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Head injury among older adults and their clinical management : one year of emergency department attendances at a UK trauma center
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Hawley, Carol, Sakr, Magdy, Scapinello, Sarah and Bjorndalen, Harald (2022) Head injury among older adults and their clinical management : one year of emergency department attendances at a UK trauma center. Brain Injury, 36 (7). pp. 868-875. doi:10.1080/02699052.2022.2077989 ISSN 1362-301X.
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WRAP-Head-injury-among-older-adults-clinical-emergency-trauma-center-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (744Kb) | Preview |
Official URL: https://doi.org/10.1080/02699052.2022.2077989
Abstract
Objectives
Primary: describe characteristics of adults aged ≥65 attending the Emergency Department (ED) at one major trauma center. Secondary: examine co-morbidities and complications; identify use of anticoagulant/antiplatelet medication among older adults presenting with Head Injury (HI); assess clinical management against UK guidelines.
Methods
All ED admissions were screened prospectively to identify HI using case notes, hospital records and Trauma Audit Research Network data. Data were collected on demographics, cause and severity of injury, co-morbidities, anticoagulation/antiplatelet use, diagnostic imaging and discharge outcomes.
Results
Over 12 months, 697 patients aged ≥65 years attended the ED for HI, representing over a quarter of adult ED attendances for HI. Mean age was 78.5 years (range 65–106), 395 (56.7%) were female. Most HIs were mild (93.5%) and 86% caused by falls. Three-quarters were discharged without hospital admission. Most had a preexisting medical condition andtaking medications prior to HI. Of these 116 were taking anticoagulants/antiplatelets but only 37 (31.9%) received a head CT scan. Half the patients were given a written HI information sheet at ED discharge.
Conclusions
Care of HI in older adults is challenging due to comorbidities. Practising evidence-based clinical management and following guidelines is important, but strict adherence is not common practice.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
SWORD Depositor: | Library Publications Router | ||||||
Journal or Publication Title: | Brain Injury | ||||||
Publisher: | Informa UK Limited | ||||||
ISSN: | 1362-301X | ||||||
Official Date: | 30 June 2022 | ||||||
Dates: |
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Volume: | 36 | ||||||
Number: | 7 | ||||||
Page Range: | pp. 868-875 | ||||||
DOI: | 10.1080/02699052.2022.2077989 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 29 July 2022 | ||||||
Date of first compliant Open Access: | 29 July 2022 |
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