TY  - JOUR
PY  - 2020//
TI  - Definition and epidemiology of mild traumatic brain injury
JO  - Neurochirurgie (Paris)
A1  - Lefevre-Dognin, Clemence
A1  - Cogné, Mélanie
A1  - Perdrieau, Valérie
A1  - Granger, Aurélie
A1  - Heslot, Camille
A1  - Azouvi, Philippe
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Background / objectives. The definition of mild traumatic brain injury (mTBI), also known as concussion, has been a matter of controversy, which makes comparison between studies. Incidence varies greatly from one country to another. The present article reviews definitions and epidemiology. <br><br>METHODS: Literature review. <br><br>RESULTS: According to the Mild TBI Committee of the American Congress of Rehabilitation Medicine, revised by the World Health Organization (WHO), mTBI is defined by a Glasgow Coma Scale score between 13 and 15 at 30 minutes post-injury, and one or more of the following symptoms: <30 min loss of consciousness; < 24 hours' post-traumatic amnesia (PTA); impaired mental state at time of accident (confusion, disorientation, etc.); and/or transient neurological deficit. If a focal lesion is found on computed tomography (CT) or magnetic resonance imaging (MRI), the term "complicated mild TBI" has been proposed. Incidence of mTBI is 200-300/100,000 persons per year for hospitalized patients and probably twice as high if non-hospitalized patients are included. However, a few recent population-based studies reported a much higher rate (>700/100,000). A changing pattern of epidemiology has been found in high-income countries, related to a decrease in road-accident injuries in young adults, while conversely the proportion of falls has increased with population aging. <br><br>CONCLUSION: Mild TBI is a major public health concern, the epidemiology of which has greatly changed in the last twenty years.<br><br>Copyright © 2020. Published by Elsevier Masson SAS.<p />  <p>Language: en</p>
LA  - en
SN  - 0028-3770
UR  - http://dx.doi.org/10.1016/j.neuchi.2020.02.002
ID  - ref1
ER  -