Features  |   April 2013
How Can Anesthesiologists Impact Traumatic Brain Injury Outcomes?
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Central and Peripheral Nervous Systems / Trauma / Burn Care / Features
Features   |   April 2013
How Can Anesthesiologists Impact Traumatic Brain Injury Outcomes?
ASA Monitor 04 2013, Vol.77, 22-25.
ASA Monitor 04 2013, Vol.77, 22-25.
Anesthesiologists frequently provide care for TBI patients during their most vulnerable periods in the emergency room, operating room and intensive care unit. This is because globally, including in the United States, TBI is a leading cause of death and disability. Approximately 1.7 million people sustain TBI each year in the United States, accounting for 275,000 hospitalizations and 52,000 deaths.1  TBI is a contributing factor in approximately one-third of all injury deaths, and the highest incidence is in children 0 to 4 years, adolescents aged 15 to 19 years, and elderly adults > 65 years, with males being more affected in all age groups. Falls are the most common cause of TBI, and elderly patients receiving anticoagulants are at risk of intracranial hemorrhage and significant morbidity, even with ground-level falls. Whereas patients with severe TBI [GCS (Glasgow Coma Score) ≤ 8] have the highest morbidity and mortality, mild (GCS, 13-15) and moderate (GCS 9- 12) TBI patients are also at risk of significant long-term disability and account for a greater percentage of the public health burden because of their larger numbers.
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