Increasing Traumatic Brain Injury Incidence during COVID-19 Pandemic in the Emergency Department of Cipto Mangunkusumo National General Hospital-A National Referral Hospital in Indonesia.

Abstract:

OBJECTIVE:Evaluating the TBI incidence during the COVID-19 pandemic era compared with similar period in previous year. BACKGROUND:The emergence of SARS-CoV2 influenced the evolution of governmental and hospital policy worldwide, which might eventually impact many aspects. The incidence of many diseases in the Emergency Department (ED), especially traumatic brain injury (TBI), has been an area of interest. DESIGN/METHODS:Retrospective study comparing TBI incidence before and during COVID-19 pandemic era starting from the declaration of national pandemic date (March 16, 2020) until June 14, 2020 with the comparison of the same period in the previous year. RESULTS:There was an increase in admission rate due to TBI during COVID-19 pandemic compared with the previous year (157/752 (20.9%) vs 106/766 (13.8%), p < 0.001, respectively). While the range of age was similar between COVID-19 and non-COVID-19 era (37.9 ± 14.8 vs 38.6 ± 15.4 years, p = 0.712), male was higher in percentage to experience the injury (131/157 (83.4%) vs 67/106 (63.2%), p < 0.001). During the pandemic era, road traffic injury (97/157 (61.8%) vs 56/106 (52.8%), p = 0.149) as well as moderate-to-severe brain injury tended to increase (30/157 (19.1%) vs 17/106 (16.0%) p = 0.524) albeit statistically insignificant. Although the mortality rate was similar (12/157 (7.6%) vs 9/106 (8.5%), p = 0.804), higher hospitalization rate was observed in the pandemic era (81/157 (51.2%) vs 37/106 (34.9%) p = 0.008). CONCLUSIONS:TBI incidence remained increasing despite entering the COVID-19 era. These phenomena required further investigation and analysis that may possibly be unrelated with the COVID-19, but due to the change of the government policy and its impact, such as the more quiet road after national social distancing.

journal_name

Neurology

journal_title

Neurology

authors

Prawiroharjo P,Pangeran D,Supriawan H,Lastri D,Mayza A,Zairinal RA,Dewi AR,Asmaniar F,Ramli Y

doi

10.1212/01.wnl.0000719968.10580.81

subject

Has Abstract

pub_date

2020-11-17 00:00:00

pages

S11

issue

12 Suppl 2

eissn

0028-3878

issn

1526-632X

pii

95/20_Supplement_1/S11

journal_volume

95

pub_type

杂志文章
  • Expression of cytokines in brain lesions in subacute sclerosing panencephalitis.

    abstract::We analyzed frozen brain specimens from three patients with subacute sclerosing panencephalitis (SSPE) for the presence of interleukin (IL)-1 beta, IL-2, IL-6, tumor necrosis factor (TNF), lymphotoxin (LT), and interferon (IFN)-gamma using immunocytochemical techniques. We detected these cytokines in SSPE brain lesion...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.4.710

    authors: Nagano I,Nakamura S,Yoshioka M,Onodera J,Kogure K,Itoyama Y

    更新日期:1994-04-01 00:00:00

  • Sorivudine: a promising drug for the treatment of varicella-zoster virus infection.

    abstract::Sorivudine provides a unique nucleoside analog with significantly enhanced both in vitro and in vitro activity and enhanced oral bioavailability. Early indications from controlled studies indicate that sorivudine therapy is superior to acyclovir for the treatment of localized zoster in individuals with HIV infection a...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.45.12_suppl_8.s73

    authors: Whitley RJ

    更新日期:1995-12-01 00:00:00

  • Etiology of aseptic meningitis and encephalitis in an adult population.

