{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:53:16Z","timestamp":1793105596126,"version":"4.5.0"},"reference-count":20,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the predictors of traumatic head injury (TBI) severity in adult patients involved in motor vehicle collisions or accidents, and to report on the outcomes of hospital admission, in-hospital death, and return to the Ed within 72 hours of discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is an observational cohort of adult patients (\u226518 years) who sustained a TBI through involvement in motor vehicle collisions (MVC). Demographic, pre-hospital and clinical data were collected from medical records of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In our cohort, patients who had loss of consciousness, alteration of consciousness, or post-traumatic amnesia were individual predictors of more severe traumatic brain injury. TBI severity was categorized by using GCS scores on emergency department arrival. Similarly, male patients, those who did not wear seat belts, and those with alcohol consumption were more likely to have severe TBI. When controlling for sex, loss of consciousness, no seat belt use, and alcohol consumption prior to injury were still statistically significant predictors of having more serious traumatic brain injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lack of seat belt use, alcohol consumption before injury, and loss of consciousness because of injury are significant predictors of having more severe head injury. These data support a call for action to implement more widespread injury prevention, seat belt use education and advocacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.52965\/001c.137678","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T20:51:17Z","timestamp":1747342277000},"source":"Crossref","is-referenced-by-count":3,"title":["Motor Vehicle Collision Associated TBI: Predictors of Injury severity"],"prefix":"10.52965","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7357-4896","authenticated-orcid":false,"given":"Ethan","family":"Nichols","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05d23ve83","id-type":"ROR","asserted-by":"publisher"}],"name":"Colgate University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5872-3606","authenticated-orcid":false,"given":"Hanna","family":"Schindler","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0108gqn38","id-type":"ROR","asserted-by":"publisher"}],"name":"Orlando College of Osteopathic Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1433-8171","authenticated-orcid":false,"given":"Neera","family":"Kapoor","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0190ak572","id-type":"ROR","asserted-by":"publisher"}],"name":"New York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7717-3864","authenticated-orcid":true,"given":"Latha","family":"Ganti","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0108gqn38","id-type":"ROR","asserted-by":"publisher"}],"name":"Orlando College of Osteopathic Medicine"},{"name":"Warren Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"publisher","first-page":"2065","DOI":"10.1007\/s00068-020-01381-6","article-title":"Traumatic brain injury and alcohol intoxication: effects on injury patterns and short-term outcome","volume":"47","author":"H. A. Leijdesdorff","year":"2021","journal-title":"European journal of trauma and emergency surgery: official publication of the European Trauma Society"},{"issue":"2","key":"ref2","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1097\/HTR.0b013e3181ccc8b4","article-title":"The epidemiology of traumatic brain injury","volume":"25","author":"J. D. Corrigan","year":"2010","journal-title":"J Head Trauma Rehabil"},{"issue":"5","key":"ref3","doi-asserted-by":"publisher","first-page":"1609","DOI":"10.1097\/CCM.0b013e31824519ce","article-title":"Prediction of outcome after moderate and severe traumatic brain injury: external validation of the International Mission on Prognosis and Analysis of Clinical Trials (IMPACT) and Corticoid Randomisation After Significant Head injury (CRASH) prognostic models","volume":"40","author":"B. Roozenbeek","year":"2012","journal-title":"Critical care medicine"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"101755","DOI":"10.1016\/j.bas.2023.101755","article-title":"The impact of traumatic brain injury on economic productivity in the Caribbean","volume":"3","author":"M. L. Rolle","year":"2023","journal-title":"Brain Spine"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.62186\/001c.125154","article-title":"Determining a Meaningful R-squared