Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old Patients
Background: The population of individuals classified as oldest-old (aged ≥85 years) has increased rapidly in recent years. The rates of morbidity from chronic diseases and physical dependence tend to be higher in the oldest-old compared with individuals classified as young-to-middle-old (aged 65-84...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korea Geriatrics Society
2016-12-01
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| Series: | Annals of Geriatric Medicine and Research |
| Subjects: | |
| Online Access: | http://www.e-agmr.org/journal/view.html?doi=10.4235/agmr.2016.20.4.221 |
| _version_ | 1819131987808485376 |
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| author | Sung Kyu Kim Ki Young Jeong Jong Seok Lee Han Sung Choi Hoon Pyo Hong Young Gwan Ko |
| author_facet | Sung Kyu Kim Ki Young Jeong Jong Seok Lee Han Sung Choi Hoon Pyo Hong Young Gwan Ko |
| author_sort | Sung Kyu Kim |
| collection | DOAJ |
| description | Background: The population of individuals classified as oldest-old (aged ≥85 years) has increased rapidly in recent years. The rates of morbidity from chronic diseases and physical dependence tend to be higher in the oldest-old compared with individuals classified as young-to-middle-old (aged 65-84 years). Therefore, the classification and evaluation of traumatic injuries in the oldest-old group are necessary. Herein we focused on the risk of traumatic intracranial hemorrhage from low-energy falls in older patients. Methods: Patient medical records from the Emergency Department after low-energy falls that occurred between November 2014 and April 2016 were retrospectively analyzed. Patients were divided into an older group (aged ≥65 years) and an adult group (aged 18-64 years); the older group was subdivided into the oldest-old group (aged ≥85 years) and a young-to-middle-old group (aged 65-84 years). The rate of intracranial hemorrhage and related factors were also investigated. Results: The older group had a greater risk of traumatic intracranial hemorrhage than the adult group (20% vs. 12.6%, p=0.019). Furthermore, more cases of traumatic intracranial hemorrhage were found in the oldest-old group than in the young-to-middle-old group (37.5% vs. 18.0%, p=0.024). Similarly, the risk of traumatic intracranial hemorrhage in the oldest-old was higher than in the young-to-middle-old group (p=0.032). Conclusion: The risk of traumatic intracranial hemorrhage from low-energy falls in the oldest-old patients was higher than in the young-to-middle-old patients. Therefore, physicians need to pay particular attention to oldest-old patients, even to those with mental integrity and without neurological deficits. |
| first_indexed | 2024-12-22T09:24:14Z |
| format | Article |
| id | doaj.art-6002670bd9b94c268591c0f17901a462 |
| institution | Directory Open Access Journal |
| issn | 2508-4798 |
| language | English |
| last_indexed | 2024-12-22T09:24:14Z |
| publishDate | 2016-12-01 |
| publisher | Korea Geriatrics Society |
| record_format | Article |
| series | Annals of Geriatric Medicine and Research |
| spelling | doaj.art-6002670bd9b94c268591c0f17901a4622022-12-21T18:31:07ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982016-12-0120422122810.4235/agmr.2016.20.4.221agmr.2016.20.4.221Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old PatientsSung Kyu Kim0Ki Young Jeong1Jong Seok Lee2Han Sung Choi3Hoon Pyo Hong4Young Gwan Ko5Department of Emergency Medicine, Kyung Hee University Hospital, Seoul, KoreaDepartment of Emergency Medicine, Kyung Hee University Hospital, Seoul, KoreaDepartment of Emergency Medicine, Kyung Hee University Hospital, Seoul, KoreaDepartment of Emergency Medicine, Kyung Hee University Hospital, Seoul, KoreaDepartment of Emergency Medicine, Kyung Hee University Hospital, Seoul, KoreaDepartment of Emergency Medicine, Kyung Hee University Hospital, Seoul, KoreaBackground: The population of individuals classified as oldest-old (aged ≥85 years) has increased rapidly in recent years. The rates of morbidity from chronic diseases and physical dependence tend to be higher in the oldest-old compared with individuals classified as young-to-middle-old (aged 65-84 years). Therefore, the classification and evaluation of traumatic injuries in the oldest-old group are necessary. Herein we focused on the risk of traumatic intracranial hemorrhage from low-energy falls in older patients. Methods: Patient medical records from the Emergency Department after low-energy falls that occurred between November 2014 and April 2016 were retrospectively analyzed. Patients were divided into an older group (aged ≥65 years) and an adult group (aged 18-64 years); the older group was subdivided into the oldest-old group (aged ≥85 years) and a young-to-middle-old group (aged 65-84 years). The rate of intracranial hemorrhage and related factors were also investigated. Results: The older group had a greater risk of traumatic intracranial hemorrhage than the adult group (20% vs. 12.6%, p=0.019). Furthermore, more cases of traumatic intracranial hemorrhage were found in the oldest-old group than in the young-to-middle-old group (37.5% vs. 18.0%, p=0.024). Similarly, the risk of traumatic intracranial hemorrhage in the oldest-old was higher than in the young-to-middle-old group (p=0.032). Conclusion: The risk of traumatic intracranial hemorrhage from low-energy falls in the oldest-old patients was higher than in the young-to-middle-old patients. Therefore, physicians need to pay particular attention to oldest-old patients, even to those with mental integrity and without neurological deficits.http://www.e-agmr.org/journal/view.html?doi=10.4235/agmr.2016.20.4.221Oldest oldAccidental fallsIntracranial hemorrhageEmergency |
| spellingShingle | Sung Kyu Kim Ki Young Jeong Jong Seok Lee Han Sung Choi Hoon Pyo Hong Young Gwan Ko Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old Patients Annals of Geriatric Medicine and Research Oldest old Accidental falls Intracranial hemorrhage Emergency |
| title | Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old Patients |
| title_full | Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old Patients |
| title_fullStr | Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old Patients |
| title_full_unstemmed | Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old Patients |
| title_short | Risk of Traumatic Intracranial Hemorrhage From Low-Energy Falls in the Oldest-Old Patients |
| title_sort | risk of traumatic intracranial hemorrhage from low energy falls in the oldest old patients |
| topic | Oldest old Accidental falls Intracranial hemorrhage Emergency |
| url | http://www.e-agmr.org/journal/view.html?doi=10.4235/agmr.2016.20.4.221 |
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