Медицинская библиотека · Emergency medicine Australasia : EMA · 2025

Imaging for older patients with head impact at baseline conscious state.

Mitra Biswadev, Ip Nathan, Khoosal Dipen, Lee Bernice Xin Er, Blecher Gabriel, Cameron Peter A

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Аннотация

OBJECTIVE

To describe CT brain (CTB) and neurosurgical management among head injured patients aged ≥ 85 years and minimal or no change in Glasgow Coma Scale (GCS).

METHODS

A retrospective cohort study was undertaken using radiology and administrative data from two tertiary referral hospitals.

RESULTS

There were 3833 patients included and 40% were taking anticoagulant or antiplatelet medications. Acute intracranial abnormalities were detected in 225 (5.9%) patients, and 5 (0.13%) underwent neurosurgical procedures.

CONCLUSIONS

Among older patients with head trauma, CTB could be targeted to individuals likely to be considered for neurosurgical intervention.

Для цитирования: Mitra Biswadev, Ip Nathan, Khoosal Dipen, Lee Bernice Xin Er, Blecher Gabriel, Cameron Peter A. Imaging for older patients with head impact at baseline conscious state.. Emergency medicine Australasia : EMA. 2025. DOI: 10.1111/1742-6723.70046.

Предметные рубрики MeSH

Humans Aged, 80 and over Retrospective Studies Male Female Glasgow Coma Scale Tomography, X-Ray Computed Craniocerebral Trauma Cohort Studies Aged

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