Journal ArticleDOI
Traumatic brain injury in the elderly: increased mortality and worse functional outcome at discharge despite lower injury severity.
Mark Susman,Stephen M DiRusso,Thomas Sullivan,Donald A. Risucci,Peter Nealon,Sara Cuff,Adil H. Haider,Deborah Benzil +7 more
TLDR
Elderly traumatic brain injury patients have a worse mortality and functional outcome than nonelderly patients who present with head injury even though their head injury and overall injuries are seemingly less severe.Abstract:
Objective The purpose of this study was to compare data obtained from a statewide data set for elderly patients (age > 64 years) that presented with traumatic brain injury with data from nonelderly patients (age > 15 and < 65 years) with similar injuries.Methods The New York State Trauma Registry frread more
Citations
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Journal ArticleDOI
Traumatic Brain Injury in Older Adults: Epidemiology, Outcomes, and Future Implications
TL;DR: A refocusing of research efforts on this population is justified to prevent TBI in the older adult and to discern unique care requirements to facilitate best patient outcomes.
Journal ArticleDOI
Race and insurance status as risk factors for trauma mortality.
Adil H. Haider,David C. Chang,David T. Efron,Elliott R. Haut,Marie Crandall,Edward E. Cornwell +5 more
TL;DR: African American, Hispanic, and uninsured patients have worse outcomes, but insurance status appears to have the stronger association with mortality after trauma.
Journal ArticleDOI
Dementia Risk After Traumatic Brain Injury vs Nonbrain Trauma: The Role of Age and Severity
Raquel C. Gardner,James F. Burke,Jasmine Nettiksimmons,Allison R. Kaup,Deborah E. Barnes,Kristine Yaffe +5 more
TL;DR: It is found that TBI was associated with increased dementia risk across all ages, and those with moderate to severe TBI at 55 years or older or mild TBI with increasing age had an increased risk of developing dementia.
Journal ArticleDOI
The effect of age on functional outcome in mild traumatic brain injury: 6-Month report of a prospective multicenter trial
Anne C. Mosenthal,David H. Livingston,Robert F. Lavery,M. Margaret Knudson,Seong K Lee,Diane Morabito,Geoffrey T. Manley,Avery B. Nathens,Gregory J. Jurkovich,David B. Hoyt,Raul Coimbra +10 more
TL;DR: Functional outcome after isolated mild TBI as measured by the Glasgow Outcome Scale and modified FIM is generally good to excellent for both elderly and younger patients.
Journal ArticleDOI
Geriatric Traumatic Brain Injury: Epidemiology, Outcomes, Knowledge Gaps, and Future Directions.
TL;DR: There is an urgent need to develop more age-inclusive TBI research protocols, geriatric TBI CDEs, geriatrics TBI prognostic models, and evidence-based geriatric-specific TBI consensus management guidelines aimed at improving short- and long-term outcomes for the large and growing geriatricTBI population.
References
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Journal ArticleDOI
Epidemiology of head injury.
TL;DR: To find the incidence of the various types of head injury that occur in the community separate yearly rates for deaths, admissions to hospital, and attendance at accident and emergency departments were estimated and compared with rates in England and Wales and the United States.
Journal ArticleDOI
Trends in hospitalization associated with traumatic brain injury.
TL;DR: Changes in hospital practices may be a major factor in the declining rates of TBI-related hospital admissions, as these practices increasingly appear to exclude persons with less severe TBI from hospital admission and shift their care to outpatient settings.
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
Predicting survival using simple clinical variables: a case study in traumatic brain injury
TL;DR: All variables in the model are clinically simple and easy to measure rapidly in a centre with access to 24 hour CT, resulting in a model that is both well validated and clinically useful.
Journal ArticleDOI
Epidemiology of severe brain injuries: a prospective population-based study
F. Masson,Michel Thicoipe,Paul Aye,Tarak Mokni,Pierre Senjean,Valérie Schmitt,Paul-Henri Dessalles,Michel Cazaugade,Pierre Labadens +8 more
TL;DR: This study shows a decrease in severe TBI incidence when results are compared with another study conducted 10 years earlier in the same region, however, this results in an increase in the proportion of falls in elderly patients and an increases in the median age in patients, which influences the mortality rate.