    abstract:OBJECTIVE:To investigate the etiology of aseptic meningitis and encephalitis in an adult population using modern microbiologic methods. METHODS:Consecutive patients (ages > or =16) with aseptic meningitis or encephalitis treated in Turku University Hospital, Finland, during 1999 to 2003 were included in the study. Mic...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000191407.81333.00

    authors: Kupila L,Vuorinen T,Vainionpää R,Hukkanen V,Marttila RJ,Kotilainen P

    更新日期:2006-01-10 00:00:00

  • Localization of callosal auditory pathways: a CT case study.

    abstract::The position of the auditory pathways in the human corpus callosum has not been defined by modern imaging techniques. We report a case with a discrete hemorrhagic lesion in the posterior body of the corpus callosum. The only signs of disturbed callosal function were limited to the auditory system--suppression of left ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.5.802

    authors: Alexander MP,Warren RL

    更新日期:1988-05-01 00:00:00

  • Oral fluoroquinolone use and risk of peripheral neuropathy: a pharmacoepidemiologic study.

    abstract:OBJECTIVE:To quantify the risk of peripheral neuropathy (PN) with oral fluoroquinolone (FQ) use. METHODS:We conducted a case-control study within a cohort of men aged 45 to 80 years in the United States followed from 2001 to 2011. Cases were defined as those with the first physician visit diagnosis of PN, polyneuropat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000846

    authors: Etminan M,Brophy JM,Samii A

    更新日期:2014-09-30 00:00:00

  • PRRT2 mutations: a major cause of paroxysmal kinesigenic dyskinesia in the European population.

    abstract:OBJECTIVE:Paroxysmal kinesigenic dyskinesia (PKD) is a rare disorder characterized by recurrent attacks of hyperkinetic movements. PKD can be isolated or associated with benign infantile seizures as part of the infantile convulsions with choreoathetosis (ICCA) syndrome. Mutations in the PRRT2 gene were recently identif...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31825f06c3

    authors: Méneret A,Grabli D,Depienne C,Gaudebout C,Picard F,Dürr A,Lagroua I,Bouteiller D,Mignot C,Doummar D,Anheim M,Tranchant C,Burbaud P,Jedynak CP,Gras D,Steschenko D,Devos D,Billette de Villemeur T,Vidailhet M,Brice A,

    更新日期:2012-07-10 00:00:00

  • Ring and nodular multiple sclerosis lesions: a retrospective natural history study.

    abstract:BACKGROUND:In patients with multiple sclerosis (MS), contrast-enhancing lesions (CELs) on postcontrast MRI are considered markers of the inflammatory responses associated with blood-brain barrier breakdown. Based upon shape, CELs may be defined as nodular (nCEL) or ring (rCEL) lesions. Several short-term studies pointe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d31df5

    authors: Davis M,Auh S,Riva M,Richert ND,Frank JA,McFarland HF,Bagnato F

    更新日期:2010-03-09 00:00:00

  • MRI in juvenile ALS: a patient report.

    abstract::We describe the MR images of a patient with juvenile ALS. MRI of the brain showed bilateral hyperintensities along the corticospinal tracts extending from the corona radiata to the brainstem on T2-weighted images. These findings should be differentiated from the slight hyperintensities seen in the posterior limbs of t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.6.1879

    authors: Midani H,Truwit CL,Parry GJ

    更新日期:1998-06-01 00:00:00

  • Acute effects of acetazolamide in hyperkalemic periodic paralysis.

    abstract::We studied the effect of acetazolamide on plasma potassium in normals and in two patients with hyperkalemic periodic paralysis. Administration of acetazolamide for 48 hours lowered mean plasma potassium in normals from 4.01 to 3.56 mEq per liter (p less than 0.001) and in the patients from 4.55 to 4.00 mEq per liter (...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.6.725

    authors: Riggs JE,Griggs RC,Moxley RT 3rd,Lewis ED

    更新日期:1981-06-01 00:00:00

  • Phenytoin elimination in childhood: effect of concentration-dependent kinetics.

