TY  - JOUR
PY  - 2016//
TI  - Risk of traumatic intracranial hemorrhage from low-energy falls in the oldest-old patients
JO  - Annals of geriatric medicine and research
A1  - Kim, Sung Kyu
A1  - Jeong, Ki Young
A1  - Lee, Jong Seok
A1  - Choi, Han Sung
A1  - Hong, Hoon Pyo
A1  - Ko, Young Gwan
SP  - 221
EP  - 228
VL  - 20
IS  - 4
N2  - Background  The population of individuals classified as oldest-old (aged ≥85 years) has increased rapidly in recent years. The rates of morbidity from chronic diseases and physical dependence tend to be higher in the oldest-old compared with individuals classified as young-to-middle-old (aged 65-84 years). Therefore, the classification and evaluation of traumatic injuries in the oldest-old group are necessary. Herein we focused on the risk of traumatic intracranial hemorrhage from low-energy falls in older patients    Methods  Patient medical records from the Emergency Department after low-energy falls that occurred between November 2014 and April 2016 were retrospectively analyzed. Patients were divided into an older group (aged ≥65 years) and an adult group (aged 18-64 years); the older group was subdivided into the oldest-old group (aged ≥85 years) and a young-to-middle-old group (aged 65-84 years). The rate of intracranial hemorrhage and related factors were also investigated.    Results  The older group had a greater risk of traumatic intracranial hemorrhage than the adult group (20% vs. 12.6%, p=0.019). Furthermore, more cases of traumatic intracranial hemorrhage were found in the oldest-old group than in the young-to-middle-old group (37.5% vs. 18.0%, p=0.024). Similarly, the risk of traumatic intracranial hemorrhage in the oldest-old was higher than in the young-to-middle-old group (p=0.032).    Conclusion  The risk of traumatic intracranial hemorrhage from low-energy falls in the oldest-old patients was higher than in the young-to-middle-old patients. Therefore, physicians need to pay particular attention to oldest-old patients, even to those with mental integrity and without neurological deficits.    Kim SK, et al. Ann Geriatr Med Res. 2016 Dec;20(4):221-228. https://doi.org/10.4235/agmr.2016.20.4.221<p />  <p>Language: en</p>
LA  - en
SN  - 2508-4798
UR  - http://dx.doi.org/10.4235/agmr.2016.20.4.221
ID  - ref1
ER  -