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• W3149671402 abstract "Abstract Background The rates of emergency neurosurgery in traumatic brain injury (TBI) patients vary between populations and trauma centers. In planning acute TBI treatment, knowledge about rates and incidence of emergency neurosurgery at the population level is of importance. This study aimed to present incidence rates and patient characteristics for the most common TBI-related emergency neurosurgical procedures. Methods Oslo University Hospital is the only trauma center with neurosurgical services in Southeast Norway, which has a population of 3 million. We extracted prospectively collected registry data from the Oslo TBI Registry – Neurosurgery over a five-year period (2015–2019). For age-adjusted incidence according to the direct method, we used the 2013 European standard population (ESP) and 2000–2025 WHO World standard population distributions. We conducted multivariate logistic regression models to assess variables associated with emergency neurosurgical procedures. Results A total of 2151 patients with pathological head CT scans were included. One or more emergency neurosurgical procedure was performed in 27% of patients. The crude incidence was 3.9/100 000 person-years. The age-adjusted incidences in the standard population for Europe and the world were 4.0/100 00 and 3.3/100 000, respectively. The most frequent emergency neurosurgical procedure was the insertion of an intracranial pressure monitor, followed by evacuation of the mass lesion. Male sex, road traffic accidents, severe injury (low GCS) and CT characteristics such as midline shift and compressed/absent basal cisterns were significantly associated with an increased probability of emergency neurosurgery, while older age was associated with a decreased probability. Conclusions The incidence of emergency neurosurgery in the general population is low and reflects neurosurgery procedures performed in patients with severe injuries. Hence, emergency neurosurgery for TBIs should be centralized to major trauma centers." @default.
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• W3149671402 date "2021-04-06" @default.
• W3149671402 modified "2023-10-16" @default.
• W3149671402 title "Incidence of emergency neurosurgical TBI procedures: A population-based study" @default.
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• W3149671402 doi "https://doi.org/10.21203/rs.3.rs-389391/v1" @default.
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