title: TBI surveillance using the common data elements for traumatic brain injury: a population study.
abstract: BACKGROUND
  To characterize the patterns of presentation of adults with head injury to the Emergency Department.
  
  
  METHODS
  This is a cohort study that sought to collect injury and outcome variables with the goal of characterizing the very early natural history of traumatic brain injury in adults. This IRB-approved project was conducted in collaboration with our Institution's Center for Translational Science Institute. Data were entered in REDCap, a secure database. Statistical analyses were performed using JMP 10.0 pro for Windows.
  
  
  RESULTS
  The cohort consisted of 2,394 adults, with 40% being women and 79% Caucasian. The most common mechanism was fall (47%) followed by motor vehicle collision (MVC) (36%). Patients sustaining an MVC were significantly younger than those whose head injury was secondary to a fall (P < 0.0001). Ninety-one percent had CT imaging; hemorrhage was significantly more likely with worse severity as measured by the Glasgow Coma Score (chi-square, P < 0.0001). Forty-four percent were admitted to the hospital, with half requiring ICU admission. In-hospital death was observed in 5.4%, while neurosurgical intervention was required in 8%. For all outcomes, worse TBI severity per GCS was significantly associated with worse outcomes (logistic regression, P < 0.0001, adjusted for age).
  
  
  CONCLUSIONS
  These cohort data highlight the burden of TBI in the Emergency Department and provide important demographic trends for further research.
authors: Center for Brain Injury Research and Education, University of Florida College of Medicine, Gainesville, FL, USA. lstead@ufl.edu.
authors: Latha Ganti
authors: LG
authors: Stead
authors: Aakash N
authors: AN
authors: Bodhit
authors: Pratik Shashikant
authors: PS
authors: Patel
authors: Yasamin
authors: Y
authors: Daneshvar
authors: Keith R
authors: KR
authors: Peters
authors: Anna
authors: A
authors: Mazzuoccolo
authors: Sudeep
authors: S
authors: Kuchibhotla
authors: Christa
authors: C
authors: Pulvino
authors: Kelsey
authors: K
authors: Hatchitt
authors: Lawrence
authors: L
authors: Lottenberg
authors: Marie-Carmelle
authors: MC
authors: Elie-Turenne
authors: Robyn M
authors: RM
authors: Hoelle
authors: Abhijna
authors: A
authors: Vedula
authors: Andrea
authors: A
authors: Gabrielli
authors: Bayard D
authors: BD
authors: Miller
authors: John H
authors: JH
authors: Slish
authors: Michael
authors: M
authors: Falgiani
authors: Tricia
authors: T
authors: Falgiani
authors: J Adrian
authors: JA
authors: Tyndall