Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study.
10.1016/j.cjtee.2021.06.004
- VernacularTitle:Gender differences in adult traumatic brain injury according to the Glasgow coma scale: A multicenter descriptive study
- Author:
Ki Seong EOM
1
;
Jang Hun KIM
2
;
Sang Hoon YOON
2
;
Seong-Jong LEE
3
;
Kyung-Jae PARK
4
;
Sung-Kon HA
5
;
Jin-Gyu CHOI
6
;
Kwang-Wook JO
7
;
JongYeon KIM
8
;
Suk Hyung KANG
9
;
Jong-Hyun KIM
10
Author Information
1. Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, South Korea. Electronic address: kseom@wonkwang.ac.kr.
2. Department of Neurosurgery, Armed Forces Capital Hospital, Seongnam, South Korea.
3. Department of Neurosurgery, Armed Force Hospital, Yangju, South Korea.
4. Department of Neurosurgery, Korea University Anam Hospital, Seoul, South Korea.
5. Department of Neurosurgery, Korea University Ansan Hospital, Ansan, South Korea.
6. Department of Neurosurgery, Yeouido St. Mary's Hospital, Catholic University, Seoul, South Korea.
7. Department of Neurosurgery, Catholic University St. Mary's Hospital, Bucheon, South Korea.
8. Department of Neurosurgery, Wonju Severance Christian Hospital, Wonju, South Korea.
9. Department of Neurosurgery, Hallym University Sacred Heart Hospital, Chuncheon, South Korea.
10. Department of Neurosurgery, Korea University Guro Hospital, Seoul, South Korea.
- Publication Type:Multicenter Study
- Keywords:
Epidemiology;
Gender;
Glasgow coma scale;
Traumatic brain injuries
- MeSH:
Adult;
Brain Injuries;
Brain Injuries, Traumatic/epidemiology*;
Female;
Glasgow Coma Scale;
Humans;
Male;
Prospective Studies;
Sex Factors
- From:
Chinese Journal of Traumatology
2021;24(6):333-343
- CountryChina
- Language:English
-
Abstract:
PURPOSE:Patients' gender, which can be one of the most important determinants of traumatic brain injury (TBI) outcomes, is also likely to interact with many other outcome variables of TBI. This multicenter descriptive study investigated gender differences in epidemiological, clinical, treatment, mortality, and variable characteristics in adult TBI patients.
METHODS:The selection criteria were defined as patients who had been diagnosed with TBI and were admitted to the hospital between January 1, 2016 and December 31, 2018. A total of 4468 adult TBI patients were enrolled at eight University Hospitals. Based on the list of enrolled patients, the medical records of the patients were reviewed and they were registered online at each hospital. The registered patients were classified into three groups according to the Glasgow coma scale (GCS) score: mild (13-15), moderate (9-12), and severe (3-8), and the differences between men and women in each group were investigated. The risk factors of moderated and severe TBI compared to mild TBI were also investigated.
RESULTS:The study included 3075 men and 1393 women and the proportion of total males was 68.8%. Among all the TBI patients, there were significant differences between men and women in age, past history, and GCS score. While the mild and severe TBI groups showed significant differences in age, past history, and clinical symptoms, the moderate TBI group showed significant differences in age, past history, cause of justice, and diagnosis.
CONCLUSION:To the best of our knowledge, this multicenter study is the first to focus on gender differences of adult patients with TBI in Korea. This study shows significant differences between men and women in many aspects of adult TBI. Therefore, gender differences should be strongly considered in TBI studies.
