急性行为变化作为轻度脑外伤老年人群颅内损伤的诊断因素--回顾性横断面研究。

IF 2.3 3区 医学 Q1 EMERGENCY MEDICINE
Marian Sedlak, Satria Nur Sya'ban, Jozef Dragasek, Kornelia Hutnanova, Eva Sedlakova, Radoslav Morochovic, Rastislav Burda
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引用次数: 0

摘要

目的:轻度创伤性脑损伤(mTBI)是急诊科治疗中最常见的创伤相关诊断之一,尤其是在老年人群中。年龄越大通常是CT扫描的指征,即使大约90%的CT扫描没有显示颅内损伤。将新的诊断参数纳入CT扫描的指征方案可以提高效率并减少不必要的成像。本研究的主要结果是评估老年mTBI患者的急性行为改变与CT扫描诊断的颅内损伤发生率之间的关系。方法:在Košice路易斯巴斯德大学医院进行回顾性横断面研究。所有年龄在65岁及以上,在12个月内出现疑似mTBI并接受CT成像的患者都被纳入研究。使用电子健康记录作为数据源。结果:共纳入586例患者。60例(10.2%)患者出现急性行为改变。颅内损伤35例(6.0%)。急性行为改变与颅内损伤存在显著相关性(p)。结论:老年mTBI患者出现急性行为改变时,CT扫描更容易发现颅内损伤。将这些症状纳入头部CT扫描的指征方案可能会改善旨在更有效和明智地使用成像的策略。试验注册:临床试验编号:不适用,回顾性注册
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute behavioral changes as a diagnostic factor of intracranial injuries among the elderly population with mild traumatic brain injury - retrospective cross-sectional study.

Purpose: Mild traumatic brain injury (mTBI) is one of the most common trauma-related diagnoses treated in emergency departments, especially among the geriatric population. Higher age alone is often an indication for a computed tomography (CT) scan, even when, approximately 90% of these scans do not reveal intracranial injuries. Incorporation of new diagnostic parameters into indication schemes for CT scans could improve the efficiency and reduce unnecessary imaging. The primary outcome of this study was to evaluate the association of acute behavioral changes among elderly patients treated for mTBI with the prevalence of intracranial injuries diagnosed by CT scans.

Methods: A retrospective cross-sectional study was conducted at Louis Pasteur University Hospital in Košice. All patients aged 65 and older who presented during the period of 12 months with suspected mTBI and underwent CT imaging were included in the study. Electronic health records were used as a data source.

Results: A total of 586 patients were included in the study. Acute behavioral changes were observed among 60 (10.2%) patients. Intracranial injury was diagnosed in 35 patients (6.0%). There was a statistically significant association between acute behavioral changes and the presence of intracranial injuries (p < 0.05), with those exhibiting behavioral changes having higher odds of injury (OR: 6.51; 3.01-13.7; p < 0.001).

Conclusion: Elderly patients with mTBI who present with acute behavioral changes are more likely to have intracranial injuries detected by CT scans. Incorporating these symptoms into indication schemes for head CT scans may improve strategies aimed at more effective and judicious use of imaging.

Trial registration: Clinical trial number: Not applicable, retrospectively registered.

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来源期刊
BMC Emergency Medicine
BMC Emergency Medicine Medicine-Emergency Medicine
CiteScore
3.50
自引率
8.00%
发文量
178
审稿时长
29 weeks
期刊介绍: BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.
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