Pescia, Pistoia, Italy

  • Medicina Interna, Ospedale Santa Maria Nuova, Florence, Italy

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    Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, et al. (2015). Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. American Journal of Internal Medicine, 3(2), 50-54. https://doi.org/10.11648/j.ajim.20150302.12

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    ACS Style

    Luca Masotti; Gianni Lorenzini; Irene Chiti; Laura Policardo; Paolo Francesconi, et al. Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. Am. J. Intern. Med. 2015, 3(2), 50-54. doi: 10.11648/j.ajim.20150302.12

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    AMA Style

    Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, et al. Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. Am J Intern Med. 2015;3(2):50-54. doi: 10.11648/j.ajim.20150302.12

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  • @article{10.11648/j.ajim.20150302.12,
      author = {Luca Masotti and Gianni Lorenzini and Irene Chiti and Laura Policardo and Paolo Francesconi and Grazia Panigada and Giancarlo Landini},
      title = {Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action},
      journal = {American Journal of Internal Medicine},
      volume = {3},
      number = {2},
      pages = {50-54},
      doi = {10.11648/j.ajim.20150302.12},
      url = {https://doi.org/10.11648/j.ajim.20150302.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20150302.12},
      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.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action
    AU  - Luca Masotti
    AU  - Gianni Lorenzini
    AU  - Irene Chiti
    AU  - Laura Policardo
    AU  - Paolo Francesconi
    AU  - Grazia Panigada
    AU  - Giancarlo Landini
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    N1  - https://doi.org/10.11648/j.ajim.20150302.12
    DO  - 10.11648/j.ajim.20150302.12
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 50
    EP  - 54
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20150302.12
    AB  - 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.
    VL  - 3
    IS  - 2
    ER  - 

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