TY  - JOUR
PY  - 2018//
TI  - Epidemiology of traumatic brain injury in the elderly over a 25 year period
JO  - Revista española de anestesiología y reanimación
A1  - Chicote Álvarez, E.
A1  - González Castro, A.
A1  - Ortiz Lasa, M.
A1  - Jiménez Alfonso, A.
A1  - Escudero Acha, P.
A1  - Rodríguez Borregán, J. C.
A1  - Peñasco Martín, Y.
A1  - Dierssen Sotos, T.
SP  - 546
EP  - 551
VL  - 65
IS  - 10
N2  - 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>
LA  - es
SN  - 0034-9356
UR  - http://dx.doi.org/10.1016/j.redar.2018.06.003
ID  - ref1
ER  -