from Part I - Disease-Specific Prognostication
Published online by Cambridge University Press: 14 November 2024
Traumatic brain injury (TBI) has increased in incidence and prevalence; between 2006 and 2014, the total number of emergency department visits, hospitalizations, and deaths increased by 53%.[1] More recently, hospitalizations alone have stabilized and decreased by 8%, but there is still significant disability associated with the disease.[2] Demographic data show that approximately 3 million persons in the United States (1.1% of the population) live with permanent disabilities as a result of TBI.[3] Because TBI disproportionately affects younger patients (with the potential for lost income and productivity) and males, accurate prognosis is especially crucial.[4]
Determining prognosis is difficult in every disease state, but there are special challenges to consider with TBI. Different injury patterns, such as contusions and other traumatic intra-axial hemorrhages, are all classified as TBI. Furthermore, patients may have any mix of various injuries spread among varied anatomical areas.
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