caa a22 4500 606215417 CHVBK 20210128101058.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00701-015-2512-7 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2512-7 Epidemiology of traumatic brain injury in Europe [Elektronische Daten] [Wouter Peeters, Ruben van den Brande, Suzanne Polinder, Alexandra Brazinova, Ewout Steyerberg, Hester Lingsma, Andrew Maas] Background: Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies. Method: We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur*, head injur* and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included. Results: In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived. Conclusions: Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns. The Author(s), 2015 Epidemiology nationallicence Traumatic brain injury nationallicence Systematic review nationallicence Incidence nationallicence External cause nationallicence Mortality nationallicence Peeters Wouter University of Antwerp, Antwerp, Belgium aut van den Brande Ruben University of Antwerp, Antwerp, Belgium aut Polinder Suzanne Department of Public Health, Centre for Medical Decision Making, Erasmus MC, Rotterdam, The Netherlands aut Brazinova Alexandra Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovak Republic aut Steyerberg Ewout Department of Public Health, Centre for Medical Decision Making, Erasmus MC, Rotterdam, The Netherlands aut Lingsma Hester Department of Public Health, Centre for Medical Decision Making, Erasmus MC, Rotterdam, The Netherlands aut Maas Andrew University of Antwerp, Antwerp, Belgium aut Acta Neurochirurgica Springer Vienna 157/10(2015-10-01), 1683-1696 0001-6268 157:10<1683 2015 157 701 https://doi.org/10.1007/s00701-015-2512-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2512-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Peeters Wouter University of Antwerp, Antwerp, Belgium aut NATIONALLICENCE 700 1- van den Brande Ruben University of Antwerp, Antwerp, Belgium aut NATIONALLICENCE 700 1- Polinder Suzanne Department of Public Health, Centre for Medical Decision Making, Erasmus MC, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Brazinova Alexandra Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovak Republic aut NATIONALLICENCE 700 1- Steyerberg Ewout Department of Public Health, Centre for Medical Decision Making, Erasmus MC, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Lingsma Hester Department of Public Health, Centre for Medical Decision Making, Erasmus MC, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Maas Andrew University of Antwerp, Antwerp, Belgium aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/10(2015-10-01), 1683-1696 0001-6268 157:10<1683 2015 157 701