    abstract::The effect of phenytoin (PHT) concentration on the elimination rate of PHT was evaluated in infants, children, and young adults ranging in age from 1 day to 22 years. As PHT concentration increased, the effective half-life (t50%) increased. In eight children, age 7 months to 4.83 years with initial concentrations betw...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.2.196

    authors: Dodson WE

    更新日期:1980-02-01 00:00:00

  • Sudomotor function in human poikilothermia.

    abstract::Hypohidrosis predisposes to hyperthermia and may indicate generalized thermoregulatory failure. To assess the sweating capacity in human poikilothermia, we performed a quantitative analysis of the central and peripheral sudomotor pathways in four women with acquired poikilothermia (aged 29 to 38 years) and nine contro...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.8.1602

    authors: MacKenzie MA,Schönbaum E,Hermus AR,Wollersheim HC,Thien T,Smals AG,Kloppenborg PW

    更新日期:1995-08-01 00:00:00

  • Aquaporin-4 and MOG autoantibody discovery in idiopathic transverse myelitis epidemiology.

    abstract:OBJECTIVE:Diagnostic criteria from 2002 classify transverse myelitis (TM) as idiopathic or disease associated but predate the discovery of aquaporin-4 (AQP4)-immunoglobulin G (IgG) and myelin oligodendrocyte glycoprotein (MOG)-IgG, which associate with TM. Prior incidence estimates of idiopathic TM (ITM) range from 1 t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007828

    authors: Sechi E,Shosha E,Williams JP,Pittock SJ,Weinshenker BG,Keegan BM,Zalewski NL,Lopez-Chiriboga AS,Jitprapaikulsan J,Flanagan EP

    更新日期:2019-07-23 00:00:00

  • Brain volume loss in MCI predicts dementia.

    abstract::Rates of temporal horn volume change were significantly greater in the subjects with mild cognitive impairment who were developing dementia vs those who remained stable. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000194213.50222.1a

    authors: Erten-Lyons D,Howieson D,Moore MM,Quinn J,Sexton G,Silbert L,Kaye J

    更新日期:2006-01-24 00:00:00

  • Network dysfunction predicts speech production after left hemisphere stroke.

    abstract:OBJECTIVE:To investigate the role of multiple distributed brain networks, including the default mode, fronto-temporo-parietal, and cingulo-opercular networks, which mediate domain-general and task-specific processes during speech production after aphasic stroke. METHODS:We conducted an observational functional MRI stu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002537

    authors: Geranmayeh F,Leech R,Wise RJS

    更新日期:2016-04-05 00:00:00

  • Residual function in motor cortex contralateral to amputated hand.

    abstract:OBJECTIVE:To investigate residual function of the motor cortex corresponding to the hand of the amputated arm (MCamp). METHODS:Focal transcranial magnetic stimulation (TMS) of MCamp was performed in 10 patients 22 to 52 years after arm amputation to inhibit tonic muscle contraction in the intact hand ipsilateral to co...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.4.984

    authors: Röricht S,Meyer BU

    更新日期:2000-02-22 00:00:00

  • Familial factors influence disability in MS multiplex families. French Multiple Sclerosis Genetics Group.

    abstract:BACKGROUND:Both genetic and environmental factors play a role in the pathophysiology of MS and may influence the clinical expression of the disease. OBJECTIVE:To determine the contribution of familial factors to the clinical expression of MS. METHODS:The French Multiple Sclerosis Genetics Group identified 87 sibling ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.8.1632

    authors: Brassat D,Azais-Vuillemin C,Yaouanq J,Semana G,Reboul J,Cournu I,Mertens C,Edan G,Lyon-Caen O,Clanet M,Fontaine B

    更新日期:1999-05-12 00:00:00

  • Effect of herpes zoster vaccine and antiviral treatment on risk of ischemic stroke.

