Traumatic brain injury in the elderly: morbidity and mortality trends and risk factors

The Journal of Surgical Research
R Sterling HaringEric B Schneider

Abstract

An estimated 1.7 million people sustain a traumatic brain injury (TBI) annually in the United States. We sought to examine factors contributing to mortality among TBI patients aged ≥65 y in the United States. TBI data from the Nationwide Inpatient Sample were combined from 2000-2010. Patients were stratified by age, sex, mechanism of injury, payer status, comorbidity, injury severity, and other factors. Odds of death were explored using an adjusted multivariable logistic regression. A total of 950,132 TBI-related hospitalizations and 107,666 TBI-related deaths occurred among adults aged ≥65 y from 2000-2010. The most common mechanism of injury was falling, and falls were more common among the oldest age groups. Logistic regression analysis showed highest odds of death among male patients, those whose mechanism of injury was motor vehicle related, patients with three or more comorbidities, and patients who were designated as self-paying.

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Citations

May 28, 2016·Journal of Neurosurgery·Je Yeong SoneUzma Samadani
Sep 21, 2016·The International Journal of Neuroscience·Kavelin RumallaManoj K Mittal
Dec 8, 2017·Journal of Neurotrauma·Raquel C GardnerGeoffrey T Manley
Oct 8, 2017·Current Neurology and Neuroscience Reports·Rahel SchumacherBernhard Walder
Sep 22, 2016·Journal of Korean Neurosurgical Society·Seung Yoon SongUNKNOWN KNTDB Investigators
Oct 29, 2019·American Journal of Respiratory and Critical Care Medicine·Matthew J MaidenBelinda J Gabbe
Nov 6, 2015·Current Opinion in Critical Care·Sasha D Adams, John B Holcomb
Jul 25, 2019·Frontiers in Surgery·Terence Yi Song LiewTseng Tsai Yeo
Dec 12, 2020·Neurocritical Care·Julia K BöhmUNKNOWN CENTER-TBI Participants and Investigators
Feb 4, 2019·Anesthesiology Clinics·Evie G MarcoliniLena M Napolitano
Jan 10, 2021·Injury·Jared R GallaherAnthony Charles
Aug 31, 2021·Evidence-based Complementary and Alternative Medicine : ECAM·Gang-Min LiCheng Peng

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