MyMedR

The QOLIBRI--towards a quality of life tool after traumatic brain injury: current developments in Asia

Truelle JL, von Wild K, Höfer S, Neugebauer E, Lischetzke T, von Steinbüchel N, et al.

Acta Neurochir. Suppl., 2008;101:125-9.

PMID: 18642646

There is no disease-specific health-related quality of life (HRQoL) tool devoted to traumatic brain injury (TBI).

Matched MeSH terms: Brain Injuries/epidemiology*

APOE genotype and neuropsychological outcome in mild-to-moderate traumatic brain injury: a pilot study

Shadli RM, Pieter MS, Yaacob MJ, Rashid FA

Brain Inj, 2011;25(6):596-603.

PMID: 21534737 DOI: 10.3109/02699052.2011.572947

The influence of apolipoprotein (APOE) on neuropsychological outcome was investigated in 19 patients (25.79 ± 7.22 years) with mild-to-moderate traumatic brain injury and 14 matched healthy control subjects (27.43 ± 6.65 years).

Matched MeSH terms: Brain Injuries/epidemiology

Fulltext The epidemiology of childhood brain injury in the state of Selangor and Federal Territory of Kuala Lumpur, Malaysia

Tay EL, Lee SWH, Jamaluddin SF, Tam CL, Wong CP

BMC Pediatr, 2016 04 27;16:56.

PMID: 27122016 DOI: 10.1186/s12887-016-0590-1

BACKGROUND: There are limited studies describing the epidemiology of childhood brain injury, especially in developing countries. This study analyses data from the Malaysian National Trauma Database (NTrD) registry to estimate the incidence of childhood brain injury among various demographic groups within the state of Selangor and Federal Territory of Kuala Lumpur.

METHODS: This study analysed all traumatic brain injury cases for children ages 0-19 included in the 2010 NTrD report.

RESULTS: A total of 5,836 paediatric patients were admitted to emergency departments (ED) of reporting hospitals for trauma. Of these, 742 patients (12.7 %) suffered from brain injuries. Among those with brain injuries, the mortality rate was 11.9 and 71.2 % were aged between 15 and 19. Traffic accidents were the most common mode of injury (95.4 %). Out of the total for traffic accidents, 80.2 % of brain injuries were incurred in motorcycle accidents. Severity of injury was higher among males and patients who were transferred or referred to the reporting centres from other clinics. Glasgow Coma Scale (GCS) total score and type of admission were found to be statistically significant, χ (2) (5, N = 178) = 66.53, p brain injury for this one year period was 32 per 100,000 children while the incidence of significant (moderate to severe) brain injury was approximately 8 per 100,000 children.

CONCLUSIONS: This study provides an overview of traumatic brain injury rates among children within the most populous region of Malaysia. Most brain injuries occurred among older male children, with traffic, specifically motorcycle-related, accidents being the main mode of injury. These findings point to risk factors that could be targeted for future injury prevention programs.

Matched MeSH terms: Brain Injuries/epidemiology*

Fulltext Characteristics and clinical predictors of minor head injury in children presenting to two Malaysian accident and emergency departments

Chan HC, Aasim WA, Abdullah NM, Naing NN, Abdullah JM, Saffari MH, et al.

Singapore Med J, 2005 May;46(5):219-23.

PMID: 15858690

Paediatric minor head injuries (MHI) are just as common in both bigger and smaller towns in Malaysia. Urban-based MHI are due more to motor vehicular injuries compared to rural-based MHI which are mainly due to non-motor vehicular injuries. The main objectives of this study were to compare incidence of admitted patients to accident and emergency departments of hospitals in two different settings in Malaysia, namely: Ipoh (urban-based) and Kota Bharu (rural-based); and to correlate to demographical characteristics, types of accident, clinical signs and symptoms, radiological and computed tomography (CT) findings, management; and finally, to determine clinical predictors of intracranial injury in MHI.

Matched MeSH terms: Brain Injuries/epidemiology*

Concomitant injuries and its influence on functional outcome after traumatic brain injury

Leong BK, Mazlan M, Abd Rahim RB, Ganesan D

Disabil Rehabil, 2013 Aug;35(18):1546-51.

PMID: 23294408 DOI: 10.3109/09638288.2012.748832

This study aims to describe the presence and severity of extracranial concomitant injuries in traumatic brain injury (TBI) patients and to ascertain their effect on long-term functional outcome.

Matched MeSH terms: Brain Injuries/epidemiology*

Contrecoup injury in patients with traumatic temporal bone fracture

Asha'Ari ZA, Ahmad R, Rahman J, Kamarudin N, Ishlah LW

J Laryngol Otol, 2011 Aug;125(8):781-5.

PMID: 21524330 DOI: 10.1017/S0022215111000545

To study the prevalence and patterns of contrecoup injury in traumatic temporal bone fracture cases.

Matched MeSH terms: Brain Injuries/epidemiology

Fulltext National Trauma Database (NTrD)--improving trauma care: first year report

Sabariah FJ, Ramesh N, Mahathar AW

Med J Malaysia, 2008 Sep;63 Suppl C:45-9.

PMID: 19227673

The first Malaysian National Trauma Database was launched in May 2006 with five tertiary referral centres to determine the fundamental data on major trauma, subsequently to evaluate the major trauma management and to come up with guidelines for improved trauma care. A prospective study, using standardized and validated questionnaires, was carried out from May 2006 till April 2007 for all cases admitted and referred to the participating hospitals. During the one year period, 123,916 trauma patients were registered, of which 933 (0.75%) were classified as major trauma. Patients with blunt injury made up for 83.9% of cases and RTA accounted for 72.6% of injuries with 64.9% involving motorcyclist and pillion rider. 42.8% had severe head injury with an admission Glasgow Coma Scale (GCS) of 3-8 and the Revised Trauma Score (RTS) of 5-6 were recorded in 28.8% of patients. The distribution of Injury Severity Score (ISS) showed that 42.9% of cases were in the range of 16-24. Only 1.9% and 6.3% of the patients were reviewed by the Emergency Physician and Surgeon respectively. Patients with admission systolic blood pressure of less than 90 mmHg had a death rate of 54.6%. Patients with severe head injury (GCS < 9), 45.1% died while 79% patients with moderate head injury survived. There were more survivors within the higher RTS range compared to the lower RTS. Patients with direct admission accounted for 52.3% of survivors and there were 61.7% survivors for referred cases. In conclusion, NTrD first report has successfully demonstrated its significance in giving essential data on major trauma in Malaysia, however further expansion of the study may reflect more comprehensive trauma database in this country.

Matched MeSH terms: Brain Injuries/epidemiology*

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