    abstract:OBJECTIVE:To determine whether increased risk of acute ischemic stroke (AIS) following herpes zoster (HZ) might be modified by the status of zoster vaccine live (ZVL) vaccination and antiviral treatment following HZ. METHODS:We included 87,405 Medicare fee-for-service beneficiaries aged ≥66 years diagnosed with HZ and...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010028

    authors: Yang Q,George MG,Chang A,Tong X,Merritt R,Hong Y

    更新日期:2020-08-11 00:00:00

  • Transdermal nicotine in PD: a randomized, double-blind, placebo-controlled study.

    abstract:BACKGROUND:An inverse association between cigarette smoking and the risk of idiopathic PD has been found in many epidemiologic studies. The therapeutic and possible neuroprotective effects of nicotine formulations on parkinsonian symptoms are controversial. METHODS:In a 12-week, randomized, double-blind, placebo-contr...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.57.6.1032

    authors: Vieregge A,Sieberer M,Jacobs H,Hagenah JM,Vieregge P

    更新日期:2001-09-25 00:00:00

  • Cerebral vasculitis and hemorrhage associated with phenylpropanolamine.

    abstract::A 20-year-old woman using an oral diet aid preparation containing phenylpropanolamine presented with an intracerebral hemorrhage and angiographic evidence of cerebral vasculitis. Gas chromatography demonstrated phenylpropanolamine in the urine. Even when used within recommended guidelines, phenylpropanolamine usage sh...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.3.405

    authors: Fallis RJ,Fisher M

    更新日期:1985-03-01 00:00:00

  • Anterograde transneuronal degeneration in the limbic system: clinical-anatomic correlation.

    abstract::A 64-year-old man with diffuse atherosclerosis developed an organic mental syndrome, followed by hypothalamic symptoms. Autopsy showed an old large cystic infarct involving the left temporal lobe including the hippocampus, and atrophy of the ipsilateral fornix, mammillary body, hypothalamus, mammillothalamic tract, an...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.12.1157

    authors: Torch WC,Hirano A,Solomon S

    更新日期:1977-12-01 00:00:00

  • Evidence against the existence of a temporal lobe epilepsy personality syndrome.

    abstract::The existence and specificity of a characteristic behavioral syndrome among patients with temporal lobe epilepsy (TLE) remains controversial. The behavioral pattern of many epilepsy patients differs from that of age-, sex-, and socioeconomic-matched control subjects. Patients with TLE and other forms of epilepsy can e...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Devinsky O,Najjar S

    更新日期:1999-01-01 00:00:00

  • Neoplastic meningitis-related encephalopathy: prognostic significance.

    abstract::Two cohorts of 20 patients diagnosed with neoplastic meningitis (NM) with or without encephalopathy were matched with respect to age, sex, primary tumor, and performance status. Median survival was 10 weeks (range 6 to 20 weeks) in the cohort with NM-related encephalopathy compared to 24 weeks (range 8 to 40 weeks) in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000145599.06491.71

    authors: Chamberlain MC,Tsao-Wei D,Groshen S

    更新日期:2004-12-14 00:00:00

  • Cognitive impairments associated with early Parkinson's disease.

    abstract::We administered a battery of cognitive tests to 41 recently diagnosed Parkinson patients and 41 controls to assess the early neuropsychological changes associated with Parkinson's disease (PD). Parkinson subjects did as well as controls on tasks assessing attention and select language and visuospatial measures. Howeve...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.4.557

    authors: Levin BE,Llabre MM,Weiner WJ

    更新日期:1989-04-01 00:00:00

  • Efficient neurophysiologic selection of X-linked Charcot-Marie-Tooth families: ten novel mutations.

    abstract:OBJECTIVE:To devise a neurophysiologic strategy to select X-linked Charcot-Marie-Tooth neuropathy syndrome (CMTX) families for connexin 32 mutation screening. BACKGROUND:Once the common chromosome 17 DNA duplication (CMT1A syndrome) has been excluded, clinical features are not sufficiently distinctive to select which ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.5.1412

    authors: Nicholson GA,Yeung L,Corbett A

    更新日期:1998-11-01 00:00:00

  • Performance of the ABCD2 score for stroke risk post TIA: meta-analysis and probability modeling.

