Impact of falls on early mortality from severe traumatic brain injury

Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality i...
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Autor*in:	Gerber, Linda M [verfasserIn] Ni, Quanhong Härtl, Roger Ghajar, Jamshid

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Traumatic Brain Injury Trauma Center Severe Traumatic Brain Injury Motor Vehicle Crash Severe Traumatic Brain Injury Patient

Anmerkung:	© Gerber et al; licensee BioMed Central Ltd. 2009

Übergeordnetes Werk:	Enthalten in: Journal of trauma management & outcomes - London : BioMed Central, 2007, 3(2009), 1 vom: 30. Juli
Übergeordnetes Werk:	volume:3 ; year:2009 ; number:1 ; day:30 ; month:07

Links:	Volltext

DOI / URN:	10.1186/1752-2897-3-9

Katalog-ID:	SPR029552176

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520			\|a Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality.
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allfields	10.1186/1752-2897-3-9 doi (DE-627)SPR029552176 (SPR)1752-2897-3-9-e DE-627 ger DE-627 rakwb eng Gerber, Linda M verfasserin aut Impact of falls on early mortality from severe traumatic brain injury 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Gerber et al; licensee BioMed Central Ltd. 2009 Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. Traumatic Brain Injury (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Severe Traumatic Brain Injury (dpeaa)DE-He213 Motor Vehicle Crash (dpeaa)DE-He213 Severe Traumatic Brain Injury Patient (dpeaa)DE-He213 Ni, Quanhong aut Härtl, Roger aut Ghajar, Jamshid aut Enthalten in Journal of trauma management & outcomes London : BioMed Central, 2007 3(2009), 1 vom: 30. Juli (DE-627)552254304 (DE-600)2399984-6 1752-2897 nnns volume:3 year:2009 number:1 day:30 month:07 https://dx.doi.org/10.1186/1752-2897-3-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 1 30 07
spelling	10.1186/1752-2897-3-9 doi (DE-627)SPR029552176 (SPR)1752-2897-3-9-e DE-627 ger DE-627 rakwb eng Gerber, Linda M verfasserin aut Impact of falls on early mortality from severe traumatic brain injury 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Gerber et al; licensee BioMed Central Ltd. 2009 Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. Traumatic Brain Injury (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Severe Traumatic Brain Injury (dpeaa)DE-He213 Motor Vehicle Crash (dpeaa)DE-He213 Severe Traumatic Brain Injury Patient (dpeaa)DE-He213 Ni, Quanhong aut Härtl, Roger aut Ghajar, Jamshid aut Enthalten in Journal of trauma management & outcomes London : BioMed Central, 2007 3(2009), 1 vom: 30. Juli (DE-627)552254304 (DE-600)2399984-6 1752-2897 nnns volume:3 year:2009 number:1 day:30 month:07 https://dx.doi.org/10.1186/1752-2897-3-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 1 30 07
allfields_unstemmed	10.1186/1752-2897-3-9 doi (DE-627)SPR029552176 (SPR)1752-2897-3-9-e DE-627 ger DE-627 rakwb eng Gerber, Linda M verfasserin aut Impact of falls on early mortality from severe traumatic brain injury 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Gerber et al; licensee BioMed Central Ltd. 2009 Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. Traumatic Brain Injury (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Severe Traumatic Brain Injury (dpeaa)DE-He213 Motor Vehicle Crash (dpeaa)DE-He213 Severe Traumatic Brain Injury Patient (dpeaa)DE-He213 Ni, Quanhong aut Härtl, Roger aut Ghajar, Jamshid aut Enthalten in Journal of trauma management & outcomes London : BioMed Central, 2007 3(2009), 1 vom: 30. Juli (DE-627)552254304 (DE-600)2399984-6 1752-2897 nnns volume:3 year:2009 number:1 day:30 month:07 https://dx.doi.org/10.1186/1752-2897-3-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 1 30 07
allfieldsGer	10.1186/1752-2897-3-9 doi (DE-627)SPR029552176 (SPR)1752-2897-3-9-e DE-627 ger DE-627 rakwb eng Gerber, Linda M verfasserin aut Impact of falls on early mortality from severe traumatic brain injury 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Gerber et al; licensee BioMed Central Ltd. 2009 Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. Traumatic Brain Injury (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Severe Traumatic Brain Injury (dpeaa)DE-He213 Motor Vehicle Crash (dpeaa)DE-He213 Severe Traumatic Brain Injury Patient (dpeaa)DE-He213 Ni, Quanhong aut Härtl, Roger aut Ghajar, Jamshid aut Enthalten in Journal of trauma management & outcomes London : BioMed Central, 2007 3(2009), 1 vom: 30. Juli (DE-627)552254304 (DE-600)2399984-6 1752-2897 nnns volume:3 year:2009 number:1 day:30 month:07 https://dx.doi.org/10.1186/1752-2897-3-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 1 30 07
