TY - JOUR
PY - 2018//
TI - Clinicopathological characteristics of traumatic head injury in juvenile, middle-aged and elderly individuals
JO - Medical science monitor
A1 - Wang, Jiawen
A1 - Han, Feng
A1 - Zhao, Qian
A1 - Xia, Bin
A1 - Dai, Jialin
A1 - Wang, Qian
A1 - Huang, Shimei
A1 - Le, Cuiyun
A1 - Li, Zhu
A1 - Liu, Jiangjin
A1 - Yang, Ming
A1 - Wan, Changwu
A1 - Wang, Jie
SP - 3256
EP - 3264
VL - 24
IS -
N2 - BACKGROUND Traumatic head injury is a leading cause of death and disability worldwide. How clinicopathological features differ by age remains unclear. This epidemiological study analyzed the clinicopathological features of patients with head injury belonging to 3 age groups. MATERIAL AND METHODS Data of patients with traumatic head injury were obtained from the Department of Cerebral Surgery of the Affiliated Hospital of Guizhou Medical University and the Guizhou Provincial People's Hospital in 2011-2015. Their clinicopathological parameters were assessed. The patients were divided into 3 age groups: elderly (≥65 years), middle-aged (18-64 years), and juvenile (≤17 years) individuals.
RESULTS Among 3356 hospitalizations for traumatic head injury (2573 males and 783 females, 654 died (19.49%), the highest and lowest mortality rates were in the elderly and juvenile groups, respectively. Fall was the most common cause in juvenile and elderly individuals (32.79% and 43.95%, respectively), while traffic injury was most common in the elderly group (35.08%). The manners of injury differed considerably among the 3 age groups. Scalp injury, skull fracture, intracranial hematoma, and cerebral injury were the most common mechanisms in juvenile (67.32%), middle-aged (63.50%), elderly (69.56%) and middle-aged (90.44%) individuals, respectively. Scalp injury and skull fracture types differed among the groups. Epidural, subdural, and intracerebral hematomas were most common in juvenile, middle-aged, and elderly individuals, respectively. Cerebral contusion showed the highest frequency in the 3 groups, and concussion the lowest.
CONCLUSIONS Patients with traumatic HI show remarkable differences in clinicopathological features among juvenile, middle-aged, and elderly individuals.
Language: en
LA - en SN - 1234-1010 UR - http://dx.doi.org/10.12659/MSM.908728 ID - ref1 ER -