@article{ref1,
title="Epidemiology of traumatic brain injury in the elderly over a 25 year period",
journal="Revista española de anestesiología y reanimación",
year="2018",
author="Chicote Álvarez, E. and González Castro, A. and Ortiz Lasa, M. and Jiménez Alfonso, A. and Escudero Acha, P. and Rodríguez Borregán, J. C. and Peñasco Martín, Y. and Dierssen Sotos, T.",
volume="65",
number="10",
pages="546-551",
abstract="OBJECTIVE: To identify the changes in the epidemiology of traumatic brain injury (TBI) in a cohort of patients older than 65 years old admitted in the Intensive care unit of a third-level hospital over a 25 year period. MATERIAL AND METHODS: A retrospective cohort study conducted on patients over 65 years-old admitted with the diagnosis of TBI into an intensive care unit of a Spanish university hospital. The demographic, clinical variables were collected at the time of admission, including comorbidities, injury mechanisms, and injuries presented, and days of stay in ICU. A statistical analysis was carried out by five-year periods. <br><br>RESULTS: A total of 446 TBI in patients over 65 years were included. In the analysis, an increase was observed in the proportion of patients presenting with epidural haematoma (1.39% in the period 1990-1995 vs. 9.46% in 2010-2015), with a significant linear tendency (P=.018). Falls from own height have increased from 8.33% (1991-1995) to currently more than 70% (2011-2015), P<.001. The percentage of traffic accidents declined from 26.39% to 3.95% in the last period, P<.001. <br><br>CONCLUSIONS: In the last 25 years there seems to be evidence of a change in the origins of TBI in the elderly in our field.<br><br>Copyright © 2018 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.<p /> <p>Language: es</p>",
language="es",
issn="0034-9356",
doi="10.1016/j.redar.2018.06.003",
url="http://dx.doi.org/10.1016/j.redar.2018.06.003"
}