Traumatic brain injury in older adults: Epidemiology, outcomes, and future implications
Traumatic brain injury in older adults: Epidemiology, outcomes, and future implications
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DOI：
10.1111/j.1532-5415.2006.00894.x
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发表时间：
2006-10-01
影响因子：
6.3
通讯作者：
Kagan, Sarah H.
中科院分区：
文献类型：
--
作者：
Thompson, Hilaire J.;McCormick, Wayne C.;Kagan, Sarah H.
创伤性脑损伤（TBI）是老年人的一个重要问题。在65岁及以上的人群中，TBI每年导致80,000多例急诊就诊；这些探视中有四分之三因受伤而住院。75岁及以上的成年人因创伤性脑损伤住院和死亡的比例最高。跌倒是老年人脑外伤的主要原因（51%），其次是机动车交通事故（9%）。已知年龄较大对TBI后的预后有负面影响。尽管老年病学和神经外伤研究人员已经确定了入院前功能能力、合并症、性别和其他因素（如脑灌注压）对疾病或损伤后恢复的预后意义，但这些变量在老年TBI患者中的研究仍不充分。在缺乏良好的临床数据的情况下，预测老年TBI患者的预后和提供护理仍然存在问题。为了解决这一重大的公共卫生问题，重新关注这一人群的研究工作是合理的，以预防老年人的脑外伤，并辨别独特的护理需求，以促进最佳的患者结果。
Traumatic brain injury (TBI) is a significant problem in older adults. In persons aged 65 and older, TBI is responsible for more than 80,000 emergency department visits each year; three-quarters of these visits result in hospitalization as a result of the injury. Adults aged 75 and older have the highest rates of TBI-related hospitalization and death. Falls are the leading cause of TBI for older adults (51%), and motor vehicle traffic crashes are second (9%). Older age is known to negatively influence outcome after TBI. Although geriatric and neurotrauma investigators have identified the prognostic significance of preadmission functional ability, comorbidities, sex, and other factors such as cerebral perfusion pressure on recovery after illness or injury, these variables remain understudied in older adults with TBI. In the absence of good clinical data, predicting outcomes and providing care in the older adult population with TBI remains problematic. To address this significant public health issue, 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.