Traumatic Brain Injury in Older Adults Presenting to the Emergency Department: Epidemiology, Outcomes and Risk Factors Predicting the Prognosis

被引:19
|
作者
Heydari, Farhad [1 ]
Golban, Mohammad [1 ]
Majidinejad, Saeed [1 ]
机构
[1] Isfahan Univ Med Sci, Sch Med, Dept Emergency Med, Esfahan, Iran
关键词
Aged; Brain Injuries; Traumatic; Epidemiology; Emergency Department; Geriatrics; Outcome; SCALE SCORE;
D O I
10.22114/ajem.v0i0.170
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: The continuing-to-grow number of older adults with traumatic brain injury (TBI) presenting to emergency departments (EDs) and hospitals necessitates the investigation of TBI in these patients. Objective: The present study was conducted to investigate the epidemiology of TBI and the factors affecting intracranial lesions and patient outcomes in older adults. Method: The present retrospective cross-sectional study was performed between March 2016 and March 2018. The study population comprised all TBI patients with a minimum age of 60 years presenting to the ED. The eligible candidates consisted of patients presenting to the ED within 24 hours of the occurrence of traumas and requiring head CT scan as part of their examination. The patients' baseline information was also recorded. Results: A total of 306 older adult patients with a mean age of 70.61 +/- 8.63 years, of whom 67.6% were male, underwent CT scan for TBI during the study period. Falls were the major cause of head injuries, and intracranial lesions were observed in 22.9% (n=70) of the patients. Subdural hematoma (SDH) was observed as the most prevalent injury in 27.6% of the patients, 22.9% (n=16) were transferred to the operating room, and 7.5% (n=23) died. Moreover, the severity of trauma was significantly different between the two genders (P=0.029). Midline shift, SDH, subarachnoid hemorrhage (SAH) and moderate-to-severe head injuries were also significantly associated with poor outcomes (P<0.05). Conclusion: Death from TBIs was more likely in the patients with SDH, SAH and midline shift or in those with an initial Glasgow coma scale (GCS) of below 13. These predictions are clinically relevant, and can help improve the management of older adults with TBI.
引用
收藏
页数:7
相关论文
共 50 条
  • [1] Traumatic brain injury in older adults: Epidemiology, outcomes, and future implications
    Thompson, Hilaire J.
    McCormick, Wayne C.
    Kagan, Sarah H.
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2006, 54 (10) : 1590 - 1595
  • [2] Sex Differences in the Outcomes of Mild Traumatic Brain Injury in Children Presenting to the Emergency Department
    Yeates, Taylor M.
    Taylor, H. Gerry
    Bigler, Erin D.
    Minich, Nori M.
    Tang, Ken
    Cohen, Daniel M.
    Bacevice, Ann
    Mihalov, Leslie K.
    Bangert, Barbara
    Zumberge, Nicholas A.
    Yeates, Keith Owen
    [J]. JOURNAL OF NEUROTRAUMA, 2022, 39 (1-2) : 93 - 101
  • [3] CHARACTERIZATION OF THE SEVERITY OF TRAUMATIC BRAIN INJURY EMERGENCY DEPARTMENT VISITS AMONG OLDER ADULTS
    Pearson, W. S.
    Sugerman, D. E.
    McGuire, L. C.
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 2011, 173 : S202 - S202
  • [4] Epidemiology of head injury in older adults attending the emergency department
    Scapinello, Sarah
    Hawley, Carol
    Bjorndalen, Harald
    Magnusson, Helga
    Sakr, Magdy
    [J]. BRAIN INJURY, 2014, 28 (5-6) : 716 - 716
  • [5] Predicting mild traumatic brain injury patients at risk of persistent symptoms in the Emergency Department
    Wojcik, Susan M.
    [J]. BRAIN INJURY, 2014, 28 (04) : 422 - 430
  • [6] Predicting outcomes 3 months after traumatic brain injury in patients admitted to emergency department
    Bolvardi, Ehsan
    Ahmadzadeh, Maryam
    Disfani, Hamideh Feiz
    Rezaeitalab, Fariborz
    Ravanshad, Yalda
    Foroughian, Mahdi
    [J]. UNIVERSA MEDICINA, 2019, 38 (03) : 147 - 155
  • [7] Epidemiology and management of traumatic brain injury in a regional Queensland Emergency Department
    Hiskens, Matthew I.
    Mengistu, Tesfaye S.
    Hovinga, Bauke
    Thornton, Neale
    Smith, Karen B.
    Mitchell, Gary
    [J]. AUSTRALASIAN EMERGENCY CARE, 2023, 26 (04) : 314 - 320
  • [8] Predictors of persistent concussion symptoms in adults with acute mild traumatic brain injury presenting to the emergency department
    Varner, Catherine
    Thompson, Cameron
    de Wit, Kerstin
    Borgundvaag, Bjug
    Houston, Reaves
    McLeod, Shelley
    [J]. CANADIAN JOURNAL OF EMERGENCY MEDICINE, 2021, 23 (03) : 365 - 373
  • [9] Predictors of persistent concussion symptoms in adults with acute mild traumatic brain injury presenting to the emergency department
    Catherine Varner
    Cameron Thompson
    Kerstin de Wit
    Bjug Borgundvaag
    Reaves Houston
    Shelley McLeod
    [J]. Canadian Journal of Emergency Medicine, 2021, 23 : 365 - 373
  • [10] Factors Predicting Outcomes In Pediatric Traumatic Brain Injury
    Lee, Sean W. Y.
    Ming, Yang
    Jain, Swati
    Chee, Shu Ying
    Teo, Kejia
    Chou, Ning
    Lwin, Sein
    Yeo, Tseng Tsai
    Nga, Vincent D. W.
    [J]. WORLD FEDERATION OF NEUROSURGICAL SOCIETIES (WFNS SYMPOSIA 2018), 2018, : 107 - 115