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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 809-820
DOI: 10.4103/ajns.AJNS_205_20
Review Article

Management of mild brain trauma in the elderly: Literature review

Federica Marrone
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
2   Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila
,
Luca Zavatto
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
2   Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila
,
Mario Allevi
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
2   Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila
,
Hambra Di Vitantonio
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
,
Daniele Millimaggi
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
,
Soheila Dehcordi
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
,
Alessandro Ricci
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
,
Graziano Taddei
1   Department of Neurosurgery, San Salvatore Hospital, L'Aquila
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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.

Key-words:

Brain trauma - elderly - head injury - head trauma - mild brain trauma

Financial support and sponsorship

Nil.




Publication History

Received: 05 May 2020

Accepted: 03 July 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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