Sex Differences in In-hospital Complications Among Older Adults After Traumatic Brain Injury
Sex Differences in In-hospital Complications Among Older Adults After Traumatic Brain Injury
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DOI：
10.1016/j.jss.2019.05.053
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发表时间：
2019-11-01
影响因子：
2.2
通讯作者：
Albrecht, Jennifer S.
中科院分区：
文献类型：
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作者：
Adediran, Timileyin;Drumheller, Byron C.;Albrecht, Jennifer S.
背景资料：老年人在创伤性脑损伤（TBI）后的住院率和死亡率最高，与患有类似损伤的年轻人相比，结果较差。非神经系统并发症会显著影响结局。有证据表明，女性在TBI后可能会有更好的结果。然而，尚未研究老年人TBI后院内并发症的性别差异。本研究的目的是评估65岁及以上成人TBI后院内并发症的性别差异。方法：我们对1996年至2012年期间在R亚当斯考利休克创伤中心接受孤立性中度至重度TBI治疗的≥ 65岁成人进行了回顾性队列研究。使用休克创伤中心登记处，我们使用国际疾病分类，第九次修订，临床修改代码识别TBI，并要求简化损伤量表头部评分>= 3，其他身体部位的简化损伤量表评分
Background: Older adults have the highest rates of hospitalization and mortality after traumatic brain injury (TBI) and suffer poorer outcomes compared with younger adults with similar injuries. Non-neurological complications can significantly impact outcomes. Evidence suggests that women may have better outcomes after TBI. However, sex differences in in-hospital complications among older adults after TBI have not been studied. The objective of this study was to assess sex differences in in-hospital complications after TBI among adults aged 65 y and older.Methods: We conducted a retrospective cohort study of adults aged >= 65 y treated for isolated moderate to severe TBI at the R Adams Cowley Shock Trauma Center between 1996 and 2012. Using the Shock Trauma Center registry, we identified TBI using the International Classification of Disease, Ninth Revision, Clinical Modification codes and required an abbreviated injury scale head score >= 3, abbreviated injury scale scores for other body regions