Incidence, course and risk factors of head injury: a retrospective cohort study

Publication Date:
2018-06-02
Publisher:
BMJ Publishing
Electronic ISSN:
2044-6055
Topics:
Medicine
Keywords:
Open access, General practice / Family practice, Epidemiology
Published by:
_version_ 1836398954138304512
autor Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
beschreibung Objectives To assess the incidence of head injury and predictors of complication across the care continuum. Design Retrospective cohort study using data from a research network. We calculated the incidence of overall head injury in a longitudinal cohort covering 1-year interval (31 369 patient-years), and the incidence of complicated head injury in a longitudinal cohort covering 10 years interval (220 352 patient-ears). Incidence rates were calculated per 1000 patient-years with 95% CI using the Mid-P exact test. We calculated ORs to assess potential risk factors for a complicated head injury. Setting A practice-based research network covering a population of 〉30 000 patients. Participants All patients listed in practices within the research network during the years 2005–2014. Main outcome measures Incidence of (complicated) head injury and predictors for clinical complications. Results The incidence of overall head injury was 22.1 per 1000 person-years and the incidence of a complicated course following head injury was 0.16 per 1000 person-years. The following determinants were risk factors for a complicated course: high energy trauma, bicycle accident, traffic accident in general, use of anticoagulants, alcohol intoxication, age above 60 years and low Glasgow Coma Scale at initial presentation. A complicated course was very unlikely when the patients' first encounter with a healthcare professional was in primary care (OR 0.03, 95% CI 0.01 to 0.07). Conclusions Complication after head injury are rarely seen in general practice. Patients who do experience complications are often easily identifiable as requiring specialist care. A more reserved referral policy for general practice may be desirable, suggesting that current guidelines are too defensive.
citation_standardnr 6273591
datenlieferant ipn_articles
feed_id 151627
feed_publisher BMJ Publishing
feed_publisher_url http://group.bmj.com/
insertion_date 2018-06-02
journaleissn 2044-6055
publikationsjahr_anzeige 2018
publikationsjahr_facette 2018
publikationsjahr_intervall 7984:2015-2019
publikationsjahr_sort 2018
publisher BMJ Publishing
quelle BMJ Open
relation http://bmjopen.bmj.com/cgi/content/short/8/5/e020364?rss=1
schlagwort Open access, General practice / Family practice, Epidemiology
search_space articles
shingle_author_1 Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
shingle_author_2 Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
shingle_author_3 Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
shingle_author_4 Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
shingle_catch_all_1 Incidence, course and risk factors of head injury: a retrospective cohort study
Open access, General practice / Family practice, Epidemiology
Objectives To assess the incidence of head injury and predictors of complication across the care continuum. Design Retrospective cohort study using data from a research network. We calculated the incidence of overall head injury in a longitudinal cohort covering 1-year interval (31 369 patient-years), and the incidence of complicated head injury in a longitudinal cohort covering 10 years interval (220 352 patient-ears). Incidence rates were calculated per 1000 patient-years with 95% CI using the Mid-P exact test. We calculated ORs to assess potential risk factors for a complicated head injury. Setting A practice-based research network covering a population of >30 000 patients. Participants All patients listed in practices within the research network during the years 2005–2014. Main outcome measures Incidence of (complicated) head injury and predictors for clinical complications. Results The incidence of overall head injury was 22.1 per 1000 person-years and the incidence of a complicated course following head injury was 0.16 per 1000 person-years. The following determinants were risk factors for a complicated course: high energy trauma, bicycle accident, traffic accident in general, use of anticoagulants, alcohol intoxication, age above 60 years and low Glasgow Coma Scale at initial presentation. A complicated course was very unlikely when the patients' first encounter with a healthcare professional was in primary care (OR 0.03, 95% CI 0.01 to 0.07). Conclusions Complication after head injury are rarely seen in general practice. Patients who do experience complications are often easily identifiable as requiring specialist care. A more reserved referral policy for general practice may be desirable, suggesting that current guidelines are too defensive.
Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
BMJ Publishing
2044-6055
20446055
shingle_catch_all_2 Incidence, course and risk factors of head injury: a retrospective cohort study
Open access, General practice / Family practice, Epidemiology
Objectives To assess the incidence of head injury and predictors of complication across the care continuum. Design Retrospective cohort study using data from a research network. We calculated the incidence of overall head injury in a longitudinal cohort covering 1-year interval (31 369 patient-years), and the incidence of complicated head injury in a longitudinal cohort covering 10 years interval (220 352 patient-ears). Incidence rates were calculated per 1000 patient-years with 95% CI using the Mid-P exact test. We calculated ORs to assess potential risk factors for a complicated head injury. Setting A practice-based research network covering a population of >30 000 patients. Participants All patients listed in practices within the research network during the years 2005–2014. Main outcome measures Incidence of (complicated) head injury and predictors for clinical complications. Results The incidence of overall head injury was 22.1 per 1000 person-years and the incidence of a complicated course following head injury was 0.16 per 1000 person-years. The following determinants were risk factors for a complicated course: high energy trauma, bicycle accident, traffic accident in general, use of anticoagulants, alcohol intoxication, age above 60 years and low Glasgow Coma Scale at initial presentation. A complicated course was very unlikely when the patients' first encounter with a healthcare professional was in primary care (OR 0.03, 95% CI 0.01 to 0.07). Conclusions Complication after head injury are rarely seen in general practice. Patients who do experience complications are often easily identifiable as requiring specialist care. A more reserved referral policy for general practice may be desirable, suggesting that current guidelines are too defensive.
Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
BMJ Publishing
2044-6055
20446055
shingle_catch_all_3 Incidence, course and risk factors of head injury: a retrospective cohort study
Open access, General practice / Family practice, Epidemiology
Objectives To assess the incidence of head injury and predictors of complication across the care continuum. Design Retrospective cohort study using data from a research network. We calculated the incidence of overall head injury in a longitudinal cohort covering 1-year interval (31 369 patient-years), and the incidence of complicated head injury in a longitudinal cohort covering 10 years interval (220 352 patient-ears). Incidence rates were calculated per 1000 patient-years with 95% CI using the Mid-P exact test. We calculated ORs to assess potential risk factors for a complicated head injury. Setting A practice-based research network covering a population of >30 000 patients. Participants All patients listed in practices within the research network during the years 2005–2014. Main outcome measures Incidence of (complicated) head injury and predictors for clinical complications. Results The incidence of overall head injury was 22.1 per 1000 person-years and the incidence of a complicated course following head injury was 0.16 per 1000 person-years. The following determinants were risk factors for a complicated course: high energy trauma, bicycle accident, traffic accident in general, use of anticoagulants, alcohol intoxication, age above 60 years and low Glasgow Coma Scale at initial presentation. A complicated course was very unlikely when the patients' first encounter with a healthcare professional was in primary care (OR 0.03, 95% CI 0.01 to 0.07). Conclusions Complication after head injury are rarely seen in general practice. Patients who do experience complications are often easily identifiable as requiring specialist care. A more reserved referral policy for general practice may be desirable, suggesting that current guidelines are too defensive.
Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
BMJ Publishing
2044-6055
20446055
shingle_catch_all_4 Incidence, course and risk factors of head injury: a retrospective cohort study
Open access, General practice / Family practice, Epidemiology
Objectives To assess the incidence of head injury and predictors of complication across the care continuum. Design Retrospective cohort study using data from a research network. We calculated the incidence of overall head injury in a longitudinal cohort covering 1-year interval (31 369 patient-years), and the incidence of complicated head injury in a longitudinal cohort covering 10 years interval (220 352 patient-ears). Incidence rates were calculated per 1000 patient-years with 95% CI using the Mid-P exact test. We calculated ORs to assess potential risk factors for a complicated head injury. Setting A practice-based research network covering a population of >30 000 patients. Participants All patients listed in practices within the research network during the years 2005–2014. Main outcome measures Incidence of (complicated) head injury and predictors for clinical complications. Results The incidence of overall head injury was 22.1 per 1000 person-years and the incidence of a complicated course following head injury was 0.16 per 1000 person-years. The following determinants were risk factors for a complicated course: high energy trauma, bicycle accident, traffic accident in general, use of anticoagulants, alcohol intoxication, age above 60 years and low Glasgow Coma Scale at initial presentation. A complicated course was very unlikely when the patients' first encounter with a healthcare professional was in primary care (OR 0.03, 95% CI 0.01 to 0.07). Conclusions Complication after head injury are rarely seen in general practice. Patients who do experience complications are often easily identifiable as requiring specialist care. A more reserved referral policy for general practice may be desirable, suggesting that current guidelines are too defensive.
Gerritsen, H., Samim, M., Peters, H., Schers, H., Laar, F. v. d.
BMJ Publishing
2044-6055
20446055
shingle_title_1 Incidence, course and risk factors of head injury: a retrospective cohort study
shingle_title_2 Incidence, course and risk factors of head injury: a retrospective cohort study
shingle_title_3 Incidence, course and risk factors of head injury: a retrospective cohort study
shingle_title_4 Incidence, course and risk factors of head injury: a retrospective cohort study
timestamp 2025-06-30T23:35:16.607Z
titel Incidence, course and risk factors of head injury: a retrospective cohort study
titel_suche Incidence, course and risk factors of head injury: a retrospective cohort study
topic WW-YZ
uid ipn_articles_6273591