@article{ref1,
title="Comparison of functional outcomes in elderly who have sustained a minor trauma with or without head injury: a prospective multicenter cohort study",
journal="Canadian journal of emergency medicine",
year="2016",
author="Le Sage, Natalie and Tardif, Pier-Alexandre and Boucher, Valérie and Allain-Boulé, Nadine and Mercier, Eric and Berthelot, Simon and Verreault, René and Ouellet, Marie-Christine and Perry, Jeffrey J. and Lee, Jacques and Lang, Eddy and Griffith, Lauren E. and Daoust, Raoul and Sirois, Marie-Josée and Emond, Marcel and Brousseau, Audrey-Anne",
volume="19",
number="5",
pages="329-337",
abstract="OBJECTIVES: The consequences of minor trauma involving a head injury (MT-HI) in independent older adults are largely unknown. This study assessed the impact of a head injury on the functional outcomes six months post-injury in older adults who sustained a minor trauma. <br><br>METHODS: This multicenter prospective cohort study in eight sites included patients who were aged 65 years or older, previously independent, presenting to the emergency department (ED) for a minor trauma, and discharged within 48 hours. To assess the functional decline, we used a validated test: the Older Americans' Resources and Services Scale. The cognitive function of study patients was also evaluated. Finally, we explored the influence of a concomitant injury on the functional decline in the MT-HI group. <br><br>RESULTS: All 926 eligible patients were included in the analyses: 344 MT-HI patients and 582 minor trauma without head injury. After six months, the functional decline was similar in both groups: 10.8% and 11.9%, respectively (RR=0.79 [95% CI: 0.55-1.14]). The proportion of patients with mild cognitive disabilities was also similar: 21.7% and 22.8%, respectively (RR=0.91 [95% CI: 0.71-1.18]). Furthermore, for the group of patients with a MT-HI, the functional outcome was not statistically different with or without the presence of a co-injury (RR=1.35 [95% CI: 0.71-2.59]). <br><br>CONCLUSION: This study did not demonstrate that the occurrence of a MT-HI is associated with a worse functional or cognitive prognosis than other minor injuries without a head injury in an elderly population, six months after injury.<p /> <p>Language: en</p>",
language="en",
issn="1481-8035",
doi="10.1017/cem.2016.368",
url="http://dx.doi.org/10.1017/cem.2016.368"
}