allfieldsSound	10.1186/1752-2897-3-9 doi (DE-627)SPR029552176 (SPR)1752-2897-3-9-e DE-627 ger DE-627 rakwb eng Gerber, Linda M verfasserin aut Impact of falls on early mortality from severe traumatic brain injury 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Gerber et al; licensee BioMed Central Ltd. 2009 Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. Traumatic Brain Injury (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Severe Traumatic Brain Injury (dpeaa)DE-He213 Motor Vehicle Crash (dpeaa)DE-He213 Severe Traumatic Brain Injury Patient (dpeaa)DE-He213 Ni, Quanhong aut Härtl, Roger aut Ghajar, Jamshid aut Enthalten in Journal of trauma management & outcomes London : BioMed Central, 2007 3(2009), 1 vom: 30. Juli (DE-627)552254304 (DE-600)2399984-6 1752-2897 nnns volume:3 year:2009 number:1 day:30 month:07 https://dx.doi.org/10.1186/1752-2897-3-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2009 1 30 07
language	English
source	Enthalten in Journal of trauma management & outcomes 3(2009), 1 vom: 30. Juli volume:3 year:2009 number:1 day:30 month:07
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Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. 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author	Gerber, Linda M
spellingShingle	Gerber, Linda M misc Traumatic Brain Injury misc Trauma Center misc Severe Traumatic Brain Injury misc Motor Vehicle Crash misc Severe Traumatic Brain Injury Patient Impact of falls on early mortality from severe traumatic brain injury
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topic_title	Impact of falls on early mortality from severe traumatic brain injury Traumatic Brain Injury (dpeaa)DE-He213 Trauma Center (dpeaa)DE-He213 Severe Traumatic Brain Injury (dpeaa)DE-He213 Motor Vehicle Crash (dpeaa)DE-He213 Severe Traumatic Brain Injury Patient (dpeaa)DE-He213
topic	misc Traumatic Brain Injury misc Trauma Center misc Severe Traumatic Brain Injury misc Motor Vehicle Crash misc Severe Traumatic Brain Injury Patient
topic_unstemmed	misc Traumatic Brain Injury misc Trauma Center misc Severe Traumatic Brain Injury misc Motor Vehicle Crash misc Severe Traumatic Brain Injury Patient
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title	Impact of falls on early mortality from severe traumatic brain injury
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title_full	Impact of falls on early mortality from severe traumatic brain injury
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title_sort	impact of falls on early mortality from severe traumatic brain injury
title_auth	Impact of falls on early mortality from severe traumatic brain injury
abstract	Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. © Gerber et al; licensee BioMed Central Ltd. 2009
abstractGer	Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. © Gerber et al; licensee BioMed Central Ltd. 2009
abstract_unstemmed	Background The causes of severe traumatic brain injury (TBI) vary by age and other demographic characteristics. Mortality after trauma is higher for elderly than younger patients. This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p =< 0.0001). Mortality after a severe TBI is much greater among older people, reaching 58% for people 65 years and older sustaining a fall from < 3 meters. Conclusion Among those 65 and older, falls contributed to 61% of all injuries and resulted in especially high mortality among individuals experiencing low falls. Preventive efforts directed toward older people to avoid falls from < 3 meters could have a significant impact on mortality. © Gerber et al; licensee BioMed Central Ltd. 2009
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title_short	Impact of falls on early mortality from severe traumatic brain injury
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Impact of falls on early mortality from severe traumatic brain injury

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