Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action

Luca Masotti; Gianni Lorenzini; Irene Chiti; Laura Policardo; Paolo Francesconi; Grazia Panigada; Giancarlo Landini

doi:doi:10.11648/j.ajim.20150302.12

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Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action

Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, Grazia Panigada, Giancarlo Landini

Published in American Journal of Internal Medicine (Volume 3, Issue 2)

Received: 27 January 2015 Accepted: 9 February 2015 Published: 2 March 2015

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Abstract

Background: Traumatic brain injuries (TBIs) represent fearing occurrences in clinical practice, due to high mortality and morbidity. Whether the burden of TBIs is increased in Internal Medicine wards remains unclear, therefore the aim of our study was to provide information about it. Materials and Methods: International Classification of Diseases, 9th revision, Clinical Modification (ICD-9th CM) database referred to patients discharged from Tuscan Hospitals in the 2003, 2008 and 2012 years was analyzed. We searched for codes from 850 to 853.19 and from 854.00 to 854.19 as traumatic intracranial bleedings (TIBs) and codes from 800.00 to 804.99 as traumatic brain injuries without bleedings (TBIWBs) in the first six diagnoses of hospital discharge schedules referred to Internal Medicine wards. Results: Overall, hospital discharges for TBIs reduced over the years. However, hospital discharges for TBIs were 47,2% increased in Internal Medicine wards from 2003 to 2012. TBIs increased in 3,4% of patients under 75 years and 93,7% in patients over 75 years. Internal Medicine ward was the hospital setting in 11,20% and 16,70%of TIBs and TIBWBs in 2003 and 24,10% and 37.50%in 2012, respectively. In-hospital mortality in TBIs patients was unchanged over the years and was seven-tenfold greater in patients over 75 years compared to patients under 75 years. Conclusion: Admissions for TBIs are dramatically increased over the last 10 years in Internal Medicine wards, especially in patients over 75 years, making these conditions as a real emerging challenge for the Internists.

Published in	American Journal of Internal Medicine (Volume 3, Issue 2)
DOI	10.11648/j.ajim.20150302.12
Page(s)	50-54
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Traumatic Brain Injury, Intracranial Bleedings, Epidemiology, Internal Medicine

References

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[3]	Selassie AW, Zaloshnja E, Langlois JA, Miller T, Jones P, Steiner C. Incidence of long-term disability following traumatic brain injury hospitalization, UnitedStates, 2003. J Head Trauma Rehabil. 2008 Mar-Apr; 23(2):123-31.
[4]	Rusticali B, Villani R; Working Group. Treatment of minor and severe traumatic brain injury. National reference guidelines. Minerva Anestesiol 2008; 74):583-616.
[5]	Brain Trauma Foundation; American Association of Neurological Surgeons; Congress of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury. J Neurotrauma. 2007; 24Suppl 1:S1-106.
[6]	Andelic N, Anke A, Skandsen T, Sigurdardottir S, Sandhaug M, Ader T, Roe C. Incidence of hospital-admitted severe traumatic brain injury and in-hospital fatality in Norway: a national cohort study. Neuroepidemiology 2012; 38:259-67.
[7]	Colantonio A, Croxford R, Farooq S, Laporte A, Coyte PC. Trends in hospitalization associated with traumatic brain injury in a publicly insured population, 1992-2002. J Trauma 2009; 66:179-83.
[8]	Feigin VL, Theadom A, Barker-Collo S et al.; BIONIC Study Group. Incidence of traumatic brain injury in New Zealand: a population-based study. Lancet Neurol 2013; 12:53-64.
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[12]	Fletcher AE, Khalid S, Mallonee S. The epidemiology of severe traumatic braininjury among persons 65 years of age and older in Oklahoma, 1992-2003. Brain Inj 2007; 21:691-9.

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APA Style

Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, et al. (2015). Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. American Journal of Internal Medicine, 3(2), 50-54. https://doi.org/10.11648/j.ajim.20150302.12

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ACS Style

Luca Masotti; Gianni Lorenzini; Irene Chiti; Laura Policardo; Paolo Francesconi, et al. Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. Am. J. Intern. Med. 2015, 3(2), 50-54. doi: 10.11648/j.ajim.20150302.12

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AMA Style

Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, et al. Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. Am J Intern Med. 2015;3(2):50-54. doi: 10.11648/j.ajim.20150302.12

