Forensic Head Trauma in Elderly Patients Accompanying Comorbidities
Aim:To evaluate the characteristics and accompanying comorbidities of patients aged 65 years and older who presented to the emergency department with head trauma and were evaluated as forensic cases.Materials and Methods:The study was conducted with a retrospective evaluation of 157 patients aged 65...
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2023-09-01
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| Series: | Eurasian Journal of Emergency Medicine |
| Subjects: | |
| Online Access: |
http://eajem.com/archives/archive-detail/article-preview/forensic-head-trauma-in-elderly-patients-accompany/61999
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| Summary: | Aim:To evaluate the characteristics and accompanying comorbidities of patients aged 65 years and older who presented to the emergency department with head trauma and were evaluated as forensic cases.Materials and Methods:The study was conducted with a retrospective evaluation of 157 patients aged 65 years and over who were admitted to the emergency department and evaluated as forensic cases.Results:The most common cause of head trauma was a fall. Of the patients, 38.9% were hospitalized for follow-up, 14% were followed up in the intensive care unit (ICU), and 14% died. Falling from a height, the presence of accompanying thoracic trauma, and an increased number of requested consultations were statistically associated with hospitalization (p<0.001). There was a statistically significant relationship between mortality and the presence of falling from a height as the cause of trauma, accompanying pelvic trauma, hemorrhage on brain computed tomography, ICU follow-up requirement, and active partial thromboplastin time among the coagulation parameters (p<0.001).Conclusion:Trauma has become the most important socioeconomic problem due to its consequences, such as death and disability in elderly patients. Intracranial bleeding, the presence of accompanying conditions, increases mortality; therefore, a multidisciplinary approach is required in the emergency care of this patient. |
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| ISSN: | 2149-5807 2149-6048 |