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Mortality and discharge disposition among older adults with moderate to severe traumatic brain injury.
Flores-Sandoval, Cecilia; MacKenzie, Heather M; McIntyre, Amanda; Sait, Muskan; Teasell, Robert; Bateman, Emma A.
Afiliación
  • Flores-Sandoval C; Parkwood Institute Research, Lawson Research Institute, London, Ontario, Canada.
  • MacKenzie HM; Parkwood Institute Research, Lawson Research Institute, London, Ontario, Canada; Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Parkwood Institute, St. Joseph's Health Care London, London, Ontario, Canada.
  • McIntyre A; Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada.
  • Sait M; Parkwood Institute Research, Lawson Research Institute, London, Ontario, Canada; University College Cork, Ireland.
  • Teasell R; Parkwood Institute Research, Lawson Research Institute, London, Ontario, Canada; Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Parkwood Institute, St. Joseph's Health Care London, London, Ontario, Canada. E
  • Bateman EA; Parkwood Institute Research, Lawson Research Institute, London, Ontario, Canada; Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Parkwood Institute, St. Joseph's Health Care London, London, Ontario, Canada.
Arch Gerontol Geriatr ; 125: 105488, 2024 Oct.
Article en En | MEDLINE | ID: mdl-38776698
ABSTRACT

PURPOSE:

This study examined the research on older adults with a moderate to severe traumatic brain injury (TBI), with a focus on mortality and discharge disposition.

METHOD:

Systematic searches were conducted in MEDLINE, CINAHL, EMBASE and PsycINFO for studies up to April 2022 in accordance with PRISMA guidelines.

RESULTS:

64 studies, published from 1992 to 2022, met the inclusion criteria. Mortality was higher for older adults ≥60 years old than for their younger counterparts; with a dramatic increase for those ≥80 yr, with rates as high as 93 %. Similar findings were reported regarding mortality in intensive care, surgical mortality, and mortality post-hospital discharge; with an 80 % rate at 1-year post-discharge. Up to 68.4 % of older adults were discharged home; when compared to younger adults, those ≥65 years were less likely to be discharged home (50-51 %), compared to those <64 years (77 %). Older adults were also more likely to be discharged to long-term care (up to 31.6 %), skilled nursing facilities (up to 46.1 %), inpatient rehabilitation (up to 26.9 %), and palliative or hospice care (up to 58 %).

CONCLUSION:

Given their vulnerability, optimizing outcomes for older adults with moderate-severe TBI across the healthcare continuum is critical.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Lesiones Traumáticas del Encéfalo Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Lesiones Traumáticas del Encéfalo Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Países Bajos