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@article{10.11648/j.ajim.20150302.12,
  author = {Luca Masotti and Gianni Lorenzini and Irene Chiti and Laura Policardo and Paolo Francesconi and Grazia Panigada and Giancarlo Landini},
  title = {Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action},
  journal = {American Journal of Internal Medicine},
  volume = {3},
  number = {2},
  pages = {50-54},
  doi = {10.11648/j.ajim.20150302.12},
  url = {https://doi.org/10.11648/j.ajim.20150302.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20150302.12},
  abstract = {Background: Traumatic brain injuries (TBIs) represent fearing occurrences in clinical practice, due to high mortality and morbidity. Whether the burden of TBIs is increased in Internal Medicine wards remains unclear, therefore the aim of our study was to provide information about it. Materials and Methods: International Classification of Diseases, 9th revision, Clinical Modification (ICD-9th CM) database referred to patients discharged from Tuscan Hospitals in the 2003, 2008 and 2012 years was analyzed. We searched for codes from 850 to 853.19 and from 854.00 to 854.19 as traumatic intracranial bleedings (TIBs) and codes from 800.00 to 804.99 as traumatic brain injuries without bleedings (TBIWBs) in the first six diagnoses of hospital discharge schedules referred to Internal Medicine wards. Results: Overall, hospital discharges for TBIs reduced over the years. However, hospital discharges for TBIs were 47,2% increased in Internal Medicine wards from 2003 to 2012. TBIs increased in 3,4% of patients under 75 years and 93,7% in patients over 75 years. Internal Medicine ward was the hospital setting in 11,20% and 16,70%of TIBs and TIBWBs in 2003 and 24,10% and 37.50%in 2012, respectively. In-hospital mortality in TBIs patients was unchanged over the years and was seven-tenfold greater in patients over 75 years compared to patients under 75 years. Conclusion: Admissions for TBIs are dramatically increased over the last 10 years in Internal Medicine wards, especially in patients over 75 years, making these conditions as a real emerging challenge for the Internists.},
 year = {2015}
}

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TY  - JOUR
T1  - Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action
AU  - Luca Masotti
AU  - Gianni Lorenzini
AU  - Irene Chiti
AU  - Laura Policardo
AU  - Paolo Francesconi
AU  - Grazia Panigada
AU  - Giancarlo Landini
Y1  - 2015/03/02
PY  - 2015
N1  - https://doi.org/10.11648/j.ajim.20150302.12
DO  - 10.11648/j.ajim.20150302.12
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 50
EP  - 54
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20150302.12
AB  - Background: Traumatic brain injuries (TBIs) represent fearing occurrences in clinical practice, due to high mortality and morbidity. Whether the burden of TBIs is increased in Internal Medicine wards remains unclear, therefore the aim of our study was to provide information about it. Materials and Methods: International Classification of Diseases, 9th revision, Clinical Modification (ICD-9th CM) database referred to patients discharged from Tuscan Hospitals in the 2003, 2008 and 2012 years was analyzed. We searched for codes from 850 to 853.19 and from 854.00 to 854.19 as traumatic intracranial bleedings (TIBs) and codes from 800.00 to 804.99 as traumatic brain injuries without bleedings (TBIWBs) in the first six diagnoses of hospital discharge schedules referred to Internal Medicine wards. Results: Overall, hospital discharges for TBIs reduced over the years. However, hospital discharges for TBIs were 47,2% increased in Internal Medicine wards from 2003 to 2012. TBIs increased in 3,4% of patients under 75 years and 93,7% in patients over 75 years. Internal Medicine ward was the hospital setting in 11,20% and 16,70%of TIBs and TIBWBs in 2003 and 24,10% and 37.50%in 2012, respectively. In-hospital mortality in TBIs patients was unchanged over the years and was seven-tenfold greater in patients over 75 years compared to patients under 75 years. Conclusion: Admissions for TBIs are dramatically increased over the last 10 years in Internal Medicine wards, especially in patients over 75 years, making these conditions as a real emerging challenge for the Internists.
VL  - 3
IS  - 2
ER  -

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Author Information

Luca Masotti

Medicina Interna, Ospedale Santa Maria Nuova, Florence, Italy
Gianni Lorenzini

Medicina Interna, Ospedale di Borgo San Lorenzo, Florence, Italy
Irene Chiti

Medicina Interna, Ospedale di Pescia, Pistoia, Italy
Laura Policardo

Agenzia Regionale di Sanità della Toscana Osservatorio di Epidemiologia, Florence, Italy
Paolo Francesconi

Agenzia Regionale di Sanità della Toscana Osservatorio di Epidemiologia, Florence, Italy
Grazia Panigada

Medicina Interna, Ospedale di Pescia, Pistoia, Italy
Giancarlo Landini

Medicina Interna, Ospedale Santa Maria Nuova, Florence, Italy

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Plain Text BibTeX RIS

APA Style

Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, et al. (2015). Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. American Journal of Internal Medicine, 3(2), 50-54. https://doi.org/10.11648/j.ajim.20150302.12

