Traumatic brain injury in the elderly: Considerations in a series of 103 patients older than 70

P. Gaetani, M. Revay, S. Sciacca, F. Pessina, E. Aimar, D. Levi, E. Morenghi

Research output: Contribution to journalArticle

Abstract

Aim. Mortality and morbidity due to brain injury in the elderly population is a growing clinical problem: among older patients, those >70 years have a considerably higher risk both in terms of mortality and morbidity. Thereafter, the reasons influencing outcome have not been clearly examined: in the present study we addressed these questions considering the main clinical characteristics exerting a significant impact on the outcome of patients aged > 70, with emphasis for the severity of brain injury and anticoagulant (CAW) treatments. Methods. We performed a retrospective analysis of 103 consecutive isolated head injury patients older than 70, admitted at our Department in the period November 2004-November 2009. The clinical variables considered were as follow: age, sex, type of TBI, GCS, pre-TBI use of anti-coagulants (aspirin, warfarin, clopidogrel), INR at admission (INR values were subdivided in values >1.25 as at risk for hemorrhagic events and 70, TBI is a high risk event if patient has concurrent treatment with CAW therapies and if an accidental fall is the cause of TBI. In these cases the finding of t-SAH represents a high-risk parameter for mortality but not for morbidity.

Original languageEnglish
Pages (from-to)231-237
Number of pages7
JournalJournal of Neurosurgical Sciences
Volume56
Issue number3
Publication statusPublished - Sep 2012

Keywords

  • Aged
  • Anticoagulants
  • Brain injuries
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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    Gaetani, P., Revay, M., Sciacca, S., Pessina, F., Aimar, E., Levi, D., & Morenghi, E. (2012). Traumatic brain injury in the elderly: Considerations in a series of 103 patients older than 70. Journal of Neurosurgical Sciences, 56(3), 231-237.