TY  - JOUR
PY  - 2022//
TI  - Isolated versus non-isolated traumatic brain injuries identification and decision making: a comparative study
JO  - Israel medical association journal : IMAJ
A1  - Bez, Maxim
A1  - Bez, Dana
A1  - Tsur, Avishai M.
A1  - Nadler, Roy
A1  - Benov, Avi
A1  - Chen, Jacob
SP  - 574
EP  - 578
VL  - 24
IS  - 9
N2  - BACKGROUND: Traumatic brain injury (TBI) is a significant cause of death in the battlefield. TBI can be challenging to diagnose in the combat setting and remains a substantial challenge for advanced life support (ALS) providers. <br><br>OBJECTIVES: To compare prehospital and hospitalization characteristics between isolated and non-isolated TBI. To examine the effects of TBI with coexisting injuries on patient evaluation and outcomes based on the Israeli Defense Forces Trauma Registry and the Israeli National Trauma Registry of soldiers hospitalized for TBI between the years 2006-2017. <br><br>METHODS: A total of 885 casualties were eligible for our study, of whom 271 (30%) had isolated TBI. Only 35% of hospitalized patients with isolated TBI were defined as urgent by the ALS providers versus 67% in the non-isolated TBI group (P < 0.001). <br><br>RESULTS: Overall, 29% of the TBIs in the non-isolated group were missed by the ALS providers vs. 11% in the isolated group. <br><br>CONCLUSIONS: Concomitant injuries may delay the diagnosis of TBI by ALS providers. These findings should be considered in the prehospital evaluation to potentially improve the care and outcome of head injury patients.<p />  <p>Language: en</p>
LA  - en
SN  - 1565-1088
UR  - http://dx.doi.org/
ID  - ref1
ER  -