Gier, I. de (Ilse) (2016) Verschil in patiëntkarakteristieken tussen patiënten met en zonder schedelhersenletsel na een fietsongeval. thesis, Medicine.
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Abstract
Introduction More then 200 people die each year after a cycling accident. In total, 12% of the victims of a bicycle accident got hospitalized for traumatic brain injury. Traumatic brain injury caused by a bicycle accident is seem more often. Scientific literature shows that there are risk factors for the occurrence of traumatic brain injury after a traffic accident. Young children and people older than 85 years running the most common traumatic brain injury. Men seem more likely on head injuries than women.The bicycle type which the patient was driving at the time of the accident is know as a factor that differences in injury severity. The wearing of a helmet is also a factor that is associated with the accumulation of traumatic brain injury. The use of anticoagulantia shows an increased risk of death due to traumatic brain injury. As a result of traumatic brain injury death is determined within 30 days after the bike accident. Or risk factors for the above-mentioned traumatic brain injury als be a risk factor for traumatic brain injury arising from a bicycle accident is investigated in this study. The purpose of this study is to determine whether there is a relationship between different patient characteristiscs and the accumulation of traumatic brain injury as a result of a bicycle accident. Materials and methods A prospective cross-sectional cohort study was conducted at the Department of Trauma Surgery at the University Medical Center Groningen in 677 patients over 18 who have been admitted to the University Medical Center Groningen in the period from January 1, 2007 to May 31, 2016 in connection with injuries caused a bicycle accident. In the National Trauma Registry data was available from patients between January 2007 and December 31, 2014 at the UMCG are included in connection with a bicycle accident. Data on patients who were admitted between January 1, 2015 and May 30, 2016 was prospectively collected by state examination. The following variables were collected: age, sex, type of bike, helmet use, anticoagulantion use and death. Results Of the 677 patients, 66 patients had serious traumatic brain injury. Of the patients who have sustained traumatic brain injury, the largest group was older than 66 years, namely 39.4%. There were more men than women who have sustained serious traumatic brain injury, respectively 57.6% and 42.4%. Of the 66 patients who have sustained serious traumatic brain injury drove 68.2% on an e-bike and 90.9% did not use anticoagulation. As a result of traumatic brain injury 36.4% ultimately died within 30 days after the accident. Conclusion Cyclists older than 66 years are 2.05 times more likely to incur from traumatic brain injuries following a bicycle accident in relation to cyclists under 40 years. Sex does not effect the risk of traumatic brain injury. The e-bike increases the risk of traumatic brain injury by 3.47 times compared to the normal bike. Helmet use shows no significance. Patients with traumatic brain injury due to a bicycle accident vary significantly greater risk of death than patients without traumatic brain injury, namely 43 times.
| Item Type: | Thesis (Thesis) |
|---|---|
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:40 |
| Last Modified: | 25 Jun 2020 10:40 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/168 |
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