Imaging for older patients with head impact at baseline conscious state

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2025-04-21 DOI:10.1111/1742-6723.70046

Biswadev Mitra MBBS, MHSM, PhD, FACEM, Nathan Ip MBBS, Dipen Khoosal MBBS, FACEM, Bernice Xin Er Lee MBBS, Gabriel Blecher MBBS, FACEM, Peter A. Cameron MBBS, MD, FACEM

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引用次数: 0

Abstract

Objective

To describe CT brain (CTB) and neurosurgical management among head injured patients aged ≥ 85 years and minimal or no change in Glasgow Coma Scale (GCS).

Methods

A retrospective cohort study was undertaken using radiology and administrative data from two tertiary referral hospitals.

Results

There were 3833 patients included and 40% were taking anticoagulant or antiplatelet medications. Acute intracranial abnormalities were detected in 225 (5.9%) patients, and 5 (0.13%) underwent neurosurgical procedures.

Conclusions

Among older patients with head trauma, CTB could be targeted to individuals likely to be considered for neurosurgical intervention.

Abstract Image

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为头部受到撞击的老年患者提供基线清醒状态下的影像检查

目的探讨≥85岁且格拉斯哥昏迷评分（GCS）变化最小或无变化的颅脑损伤患者的CT脑（CTB）和神经外科治疗方法。方法利用两家三级转诊医院的影像学资料和行政管理资料进行回顾性队列研究。结果共纳入3833例患者，其中40%的患者正在服用抗凝或抗血小板药物。225例（5.9%）患者发现急性颅内异常，5例（0.13%）患者接受了神经外科手术。结论在老年颅脑外伤患者中，CTB可针对可能考虑神经外科干预的个体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.