AIM: Neurosurgical services for @entity131 ( @entity131 ) should be based upon the understanding of the epidemiology of @entity131 in the region as well as the clinical parameters. Our objective was to measure incidence and epidemiologic factors associated with @entity131 in the Romagna region of Northeastern Italy and correlate those parameters with neurosurgical imaging and related clinical features. METHODS: Guidelines for @entity1545 management in our region were derived following meetings of all physicians involved in the treatment of @entity1545 . An epidemiologic study was undertaken in 1998. The study population was all @entity1 admitted for hospital care in the Region following a @entity131 with a discharge diagnosis of pertinent International Classification Disease, 9(th) revision, codes. Data on the extent, diagnoses, severity, external causes and hospital course were abstracted from the hospital record and computer entered for analyses. RESULTS: Using data for the population of Romagna of about 1000000 @entity1 we identified, in the full year 1998, 2430 @entity131 @entity1 or an incidence rate of 250 per 100000 resident population. There were, in addition, 460 nonresident @entity1 who were admitted in the region. External causes of injury were generally similar to reports from other places in Western Europe, with the exception of a very low frequency of cases stemming from violence. Age specific incidence rates were highest among young @entity1 , @entity1 aged 15-24, and those aged 65 and older. Computerized tomography scans were given to 1732 @entity1 and intracranial traumatic lesions were identified in 497 (28.6%) @entity1 or a rate of 38 /100000. We performed 128 craniotomies, an incidence rate of 11/100000. The case fatality rate (CFR) was 2.8% among admitted @entity1 with the highest rate among those aged 75 or older. CONCLUSION: Incidence of @entity131 in Italy is similar to other published European series. The number of minor @entity1545 admitted for hospital care remains high and can be significantly reduced with better use of CT scans in adults whenever possible. The workload for a neurosurgical unit servicing a population of 1 million is limited and does not justify the opening of new units for @entity130 care or the use of craniotomies outside the Neurosurgical Unit.

Regional XXXX as the basis for @entity1545 treatment. The Romagna (Italy) experience.

@entity1545 :: ('MESH:D020214', 'Disease') :: ['brain injuries', 'brain injury'] @entity1 :: ('9606', 'Species') :: ['children', 'patients', 'persons'] @entity131 :: ('MESH:D001930', 'Disease') :: ['TBI', 'traumatic brain injury'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1545 :: (MESH:D020214,Disease) :: ['brain injury epidemiology']
