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Clinical factors associated with delayed emergency department visit in intracranial traumatic brain injury: from a multicenter injury surveillance registry.

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Title: Clinical factors associated with delayed emergency department visit in intracranial traumatic brain injury: from a multicenter injury surveillance registry.
Authors: Pak, Jieun, Kim, Tae Han, Song, Kyoung Jun, Lee, Seung Chul, Hong, Ki Jeong, Song, Sung Wook, Kim, Dong Hoon, Lee, Stephen Gyung Won
Source: Brain Injury. 2023, Vol. 37 Issue 5, p422-429. 8p.
Subjects: Injury complications, Hemorrhage complications, Public health surveillance, Research, Hospital emergency services, Scientific observation, Multiple regression analysis, Retrospective studies, Epidemiology, Activities of daily living, Treatment delay (Medicine), Risk assessment, Seasons, Descriptive statistics, Accidental falls, Research funding, Brain injuries, Wounds & injuries
Abstract: Early diagnosis and intervention by visiting the emergency department (ED) are important for traumatic brain injury (TBI). We evaluate the factors associated with delayed ED visits in patients with intracranial TBI. A retrospective multicenter observational study using the ED-based injury in-depth surveillance database (EDIIS) was designed. Patients with intracranial TBI with an alert mentality at ED presentation from 2014 to 2019 were enrolled. Patients were categorized into four groups according to ED visit time after injury (<1 h, 1–3 h, 3–12 h, and >12 h). ED visits after 12 h were defined as delayed ED visits. The factors associated with delayed ED visits were identified using multivariable logistic regression analysis. Among 15,620 patients with TBI enrolled in the final analysis, 2,190 (14.0%) visited the ED 12 h after injury. Multivariable analysis identified the following factors as independent predictors for delayed ED visit such as unintentionally struck by or against an object or unintentional fall as a trauma mechanism, injury during ordinary activities, indoor injury, injury during nighttime, winter season, combined subdural hemorrhage and epidural hemorrhage. In patients with intracranial TBI with an alert mentality, multiple factors related to patient demographics and injury characteristics were associated with the time interval from injury to ED visit. [ABSTRACT FROM AUTHOR]
Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Clinical factors associated with delayed emergency department visit in intracranial traumatic brain injury: from a multicenter injury surveillance registry.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Brain+Injury%22&quot;&gt;Brain Injury&lt;/searchLink&gt;. 2023, Vol. 37 Issue 5, p422-429. 8p.
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  Data: Early diagnosis and intervention by visiting the emergency department (ED) are important for traumatic brain injury (TBI). We evaluate the factors associated with delayed ED visits in patients with intracranial TBI. A retrospective multicenter observational study using the ED-based injury in-depth surveillance database (EDIIS) was designed. Patients with intracranial TBI with an alert mentality at ED presentation from 2014 to 2019 were enrolled. Patients were categorized into four groups according to ED visit time after injury (&lt;1 h, 1–3 h, 3–12 h, and &gt;12 h). ED visits after 12 h were defined as delayed ED visits. The factors associated with delayed ED visits were identified using multivariable logistic regression analysis. Among 15,620 patients with TBI enrolled in the final analysis, 2,190 (14.0%) visited the ED 12 h after injury. Multivariable analysis identified the following factors as independent predictors for delayed ED visit such as unintentionally struck by or against an object or unintentional fall as a trauma mechanism, injury during ordinary activities, indoor injury, injury during nighttime, winter season, combined subdural hemorrhage and epidural hemorrhage. In patients with intracranial TBI with an alert mentality, multiple factors related to patient demographics and injury characteristics were associated with the time interval from injury to ED visit. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Brain Injury is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=162597474
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02699052.2022.2158232
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 422
    Subjects:
      – SubjectFull: Injury complications
        Type: general
      – SubjectFull: Hemorrhage complications
        Type: general
      – SubjectFull: Public health surveillance
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: Activities of daily living
        Type: general
      – SubjectFull: Treatment delay (Medicine)
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Seasons
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Accidental falls
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Brain injuries
        Type: general
      – SubjectFull: Wounds & injuries
        Type: general
    Titles:
      – TitleFull: Clinical factors associated with delayed emergency department visit in intracranial traumatic brain injury: from a multicenter injury surveillance registry.
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            NameFull: Pak, Jieun
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            NameFull: Kim, Tae Han
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            NameFull: Song, Kyoung Jun
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            NameFull: Lee, Seung Chul
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            NameFull: Hong, Ki Jeong
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            NameFull: Song, Sung Wook
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            NameFull: Kim, Dong Hoon
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            NameFull: Lee, Stephen Gyung Won
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            – D: 01
              M: 04
              Text: 2023
              Type: published
              Y: 2023
          Identifiers:
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              Value: 02699052
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              Value: 37
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          Titles:
            – TitleFull: Brain Injury
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