The study consists of two different parts, an epidemiological main project ("TBI registry"), and an additional subproject ("mild TBI"). In the TBI registry, all patients with different degrees of TBI who are newly diagnosed and treated between 01.10.2014 and 30.09.2015 in the participating hospitals will be prospectively documented and a 1-year follow up will be performed. The aim is to document the current state of diagnosis and treatment of patients with TBI in the participating hospitals and to compare this state with results of a similar epidemiological study which was conducted 2000/2001 in the regions of Hannover and Münster. Besides, another aim is to document the outcome of patients who have suffered from TBI and to identify risk factors determining a negative course of the disease. In the subproject, the frequency and temporal dynamics of neuropsychological deficits will be assessed in a subgroup of patients with mild TBI. Besides, the possible value of new MRI-techniques (especially DTI) as a prognostic parameter in mild TBI will be determined.
In the TBI registry, all patients with TBI who are newly diagnosed between 01.10.2014 and 30.09.2015 in the participating hospitals will be prospectively documented. For this purpose, three standardized documentation forms will be used. In the "initial treatment" form, the preclinical management and the emergency room management of the patients after arrival at hospital will be documented. In the "acute phase" form, the treatment of the patient during the acute phase in hospital will be documented. In the "rehabilitation" form, the rehabilitation therapy (if applicable) will be documented. Three and 12 months after the TBI, patients will be contacted for a standardized telephone interview to assess the outcome after TBI. In the subproject "mild TBI", a subgroup of 100 patients with mild TBI will be examined within one week after trauma by standard neurological examination, MRI and EEG. Follow-up examinations will be performed after 3 and 12 months, including a comprehensive neuropsychological examination.
-cross sectoral-Type of hazard:
rehabilitationDescription, key words:
traumatic brain injury, TBI