@article{ref1,
title="Mortality and discharge disposition among older adults with moderate to severe traumatic brain injury",
journal="Archives of gerontology and geriatrics",
year="2024",
author="Flores-Sandoval, Cecilia and MacKenzie, Heather M. and McIntyre, Amanda and Sait, Muskan and Teasell, Robert and Bateman, Emma A.",
volume="125",
number="",
pages="e105488-e105488",
abstract="PURPOSE: This study examined the research on older adults with a moderate to severe traumatic brain injury (TBI), with a focus on mortality and discharge disposition. <br><br>METHOD: Systematic searches were conducted in MEDLINE, CINAHL, EMBASE and PsycINFO for studies up to April 2022 in accordance with PRISMA guidelines. <br><br>RESULTS: 64 studies, published from 1992 to 2022, met the inclusion criteria. Mortality was higher for older adults ≥60 years old than for their younger counterparts; with a dramatic increase for those ≥80 yr, with rates as high as 93 %. Similar findings were reported regarding mortality in intensive care, surgical mortality, and mortality post-hospital discharge; with an 80 % rate at 1-year post-discharge. Up to 68.4 % of older adults were discharged home; when compared to younger adults, those ≥65 years were less likely to be discharged home (50-51 %), compared to those <64 years (77 %). Older adults were also more likely to be discharged to long-term care (up to 31.6 %), skilled nursing facilities (up to 46.1 %), inpatient rehabilitation (up to 26.9 %), and palliative or hospice care (up to 58 %). <br><br>CONCLUSION: Given their vulnerability, optimizing outcomes for older adults with moderate-severe TBI across the healthcare continuum is critical.<p /> <p>Language: en</p>",
language="en",
issn="0167-4943",
doi="10.1016/j.archger.2024.105488",
url="http://dx.doi.org/10.1016/j.archger.2024.105488"
}