Traumatic brain injury in the elderly: A level 1 trauma centre study

被引:19
作者
de Guise, Elaine [1 ,2 ,3 ]
LeBlanc, Joanne [3 ]
Dagher, Jehane [3 ,4 ]
Tinawi, Simon [3 ,4 ]
Lamoureux, Julie [5 ]
Marcoux, Judith [1 ]
Maleki, Mohammed [1 ]
Feyz, Mitra [3 ]
机构
[1] McGill Univ, Ctr Hlth, Neurol & Neurosurg Dept, Montreal, PQ H3G 1A4, Canada
[2] Univ Montreal, Dept Psychol, Montreal, PQ H3C 3J7, Canada
[3] McGill Univ, Ctr Hlth, Traumat Brain Injury Program, Montreal, PQ H3G 1A4, Canada
[4] McGill Univ, Ctr Hlth, Phys Med & Rehabil Serv, Montreal, PQ H3G 1A4, Canada
[5] Univ Montreal, Social & Prevent Med Dept, Montreal, PQ, Canada
关键词
Ageing; level 1 trauma centre; older age; outcome; traumatic brain injury; OLDER-ADULTS; GENDER-DIFFERENCES; HEAD-INJURIES; AGE; MORTALITY; HEALTH; CONSEQUENCES; SPEED;
D O I
10.3109/02699052.2014.976593
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Objective: To explore the characteristics and outcome of patients with TBI over 65 years old admitted to an acute care Level 1 Trauma centre in Montreal, Canada. Methods: Data were retrospectively collected on patients (n = 1812) who were admitted post-TBI to the McGill University Health Centre-Montreal General Hospital from 2000-2011. The cohort was composed of four groups over 65 years old (65-75; 76-85; 86-95; and 96 and more). Outcome measures used were the extended Glasgow Outcome Scale (GOSE) as well as discharge destination. Results: As the patients got older, the odds of having a poor outcome increased (OR = 2.344 for those 75-85 years old, 4.313 for those 86-95 years of age and 3.465 for those aged 96 years of age or older). Also, the proportion of patients going home or going home with out-patient rehabilitation decreased as age increased (p = 0.001 and p<0.001, respectively). In contrast, the proportion of patients being discharged to long-term care facilities increased significantly as age increased (p<0.001). Conclusion: This descriptive study provides a better understanding of characteristics and outcome of different age groups of patients with TBI all over 65 years old in Montreal, Canada.
引用
收藏
页码:558 / 564
页数:7
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