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ACS Style

Luca Masotti; Gianni Lorenzini; Irene Chiti; Laura Policardo; Paolo Francesconi, et al. Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. Am. J. Intern. Med. 2015, 3(2), 50-54. doi: 10.11648/j.ajim.20150302.12

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AMA Style

Luca Masotti, Gianni Lorenzini, Irene Chiti, Laura Policardo, Paolo Francesconi, et al. Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action. Am J Intern Med. 2015;3(2):50-54. doi: 10.11648/j.ajim.20150302.12

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@article{10.11648/j.ajim.20150302.12,
  author = {Luca Masotti and Gianni Lorenzini and Irene Chiti and Laura Policardo and Paolo Francesconi and Grazia Panigada and Giancarlo Landini},
  title = {Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action},
  journal = {American Journal of Internal Medicine},
  volume = {3},
  number = {2},
  pages = {50-54},
  doi = {10.11648/j.ajim.20150302.12},
  url = {https://doi.org/10.11648/j.ajim.20150302.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20150302.12},
  abstract = {Background: Traumatic brain injuries (TBIs) represent fearing occurrences in clinical practice, due to high mortality and morbidity. Whether the burden of TBIs is increased in Internal Medicine wards remains unclear, therefore the aim of our study was to provide information about it. Materials and Methods: International Classification of Diseases, 9th revision, Clinical Modification (ICD-9th CM) database referred to patients discharged from Tuscan Hospitals in the 2003, 2008 and 2012 years was analyzed. We searched for codes from 850 to 853.19 and from 854.00 to 854.19 as traumatic intracranial bleedings (TIBs) and codes from 800.00 to 804.99 as traumatic brain injuries without bleedings (TBIWBs) in the first six diagnoses of hospital discharge schedules referred to Internal Medicine wards. Results: Overall, hospital discharges for TBIs reduced over the years. However, hospital discharges for TBIs were 47,2% increased in Internal Medicine wards from 2003 to 2012. TBIs increased in 3,4% of patients under 75 years and 93,7% in patients over 75 years. Internal Medicine ward was the hospital setting in 11,20% and 16,70%of TIBs and TIBWBs in 2003 and 24,10% and 37.50%in 2012, respectively. In-hospital mortality in TBIs patients was unchanged over the years and was seven-tenfold greater in patients over 75 years compared to patients under 75 years. Conclusion: Admissions for TBIs are dramatically increased over the last 10 years in Internal Medicine wards, especially in patients over 75 years, making these conditions as a real emerging challenge for the Internists.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Traumatic Brain Injuries in Internal Medicine Wards: An Emerging Challenge Needing for a Call to Action
AU  - Luca Masotti
AU  - Gianni Lorenzini
AU  - Irene Chiti
AU  - Laura Policardo
AU  - Paolo Francesconi
AU  - Grazia Panigada
AU  - Giancarlo Landini
Y1  - 2015/03/02
PY  - 2015
N1  - https://doi.org/10.11648/j.ajim.20150302.12
DO  - 10.11648/j.ajim.20150302.12
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 50
EP  - 54
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20150302.12
AB  - Background: Traumatic brain injuries (TBIs) represent fearing occurrences in clinical practice, due to high mortality and morbidity. Whether the burden of TBIs is increased in Internal Medicine wards remains unclear, therefore the aim of our study was to provide information about it. Materials and Methods: International Classification of Diseases, 9th revision, Clinical Modification (ICD-9th CM) database referred to patients discharged from Tuscan Hospitals in the 2003, 2008 and 2012 years was analyzed. We searched for codes from 850 to 853.19 and from 854.00 to 854.19 as traumatic intracranial bleedings (TIBs) and codes from 800.00 to 804.99 as traumatic brain injuries without bleedings (TBIWBs) in the first six diagnoses of hospital discharge schedules referred to Internal Medicine wards. Results: Overall, hospital discharges for TBIs reduced over the years. However, hospital discharges for TBIs were 47,2% increased in Internal Medicine wards from 2003 to 2012. TBIs increased in 3,4% of patients under 75 years and 93,7% in patients over 75 years. Internal Medicine ward was the hospital setting in 11,20% and 16,70%of TIBs and TIBWBs in 2003 and 24,10% and 37.50%in 2012, respectively. In-hospital mortality in TBIs patients was unchanged over the years and was seven-tenfold greater in patients over 75 years compared to patients under 75 years. Conclusion: Admissions for TBIs are dramatically increased over the last 10 years in Internal Medicine wards, especially in patients over 75 years, making these conditions as a real emerging challenge for the Internists.
VL  - 3
IS  - 2
ER  -

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