Value in Clinical Medicine","author":"A. Gupta","year":"2024","journal-title":"Academic Medicine & Surgery"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"980","DOI":"10.3109\/02699052.2011.589798","article-title":"Incidence and risk factors of early post-traumatic seizures in Nigerians","volume":"25","author":"O. S. Oluwole","year":"2011","journal-title":"Brain Injury"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/s12245-014-0031-6","article-title":"Who gets post-concussion syndrome? An emergency department-based prospective analysis","volume":"7","author":"L. Ganti","year":"2014","journal-title":"Int J Emerg Med"},{"issue":"3","key":"ref8","doi-asserted-by":"publisher","first-page":"481","DOI":"10.5811\/westjem.2015.2.23546","article-title":"Understanding Why Patients Return to the Emergency Department after Mild Traumatic Brain Injury within 72 Hours","volume":"16","author":"L. Ganti","year":"2015","journal-title":"West J Emerg Med"},{"issue":"1","key":"ref9","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1001\/archneur.1961.00450130006002","article-title":"Post-Traumatic Amnesia in Closed Head Injury","volume":"5","author":"W. R. Russell","year":"1961","journal-title":"Arch Neurol"},{"issue":"1","key":"ref10","doi-asserted-by":"publisher","first-page":"68","DOI":"10.5847\/wjem.j.1920-8642.2021.01.011","article-title":"Effectiveness of seatbelts in mitigating traumatic brain injury severity","volume":"12","author":"L. Ganti","year":"2021","journal-title":"World J Emerg Med"},{"key":"ref11","article-title":"TraHic Safety Facts Annual Report","author":"National Highway Traffic Safety Administration (NHTSA)","year":"2020"},{"issue":"1","key":"ref12","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.apmr.2008.06.030","article-title":"Classification schema of posttraumatic amnesia duration-based injury severity relative to 1-year outcome: analysis of individuals with moderate and severe traumatic brain injury","volume":"90","author":"R. Nakase-Richardson","year":"2009","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"issue":"3","key":"ref13","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1037\/a0027888","article-title":"Predictors of postconcussive symptoms 3 months after mild traumatic brain injury","volume":"26","author":"J. Ponsford","year":"2012","journal-title":"Neuropsychology"},{"issue":"5","key":"ref14","doi-asserted-by":"publisher","first-page":"341","DOI":"10.3233\/NRE-2007-22502","article-title":"The impact of traumatic brain injuries: a global perspective","volume":"22","author":"A. A. Hyder","year":"2007","journal-title":"NeuroRehabilitation"},{"key":"ref15","article-title":"Traumatic Brain Injury in the United States: Fact Sheet","author":"Centers for Disease Control and Prevention (CDC)","year":"2021"},{"issue":"8","key":"ref16","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1016\/S1474-4422(08)70164-9","article-title":"Moderate and severe traumatic brain injury in adults","volume":"7","author":"A.I. Maas","year":"2008","journal-title":"Lancet Neurol"},{"key":"ref17","article-title":"Global Status Report on Road Safety 2018","author":"World Health Organization (WHO)","year":"2018"},{"issue":"s10","key":"ref18","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1046\/j.1528-1157.44.s10.3.x","article-title":"The epidemiology of traumatic brain injury: a review","volume":"44","author":"J. Jr Bruns","year":"2003","journal-title":"Epilepsia"},{"issue":"12","key":"ref19","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1001\/jamaneurol.2014.2668","article-title":"Dementia risk after traumatic brain injury vs nonbrain trauma: the role of age and severity","volume":"71","author":"R. C. Gardner","year":"2014","journal-title":"JAMA Neurol"},{"issue":"6","key":"ref20","doi-asserted-by":"publisher","first-page":"1684","DOI":"10.3171\/2015.4.JNS141746","article-title":"Alcohol and mortality after moderate to severe traumatic brain injury: a meta-analysis of observational studies","volume":"124","author":"R. Raj","year":"2016","journal-title":"Journal of neurosurgery"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/137678-motor-vehicle-collision-associated-tbi-predictors-of-injury-severity","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:59:58Z","timestamp":1761440398000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/137678-motor-vehicle-collision-associated-tbi-predictors-of-injury-severity"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,16]]},"references-count":20,"URL":"https:\/\/doi.org\/10.52965\/001c.137678","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,16]]}}}