Management of Mild Brain Trauma in the Elderly: Literature Review.

Autor: Marrone, Federica, Zavatto, Luca, Allevi, Mario, Vitantonio, Hambra Di, Millimaggi, Daniele Francesco, Dehcordi, Soheila Raysi, Ricci, Alessandro, Taddei, Graziano
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Zdroj: Asian Journal of Neurosurgery; Oct-Dec2020, Vol. 15 Issue 4, p809-820, 12p
Abstrakt: Purpose: The world population is aging. As direct consequence, geriatric trauma is increasing both in absolute number and in the proportion of annual admissions causing a challenge for the health‑care system worldwide. The aim of this review is to delineate the specific and practice rules for the management of mild brain trauma in the elderly. Methods: Systematic review of the last 15 years literature on mild traumatic brain injury (nTBI) in elderly patients. Results: A total of 68 articles met all eligibility criteria and were selected for the systematic review. We collected 29% high‑quality studies and 71% low‑quality studies. Conclusion: Clinical advices for a comprehensive management are provided. Current outcome data from mTBIs in the elderly show a condition that cannot be sustained in the future by families, society, and health‑care systems. There is a strong need for more research on geriatric mild brain trauma addressed to prevent falls, to reduce the impact of polypharmacy, and to define specific management strategies. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index