Journal ArticleDOI
Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome.
Anne C. Mosenthal,Robert F. Lavery,Michael D. Addis,Sanjeev Kaul,Steven E. Ross,Robert Marburger,Edwin A. Deitch,David H. Livingston +7 more
Reads0
Chats0
TLDR
The mortality from TBI is higher in the geriatric population at all levels of head injury, in addition, functional outcome at hospital discharge is worse and age itself is an independent predictor for mortality in TBI.Abstract:
Background Geriatric trauma patients have a worse outcome than the young with comparable injuries. The contribution of traumatic brain injury (TBI) to this increased mortality is unknown and has been confounded by the presence of other injuries. The purpose of this study was to investigate the roleread more
Citations
More filters
Journal ArticleDOI
Geriatric trauma: special considerations in the anesthetic management of the injured elderly patient.
TL;DR: Care of the injured elderly patient requires thorough preoperative assessment and planning and the involvement of a multidisciplinary clinical team knowledgeable about and interested in the management of the elderly surgical patient.
Journal ArticleDOI
Progesterone and Vitamin D Hormone as a Biologic Treatment of Traumatic Brain Injury in the Aged
Donald G. Stein,Milos Cekic +1 more
TL;DR: The use of progesterone and VDH as biologics‐based therapies along with recent studies demonstrating that the combination ofprogesterone andVDH may promote better functional outcomes than either treatment independently are reviewed.
Journal ArticleDOI
Prehospital on-scene anaesthetist treating severe traumatic brain injury patients is associated with lower mortality and better neurological outcome.
TL;DR: Prehospital on-scene anaesthetist treating severe TBI patients is associated with lower mortality and better neurological outcome and physician was added as a potential predictive factor with regard to the prognosis.
Journal ArticleDOI
Promising clinical outcome of elderly with TBI after modern neurointensive care.
TL;DR: The outcome of elderly patients with TBI was significantly worse than in younger patients, as expected, however, as much as 51 % of the elderly patients showed a favorable outcome after NIC, and it is believed that these results encourage modern NIC in elderly patientswith TBI.
Journal ArticleDOI
Age: is it all in the head? Factors influencing mortality in elderly patients with head injuries.
Robyn Richmond,Tayseer Aldaghlas,Christine Burke,Anne G. Rizzo,Margaret M. Griffen,Ranjit Pullarkat +5 more
TL;DR: There was a higher mortality secondary to head injuries in those older than 60 years involved in motor vehicle crashes, and improved safety measures in vehicle design may decrease the number of head injuries seen in the older population.
References
More filters
Journal ArticleDOI
The role of secondary brain injury in determining outcome from severe head injury.
Randall M. Chesnut,Lawrence F. Marshall,Melville R. Klauber,Barbara A. Blunt,Nevan Baldwin,Howard M. Eisenberg,John A. Jane,Anthony Marmarou,Mary A. Foulkes +8 more
TL;DR: The increased morbidity and mortality related to severe trauma to an extracranial organ system appeared primarily attributable to associated hypotension, and improvements in trauma care delivery over the past decade have not markedly altered the adverse influence of hypotension.
Journal ArticleDOI
Disability in young people and adults one year after head injury: prospective cohort study
Sharon Thornhill,Graham M. Teasdale,Gordon D Murray,James McEwen,Christopher W. Roy,Kay I Penny +5 more
TL;DR: The incidence of disability in young people and adults admitted with a head injury is higher than expected and reflects the high rate of sequelae previously unrecognised in the large number of patients admitted to hospital with an apparently mild head injury.
Journal ArticleDOI
Biomechanics of acute subdural hematoma.
TL;DR: A mathematical model embodying the known mechanical properties of subdural veins was used to develop tolerance criteria for the occurrence of ASDH, which was consistent with the clinical and experimental data but differed from tolerances previously proposed for head injury.
Journal ArticleDOI
Geriatric blunt multiple trauma: improved survival with early invasive monitoring
Thomas M. Scalea,Howard M. Simon,Albert O. Duncan,Nabil Atweh,Salvatore J. A. Sclafani,Thomas F. Phillips,Gerald W. Shaftan +6 more
TL;DR: In 1986, invasive monitoring was began in all patients with any of these risk factors and modified this in 1987 to emergent monitoring, postponing all but the most critical diagnostic studies and reducing time to monitoring to 2.2 hours by limiting diagnostic tests.
Journal ArticleDOI
Age and outcome following traumatic coma : why do older patients fare worse ?
Dennis G. Vollmer,James C. Torner,John A. Jane,Barbara Sadovnic,Deborah B. Charlebois,Howard M. Eisenberg,Mary A. Foulkes,Anthony Marmarou,Lawrence F. Marshall +8 more
TL;DR: Older patients had higher rates of mortality overall; vegetative survival was seen in 4.8% to 8.0% of patients and did not exhibit a trend related to age; injury severity, as assessed by motor score or Glasgow Coma Scale score, did not significantly differ according to age.