PMID- 34912650
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211217
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 13
IP  - 12
DP  - 2021 Dec
TI  - Patterns and Impact of Traumatic Brain Injury at King Abdulaziz Medical City in 
      Jeddah, Saudi Arabia: A Retrospective Cohort Study.
PG  - e20246
LID - 10.7759/cureus.20246 [doi]
LID - e20246
AB  - Objectives The objectives of this study are to explore the most common causes, 
      patterns, and severities of head traumas, to evaluate the outcomes of traumatic 
      head injury (TBI) patients followed in the clinic, and to calculate the 
      prevalence of admitted cases. Methods In our retrospective cohort study, we 
      included all the cases of adults above 18 years old diagnosed with head traumas 
      (171 patients). The inclusion criteria were patients who presented to the 
      emergency department at National Guard Health Affairs (NGHA), Jeddah, Saudi 
      Arabia from 2016 to 2020. Patients were categorized according to their Glasgow 
      Coma Scale (GCS) score upon admission. Results Of the 171 patients in this study, 
      151 (88.3%) were males and 20 (11.7%) were females. The median age of our 
      patients was 31 years. Most of the cases had no medical illnesses 124 (72.5%). 
      The most common mechanism of injury was motor vehicle accidents (MVAs) in the 
      majority of our cases (105, 61.4%), followed by falls from heights (34, 19.9%). 
      The commonest computed tomography (CT) finding was subdural hematoma (47, 27.4%). 
      The majority of the associated injuries were thoracic cases (43, 25.1%), followed 
      by spinal (40, 23.4%). Most of the patients were admitted to NGHA (120, 70.2%), 
      while the rest (51, 29.8%) were transferred from other hospitals. Of the total of 
      171 patients, 134 (78.4%) were treated conservatively. There were no associations 
      between mortality nor length of stay and patients' demographics, except for GCS 
      on admission showed a significant p-value (<0.005). Conclusion In this study, it 
      was found that the most common causes of TBI are MVAs followed by falls from 
      heights. Therefore, preventive measures such as traffic safety rules need to be 
      addressed.
CI  - Copyright (c) 2021, Alghamdi et al.
FAU - Alghamdi, Fareeda S Jr
AU  - Alghamdi FS Jr
AD  - College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, 
      Jeddah, SAU.
FAU - Alsabbali, Dania M
AU  - Alsabbali DM
AD  - College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, 
      Jeddah, SAU.
FAU - Qadi, Yasmin H
AU  - Qadi YH
AD  - College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, 
      Jeddah, SAU.
FAU - Albugami, Sarah M
AU  - Albugami SM
AD  - College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, 
      Jeddah, SAU.
FAU - Lary, Ahmed
AU  - Lary A
AD  - Neurological Surgery, National Guard Health Affairs, Jeddah, SAU.
LA  - eng
PT  - Journal Article
DEP - 20211207
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC8664366
OTO - NOTNLM
OT  - fall from height
OT  - glasgow coma scale
OT  - motor vehicle accident
OT  - subdural hematoma (sdh)
OT  - traumatic brain injuries
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/12/17 06:00
MHDA- 2021/12/17 06:01
PMCR- 2021/12/07
CRDT- 2021/12/16 06:34
PHST- 2021/12/07 00:00 [accepted]
PHST- 2021/12/16 06:34 [entrez]
PHST- 2021/12/17 06:00 [pubmed]
PHST- 2021/12/17 06:01 [medline]
PHST- 2021/12/07 00:00 [pmc-release]
AID - 10.7759/cureus.20246 [doi]
PST - epublish
SO  - Cureus. 2021 Dec 7;13(12):e20246. doi: 10.7759/cureus.20246. eCollection 2021 
      Dec.