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dc.contributor.authorBjarkø, Vera Vik
dc.contributor.authorSkandsen, Toril
dc.contributor.authorMoen, Kent Gøran
dc.contributor.authorGulati, Sasha
dc.contributor.authorHelseth, Eirik
dc.contributor.authorNilsen, Tom Ivar Lund
dc.contributor.authorVik, Anne
dc.identifier.citationWorld Neurosurgery. 2018, 122 ?-e684.nb_NO
dc.description.abstractBackground Knowledge about the causes and time of injury for traumatic brain injury (TBI) is important for the development of efficient prevention policies. We aimed to study time of injury and relation to alcohol intoxication for moderate-to-severe TBI in a level 1 trauma center in Norway. Methods From October 2004 to September 2014, 493 consecutive patients (≥16 years) with moderate (Glasgow Coma Scale [GCS] score 9–13) and severe TBI (GCS score 3–8) were prospectively included in the Trondheim TBI Study (222 patients with moderate and 270 patients with severe TBI). Results Mean age was 47 years (standard deviation 21 years). Positive blood alcohol concentration (BAC) was found in 29%, and median BAC was 41.5 mmol/L (interquartile range 28.7–54.3), equal to 1.91‰. Admissions were more frequent on Saturdays (relative risk [RR] 2.67, 95% confidence interval [CI] 1.87–3.80) and Sundays (RR 2.10, 95% CI 1.45–3.03) compared with Mondays, and positive BAC was more common on weekends than weekdays (43% vs. 16%). Furthermore, admissions were more frequent in June (RR 2.26, 95% CI 1.44–3.55), July (RR 2.07, 95% CI 1.31–3.28), and December (RR 2.07, 95% CI 1.31–3.28) compared with January. The number of patients with positive BAC was greatest in December (RR 5.75, 95% CI 1.99–16.63), and 70% of these were caused by falls. Conclusions Our findings demonstrate that moderate-to-severe TBI admissions display a clear weekly and seasonal variation and that alcohol is an important modifiable risk factor for moderate-to-severe TBI.nb_NO
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.titleTime of Injury and Relation to Alcohol Intoxication in Moderate-to-Severe Traumatic Brain Injury: A Decade-Long Prospective Studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.source.journalWorld Neurosurgerynb_NO
dc.description.localcode© 2018 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license ( ).nb_NO
cristin.unitnameInstitutt for nevromedisin og bevegelsesvitenskap
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie

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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal