Prevalence and Severity of Traumatic Intracranial Hemorrhage in Older Adults with Low-Energy Falls.

Journal of the American Geriatrics Society
Alina LampartVera Pedersen

Abstract

To determine the prevalence and severity of traumatic intracranial hemorrhage (tICH) in a large cohort of older adults presenting with low-energy falls and the association with anticoagulation or antiplatelet medication. Bicentric retrospective cohort analysis. Two level 1 trauma centers in Switzerland and Germany. Consecutive sample of older adults (aged ≥65 y) presenting to the emergency department (ED) over a 1-year period with low-energy falls who received cranial computed tomography (cCT) within 48 hours of ED presentation. The prevalence and severity of tICHs was assessed and the outcomes (in-hospital mortality, admission to intensive care unit [ICU], or neurosurgical intervention) were specified. We used multivariate regression models to measure the association between anticoagulation/antiplatelet therapy and the risk for tICH after adjustment for known predictors. The overall prevalence for tICH detected by cCT was 176 of 2567 (6.9%). Neurosurgical intervention was performed in 15 of 176 (8.5%) patients with tICH, 28 of 176 (15.9%) patients were admitted to the ICU, and 14 of 176 (8.0%) died in the hospital. CT-detected skull fracture and signs of injury above the clavicles were the strongest predictors for the presence...Continue Reading

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Mar 29, 2019·Journal of the American Geriatrics Society·Vera PedersenRoland Bingisser

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Citations

Mar 7, 2020·Journal of the American Geriatrics Society·Richard D Shih, Joseph G Ouslander
Feb 16, 2021·Internal Medicine·Hiroshi HoriHitoshi Sugawara

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