TY - JOUR T1 - Trends in epidemiological and clinical characteristics in severe traumatic brain injury: Analysis of the past 25 years of a single centre data base JO - Neurocirugía T2 - AU - Gómez,Pedro A. AU - Castaño-Leon,Ana M. AU - de-la-Cruz,Javier AU - Lora,David AU - Lagares,Alfonso SN - 11301473 M3 - 10.1016/j.neucir.2014.05.001 DO - 10.1016/j.neucir.2014.05.001 UR - https://revistaneurocirugia.com/es-trends-in-epidemiological-clinical-characteristics-articulo-S1130147314000724 AB - ObjectiveTo describe the demographic and clinical profiles of a cohort of environmentally representative severe traumatic brain injury (TBI) cases collected for the past 25 years and to analyse the changes that occurred by dividing the analysis period into 3 equal time periods. Material and methodsThis was an observational cohort study of consecutive adult patients (>14 years of age) with severe closed TBI (Glasgow Coma Scale score [GCS]≤8) who were admitted during the first 48h after injury to the 12 de Octubre hospital from 1987 to 2012. The most relevant epidemiological and clinical variables reported in the literature were defined and compared in 3 equal time periods (1987–1995, 1996–2004 and 2005–2014). ResultsThere was a 13% reduction in the frequency of severe TBI from the first to the last time period. An increase in the mean age from 35 to 43 years was observed, whereas the frequency of severe TBI according to sex remained approximately the same during the last decades of life. A distinct change was observed in the injury mechanism; traffic accidents decreased from 76% to 55%, particularly those involving 4-wheeled vehicles. However, falls increased significantly, especially in older women, and contusion and subdural haematoma were the most frequent structural injuries. Motor scores could not be reliably assessed for the last time period because of early intubation and sedative drug use. ConclusionsTBI epidemiology in Western countries has changed. This trend was also observed in our environment as an increase in mean age, which reflected the increase in falls among elderly patients. ER -