title: [Longer waiting time and higher mortality in older people with traumatic brain injuries. Mapping of emergency prehospital management and hospital management in Västerbotten].
abstract: The main purpose was to study the prehospital and early intrahospital treatment of patients with traumatic brain injury (TBI) in the county of Västerbotten 2011-2012. In total, 162 patients were included. The main finding was that a large proportion of TBI patients were older men who fell in the same or from a different level. Older patients had higher mortality and had to wait longer for diagnostic imaging compared to younger patients. Furthermore, most patients were initially relatively unaffected by the injury and around 1/5 of the patients were transported to hospital by private transport. Finally, we observed that most patients were admitted to hospital and computer tomography scan of the head was performed within 4 hours.
authors.affiliation: Institutionen för Medicin - Akutkliniken Karolinska universitetssjukhuset Stockholm, Sweden Institutionen för Medicin - Akutkliniken Karolinska universitetssjukhuset Stockholm, Sweden.
authors.forename: Martin
authors.initials: M
authors.lastname: Holzmann
authors.affiliation: Kirurgi och Perioperativ vetenskap - Akutsjukvård Umeå, Sweden Kirurgi och Perioperativ vetenskap - Akutsjukvård Umeå, Sweden.
authors.forename: Per O
authors.initials: PO
authors.lastname: Bylund
authors.affiliation: Student T10, Läkarlinjen - Umeå Universitet Umeå, Sweden Student T10, Läkarlinjen - Umeå Universitet Umeå, Sweden.
authors.forename: Lisa
authors.initials: L
authors.lastname: Degerfält
authors.affiliation: - , - .
authors.forename: Axel C
authors.initials: AC
authors.lastname: Carlsson
authors.affiliation: Karolinska Institutet - Neurobiology, Care Sciences and Society Huddinge, Sweden Karolinska Institutet - Neurobiology, Care Sciences and Society Huddinge, Sweden.
authors.forename: Per
authors.initials: P
authors.lastname: Wändell
authors.affiliation: Kirurgi och Perioperativ vetenskap - Akutsjukvård Umeå, Sweden Kirurgi och Perioperativ vetenskap - Akutsjukvård Umeå, Sweden.
authors.forename: Toralph
authors.initials: T
authors.lastname: Ruge
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000401:mortality* / Q000628:therapy; D002648:Child; D015331:Cohort Studies; D006259:Craniocerebral Trauma / Q000175:diagnosis / Q000453:epidemiology / Q000401:mortality* / Q000628:therapy; D019468:Disease Management; D004632:Emergency Medical Services / Q000458:organization & administration; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D012189:Retrospective Studies; D013548:Sweden / Q000453:epidemiology; D061665:Time-to-Treatment; D014187:Transportation of Patients / Q000706:statistics & numerical data; D014218:Triage; D014850:Waiting Lists