Older patients with traumatic brain injury present with a higher GCS score than younger patients for a given severity of injury

Emergency Medicine Journal : EMJ
A KehoeF Lecky

Abstract

Recent evidence suggests that presenting GCS may be higher in older rather than younger patients for an equivalent anatomical severity of traumatic brain injury (TBI). The aim of this study was to confirm these observations using a national trauma database and to test explanatory hypotheses. The Trauma Audit Research Network database was interrogated to identify all adult cases of severe isolated TBI from 1988 to 2013. Cases were categorised by age into those under 65 years and those 65 years and older. Median presenting GCS was compared between the groups at abbreviated injury score (AIS) level (3, 4 and 5). Comparisons were repeated for subgroups defined by mechanism of injury and type of isolated intracranial injury. 25 082 patients with isolated TBI met the inclusion criteria, 10 936 in the older group and 14 146 in the younger group. Median or distribution of presenting GCS differed between groups at each AIS level. AIS 3: 14 (11-15) vs 15 (13-15), AIS 4: 14 (9-15) vs 14 (13-15), AIS 5: 9 (4-14) vs 14 (5-15) all p<0.001. Similar differences between the groups were observed across all mechanisms of injury and types of isolated intracranial injury. We detected no influence of gender on results. For an equivalent severity of ...Continue Reading

References

May 15, 1976·Lancet·B JennettR Knill-Jones
Mar 19, 2003·Emergency Medicine Journal : EMJ·D W Yates
May 4, 2010·Acta neurochirurgica·H C PatelFiona E Lecky
Sep 3, 2011·Journal of Emergencies, Trauma, and Shock·George K C WongWai S Poon
Sep 29, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jeffrey M CaterinoMichael T Cudnik
Dec 14, 2011·Journal of Neurotrauma·Deepa M RamanathanFrank G Hillary
May 29, 2012·Annals of Emergency Medicine·Yoko NakamuraUNKNOWN WESTRN Investigators
Jan 1, 2012·Current Translational Geriatrics and Experimental Gerontology Reports·Calvin H K MakWai Sang Poon
Jul 6, 2014·The American Journal of Emergency Medicine·Huiyun XiangKathryn Jo Haley
Nov 26, 2015·Emergency Medicine Journal : EMJ·A KehoeF Lecky

❮ Previous
Next ❯

Citations

Nov 16, 2017·International Journal of Environmental Research and Public Health·Cheng-Shyuan RauChing-Hua Hsieh
Oct 21, 2017·British Journal of Neurosurgery
Oct 8, 2017·Current Neurology and Neuroscience Reports·Rahel SchumacherBernhard Walder
Mar 8, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Crispijn L Van den BrandKorné Jellema
Jan 24, 2019·Medical Sciences : Open Access Journal·Iris PélieuBernhard Walder
Mar 1, 2019·Medical Sciences : Open Access Journal·Reto A Stocker
May 6, 2019·The Medical Journal of Australia·Ben BeckBelinda J Gabbe
Nov 26, 2019·Age and Ageing·Jan Robert DixonWill Eardley
Mar 7, 2020·Journal of the American Geriatrics Society·Alina LampartVera Pedersen
Nov 22, 2017·Brain Injury : [BI]·Ma Angustias Ibañez Pérez De La BlancaJuan Luis Viso Rodriguez
Sep 29, 2018·BJS Open·B BeckB J Gabbe
Jun 28, 2018·Archives of Orthopaedic and Trauma Surgery·Thomas Gross, Felix Amsler
Dec 20, 2019·The Journal of International Medical Research·Wenjia ZhangShuhong Tang
Aug 25, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Lee ThompsonMatthew D Kiernan
Jan 28, 2021·The Journal of Trauma and Acute Care Surgery·Gordon FullerJanette Turner
Jan 29, 2021·Zeitschrift für Gerontologie und Geriatrie·Abdullah AlshibaniSimon Conroy
Feb 27, 2021·Trauma Surgery & Acute Care Open·Kristin SalottoloDavid Bar-Or
May 6, 2021·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Carlos A PelaezRichard A Sidwell

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.