Management of mild brain trauma in the elderly: Literature review

Federica Marrone; Luca Zavatto; Mario Allevi; Hambra Di Vitantonio; Daniele Millimaggi; Soheila Dehcordi; Alessandro Ricci; Graziano Taddei

doi:10.4103/ajns.AJNS_205_20

Asian Journal of Neurosurgery, Inhaltsverzeichnis

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

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

²Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila

,

Luca Zavatto

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

²Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila

,

Mario Allevi

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

²Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila

,

Hambra Di Vitantonio

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

,

Daniele Millimaggi

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

,

Soheila Dehcordi

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

,

Alessandro Ricci

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

,

Graziano Taddei

¹Department of Neurosurgery, San Salvatore Hospital, L'Aquila

› Institutsangaben

Abstract

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

Volltext

Referenzen

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