دورية أكاديمية
Characterizing the frequency, morbidity, and types of traumatic brain injuries after the Mexico-San Diego border wall extension: a retrospective cohort review.
| العنوان: | Characterizing the frequency, morbidity, and types of traumatic brain injuries after the Mexico-San Diego border wall extension: a retrospective cohort review. |
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| المؤلفون: | Tenorio A; 1Department of Neurosurgery, University of California, San Diego., Brandel MG; 1Department of Neurosurgery, University of California, San Diego., Produturi GR; 2School of Medicine, University of California, San Diego; and., McCann CP; 2School of Medicine, University of California, San Diego; and., Wali AR; 1Department of Neurosurgery, University of California, San Diego., Bravo J; 3Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California, San Diego, California., Godat LN; 3Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California, San Diego, California., Doucet JJ; 3Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California, San Diego, California., Costantini TW; 3Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California, San Diego, California., Santiago-Dieppa DR; 1Department of Neurosurgery, University of California, San Diego., Ciacci JD; 1Department of Neurosurgery, University of California, San Diego. |
| المصدر: | Journal of neurosurgery [J Neurosurg] 2023 Feb 17; Vol. 139 (3), pp. 848-853. Date of Electronic Publication: 2023 Feb 17 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 0253357 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 1933-0693 (Electronic) Linking ISSN: 00223085 NLM ISO Abbreviation: J Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Charlottesville, VA : American Association of Neurological Surgeons Original Publication: Chicago [etc.] |
| مواضيع طبية MeSH: | Brain Injuries, Traumatic*/epidemiology, Humans ; Male ; Female ; Retrospective Studies ; Mexico/epidemiology ; Morbidity ; Injury Severity Score |
| مستخلص: | Objective: The aim of this study was to investigate the impact of the US-Mexico border wall height extension on traumatic brain injuries (TBIs) and related costs. Methods: In this retrospective cohort study, patients who presented to the UC San Diego Health Trauma Center for injuries from falling at the border wall between 2016 and 2021 were considered. Patients in the pre-height extension period (January 2016-May 2018) were compared with those in the post-height extension period (January 2020-December 2021). Demographic characteristics, clinical data, and hospital charges were analyzed. Results: A total of 383 patients were identified: 51 (0 TBIs, 68.6% male) in the pre-height extension cohort and 332 (14 TBIs, 77.1% male) in the post-height extension cohort, with mean ages of 33.5 and 31.5 years, respectively. There was an increase in the average number of TBIs per month (0.0 to 0.34) and operative TBIs per month (0.0 to 0.12). TBIs were associated with increased Injury Severity Score (8.8 vs 24.2, p < 0.001), median (IQR) hospital length of stay (5.0 [2-11] vs 8.5 [4-45] days, p = 0.03), and median (IQR) hospital charges ($163,490 [$86,369-$277,918] vs $243,658 [$136,769-$1,127,920], p = 0.04). TBIs were normalized for changing migration rates on the basis of Customs and Border Protection apprehensions. Conclusions: This heightened risk of intracranial injury among vulnerable immigrant populations poses ethical and economic concerns to be addressed regarding border wall infrastructure. |
| فهرسة مساهمة: | Keywords: border wall; epidural hematoma; skull fracture; subarachnoid hemorrhage; subdural hematoma; trauma; traumatic brain injury |
| تواريخ الأحداث: | Date Created: 20230222 Date Completed: 20230904 Latest Revision: 20230905 |
| رمز التحديث: | 20230905 |
| DOI: | 10.3171/2023.1.JNS221859 |
| PMID: | 36806495 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1933-0693 |
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| DOI: | 10.3171/2023.1.JNS221859 |