急诊科 65 岁以上患者的脑外伤;特征和并发症。

Q3 Medicine
Josep Guil Sànchez
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引用次数: 0

摘要

背景和目的年龄的增长与跌倒和创伤风险的增加有关。该研究旨在评估2022年因创伤性脑损伤(TBI)而就诊于急诊室的65岁以上患者的特征,以及他们与认知障碍、功能依赖、口服抗血小板/抗凝药物的使用和并发症之间的关系。研究收集了人口统计学数据:年龄、性别、籍贯;心血管风险因素;使用费弗尔问卷调查的认知障碍;根据巴特尔指数得出的肢体残疾;药物数量;抗血小板药物和口服抗凝剂(OAC)的使用;跌倒机制;头颅X光/CT检查结果;以及是否出现并发症:颅内出血(ICH)、死亡。平均年龄为(82.3 ± 8.2)岁。63.8%为女性,36.2%为男性。75.3%的患者来自家中,24.7%来自住处。61.4%的患者无痴呆症,38.6%的患者有中重度痴呆症。58.1%的人功能独立,25.1%的人有中度-重度依赖。85.7%的患者患有慢性心血管疾病:高血压 476 例(79.5%)、血脂异常 354 例(59.1%)、糖尿病 217 例(36.2%)、肥胖 173 例(28.9%)、吸烟 15 例(2.5%)。每位患者的用药次数为 9.2 ± 4.3。94.7%的患者使用多种药物。35.9%的患者服用抗血小板药物,30.2%的患者服用抗凝药物。11名患者(2.3%)出现颅内出血。结论在我们的研究中,创伤性脑损伤是由低能量创伤引起的,患者为女性,无痴呆症,功能独立,服用多种药物。严重并发症很少:2.3% 的患者出现 ICH,0.7% 的患者死亡。90.1%的ICH发生在接受抗血小板和/或OAC治疗的患者身上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Traumatismo craneoencefálico en pacientes mayores de 65 años atendidos en urgencias; características y complicaciones

Background and objective

Ageing is associated with an increased risk of falls and trauma. The aim of the study was to assess the characteristics of patients over 65 years of age who consulted the ED for traumatic brain injury (TBI) in 2022, their relationship with cognitive impairment, functional dependence, use of oral antiplatelet/anticoagulant drugs and complications.

Materials and Methods

Retrospective study conducted from 1 January to 31 December 2022. Demographic data were collected: age, sex, origin; cardiovascular risk factors; cognitive impairment using the Pfeiffer questionnaire; physical disability according to the Barthel Index; number of drugs; use of antiplatelet and oral anticoagulant (OAC); mechanism of fall; performance of cranial X-ray/CT, and presence of complications: intracranial haemorrhage (ICH), death.

Results

599 patients were included. The mean age was 82.3 ± 8.2 years. 63.8% were female and 36.2% male. 75.3% were from home, 24.7% from residence. No dementia in 61.4%, moderate-severe dementia in 38.6%. 58.1% were functionally independent, 25.1% had moderate-severe dependence. 85.7% had CVRF: HT 476 (79.5%), dyslipidaemia 354 (59.1%), DM 217 (36.2%), obesity 173 (28.9%), smoking 15 (2.5%). The number of drugs per patient was 9.2 ± 4.3. Polypharmacy was present in 94.7% of patients. 35.9% were taking antiplatelet drugs and 30.2% anticoagulants. Intracranial haemorrhage occurred in 11 (2.3%) patients. Four (0.7%) patients died.

Conclusions

The TBI in our study was caused by low-energy trauma in a female patient, without dementia, functionally independent and with polypharmacy. There were few serious complications: 2.3% ICH and 0.7% deaths. 90.1% of ICH occurred in patients on antiplatelet and/or OAC therapy.

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来源期刊
Revista Espanola de Geriatria y Gerontologia
Revista Espanola de Geriatria y Gerontologia Medicine-Medicine (miscellaneous)
CiteScore
1.90
自引率
0.00%
发文量
62
审稿时长
85 days
期刊介绍: Una revista de gran prestigio por sus artículos originales de investigación y revisiones. Permite cubrir todas las áreas de la medicina pero siempre desde la atención al paciente anciano, y está presente en los más reconocidos índices internacionales.
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