Epidemiology of Traumatic Brain Injuries at a Major Government Hospital in Cambodia
dc.contributor.advisor | Mihalic, Angela | en |
dc.contributor.committeeMember | Madden, Christopher | en |
dc.contributor.committeeMember | Gatson, Joshua | en |
dc.creator | Peeters, Sophie Monique | en |
dc.date.accessioned | 2019-08-02T19:23:32Z | |
dc.date.available | 2019-08-02T19:23:32Z | |
dc.date.created | 2017-06 | |
dc.date.issued | 2017-03-02 | |
dc.date.submitted | June 2017 | |
dc.date.updated | 2019-08-02T19:23:32Z | |
dc.description | The general metadata -- e.g., title, author, abstract, subject headings, etc. -- is publicly available, but access to the submitted files is restricted to UT Southwestern campus access and/or authorized UT Southwestern users. | en |
dc.description.abstract | BACKGROUND: Traumatic brain injury (TBI) is a critical public health problem worldwide with a significant socioeconomic burden. While improved safety regulations in high-income countries have resulted in a decline in traffic-related TBI, the incidence of TBI in low-income countries is on the rise. We illustrate the trends and factors involved in TBI in a large Cambodian governmental hospital in Phnom Penh. Additionally, suggestions for improvement of the country's road traffic safety are discussed. METHODS: This is a cross-sectional study of all patients who presented with traumatic brain injury to Department of Neurosurgery at Preah Kossamak Hospital in Phnom Penh, Cambodia between November 2013 and March 2016. RESULTS: Traumatic brain injuries in Cambodia are on the rise. 34% occur during rush hour, 5 to 9pm, and 40% during the weekend. The vast majority (74%) is due to road traffic accidents, of which 81% are motorcycle related. Helmet wear remains low at 13% and recent alcohol use was reported as 38%. The most common diagnosis is skull fracture. The subdural to epidural hematoma ratio was 1:1.05. Lastly, in both subdural and epidural hematomas the frontal lobe was most commonly involved, with 60% of epidural hematomas associated with a lucid interval. CONCLUSIONS: Our study suggests prevention and management of TBIs can have a measurable public health impact in Cambodia. Initiative examples include helmet safety awareness campaigns, stricter penalties, improvement of pre-hospital care, and more efficient triage. High proportion of un-helmeted motorcycle accidents correlates with a rise in epidural hematomas. | en |
dc.format.mimetype | application/pdf | en |
dc.identifier.oclc | 1111292126 | |
dc.identifier.uri | https://hdl.handle.net/2152.5/7084 | |
dc.language.iso | en | en |
dc.subject | Accidents, Traffic | en |
dc.subject | Alcohol Drinking | en |
dc.subject | Brain Injuries, Traumatic | en |
dc.subject | Cambodia | en |
dc.subject | Hospitalization | en |
dc.subject | Hospitals, Public | en |
dc.subject | Skull Fractures | en |
dc.title | Epidemiology of Traumatic Brain Injuries at a Major Government Hospital in Cambodia | en |
dc.type | Thesis | en |
dc.type.material | text | en |
thesis.degree.department | UT Southwestern Medical School | en |
thesis.degree.discipline | Global Health | en |
thesis.degree.grantor | UT Southwestern Medical Center | en |
thesis.degree.level | Doctoral | en |
thesis.degree.name | M.D. with Distinction | en |