title: Incidence and injury characteristics of traumatic brain injury: Comparison between children, adults and seniors in Israel.
abstract: OBJECTIVE
  To assess the incidence and injury characteristics of hospitalized trauma patients diagnosed with TBI.
  
  
  METHODS
  A retrospective study of all injured hospitalized patients recorded in the National Trauma Registry at 19 trauma centres in Israel between 2002-2011. Incidence and injury characteristics were examined among children, adults and seniors.
  
  
  RESULTS
  The annual incidence rate of hospitalized TBI for the Israeli population in 2011 was 31.8/100,000. Age-specific incidence was highest among seniors with a dramatic decrease in TBI-related mortality rate among them. Adults, in comparison to children and seniors, had higher rates of severe TBI, severe and critical injuries, more admission to the intensive care unit, underwent surgery, were hospitalization for more than 2 weeks and were discharged to rehabilitation. After adjusting for age, gender, ethnicity, mechanism of injury and injury severity score, TBI-related in-hospital mortality was higher among seniors and adults compared to children.
  
  
  CONCLUSIONS
  Seniors are at high risk for TBI-related in-hospital mortality, although adults had more severe and critical injuries and utilized more hospital resources. However, seniors showed the most significant reduction in mortality rate during the study period. Appropriate intervention programmes should be designed and implemented, targeted to reduce TBI among high risk groups.
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Maya
authors.initials: M
authors.lastname: Siman-Tov
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Irina
authors.initials: I
authors.lastname: Radomislensky
authors.affiliation: b Department of Neurosurgery , Sheba Medical Center , Tel-Hashomer , Israel , and.
authors.forename: Nachshon
authors.initials: N
authors.lastname: Knoller
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Hany
authors.initials: H
authors.lastname: Bahouth
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Boris
authors.initials: B
authors.lastname: Kessel
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Yoram
authors.initials: Y
authors.lastname: Klein
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Moshe
authors.initials: M
authors.lastname: Michaelson
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Bala Miklosh
authors.initials: BM
authors.lastname: Avraham Rivkind
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Gad
authors.initials: G
authors.lastname: Shaked
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Daniel
authors.initials: D
authors.lastname: Simon
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Dror
authors.initials: D
authors.lastname: Soffer
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Michael
authors.initials: M
authors.lastname: Stein
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.
authors.forename: Igor
authors.initials: I
authors.lastname: Jeroukhimov
authors.affiliation: a Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy , Tel-Hashomer , Israel and.|c Department of Disaster Management , School of Public Health, Tel Aviv University , Israel.
authors.forename: Kobi
authors.initials: K
authors.lastname: Peleg
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000070642:Brain Injuries, Traumatic / Q000453:epidemiology* / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D015994:Incidence; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
keywords: Epidemiology; mortality; trauma; trends