    abstract:OBJECTIVE:To study the accuracy of the ABCD2 score in predicting early stroke risk following TIA and to model post-test probability of stroke for varying cutoff scores and baseline stroke risk. METHODS:Medline, PubMed, Embase, conference proceedings, and manuscript references up to October 2010 were searched for studi...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析

    doi:10.1212/WNL.0b013e31825f9d02

    authors: Sanders LM,Srikanth VK,Blacker DJ,Jolley DJ,Cooper KA,Phan TG

    更新日期:2012-09-04 00:00:00

  • Gadolinium-DTPA-enhanced magnetic resonance imaging in intractable partial epilepsy.

    abstract::We performed magnetic resonance imaging (MRI), before and after the administration of gadolinium-DTPA (Gd-DTPA), in 23 patients with medically refractory partial epilepsy who subsequently had surgical treatment for their seizure disorder. In most patients, 61%, unenhanced and enhanced MRI studies were negative. In 26%...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.8.1115

    authors: Cascino GD,Hirschorn KA,Jack CR,Sharbrough FW

    更新日期:1989-08-01 00:00:00

  • Antigen processing gene polymorphisms in HLA-DR2 multiple sclerosis.

    abstract::The association between multiple sclerosis (MS) and alleles of the HLA class II genes indicates that at least one MS susceptibility gene is linked to the HLA class II region. However, the actual locus responsible has not been precisely identified. The recent cloning of new genes involved in antigen processing that map...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.6.1192

    authors: Liblau R,van Endert PM,Sandberg-Wollheim M,Patel SD,Lopez MT,Land S,Fugger L,McDevitt HO

    更新日期:1993-06-01 00:00:00

  • ALS phenotype is influenced by age, sex, and genetics: A population-based study.

    abstract:OBJECTIVE:To assess the determinants of amyotrophic lateral sclerosis (ALS) phenotypes in a population-based cohort. METHODS:The study population included 2,839 patients with ALS diagnosed in Piemonte, Italy (1995-2015). Patients were classified according to motor (classic, bulbar, flail arm, flail leg, predominantly ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008869

    authors: Chiò A,Moglia C,Canosa A,Manera U,D'Ovidio F,Vasta R,Grassano M,Brunetti M,Barberis M,Corrado L,D'Alfonso S,Iazzolino B,Peotta L,Sarnelli MF,Solara V,Zucchetti JP,De Marchi F,Mazzini L,Mora G,Calvo A

    更新日期:2020-02-25 00:00:00

  • Therapeutic bioequivalency study of brand name versus generic carbamazepine.

    abstract::We performed a randomized double-blind crossover therapeutic bioequivalency study of a generic (Epitol) versus a brand name (Tegretol) carbamazepine product under steady-state conditions in 40 epileptic patients. Each patient received 90-day supplies of Epitol or Tegretol and placebo, which replaced the usual dosage o...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.42.6.1147

    authors: Oles KS,Penry JK,Smith LD,Anderson RL,Dean JC,Riela AR

    更新日期:1992-06-01 00:00:00

  • The clinical spectrum of sarcoglycanopathies.

    abstract::A group of 204 muscular dystrophy patients were screened for immunohistochemical and biochemical alpha-sarcoglycan defect and their DNA was analyzed for pathogenetic mutation in the four sarcoglycan genes. We identified 21 patients with alpha-, beta-, or gamma-sarcoglycan gene mutations. Patients with alpha-sarcoglyca...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.1.176

    authors: Angelini C,Fanin M,Freda MP,Duggan DJ,Siciliano G,Hoffman EP

    更新日期:1999-01-01 00:00:00