Journal article
Epidemiology of Traumatic Brain Injury in Georgia: A Prospective Hospital-Based Study
Risk management and healthcare policy, Vol.14, pp.1041-1051
2021
DOI: 10.2147/RMHP.S290175
PMCID: PMC7966295
PMID: 33737845
Abstract
Traumatic brain injury (TBI) is one of the major causes of morbidity and mortality worldwide, disproportionally affecting low- and middle-income countries (LMICs). Epidemiological characteristics of TBI at a national level are absent for most LMICs including Georgia. This study aimed to establish the registries and assess causes and outcomes in TBI patients presenting to two major trauma hospitals in the capital city -Tbilisi.
The prospective observational study was conducted at Acad. O. Gudushauri National Medical Center and M. Iashvili Children's Central Hospital from March, 1 through August, 31, 2019. Patients of all age groups admitted to one of the study hospitals with a TBI diagnosis were eligible for participation. Collected data were uploaded using the electronic data collection tool -REDCap, analyzed through SPSS software and evaluated to provide detailed information on TBI-related variables and outcomes using descriptive statistics.
Overall, 542 hospitalized patients were enrolled during the study period, about 63% were male and the average age was 17.7. The main causes of TBI were falls (58%) and struck by or against an object (22%). The 97% suffered from mild TBI (GCS 13-15). Over 23% of patients arrived at the hospital more than 1 hour after injury and 25% after more than 4-hours post-injury. Moderate and severe TBI were associated with an increased hospital length of stay. Mortality rate of severe TBI was 54%.
This study provides important information on the major epidemiological characteristics of TBI in Georgia, which should be considered for setting priorities for injury management.
Details
- Title: Subtitle
- Epidemiology of Traumatic Brain Injury in Georgia: A Prospective Hospital-Based Study
- Creators
- Eka Burkadze - Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, GeorgiaKetevan Axobadze - Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, GeorgiaNino Chkhaberidze - Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, GeorgiaNino Chikhladze - Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, GeorgiaMadalina Adina Coman - Department of Public Health, College of Political, Administrative and Communication Sciences, Babes-Bolyai University, Cluj-Napoca, RomaniaDiana Dulf - Department of Public Health, College of Political, Administrative and Communication Sciences, Babes-Bolyai University, Cluj-Napoca, RomaniaCorinne Peek-Asa - Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Risk management and healthcare policy, Vol.14, pp.1041-1051
- DOI
- 10.2147/RMHP.S290175
- PMID
- 33737845
- PMCID
- PMC7966295
- NLM abbreviation
- Risk Manag Healthc Policy
- ISSN
- 1179-1594
- eISSN
- 1179-1594
- Grant note
- D43 TW007261 / FIC NIH HHS R21 NS098850 / NINDS NIH HHS
- Language
- English
- Date published
- 2021
- Academic Unit
- Occupational and Environmental Health; Epidemiology; Nursing; Public Policy Center (Archive)
- Record Identifier
- 9984215040802771
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