Mortality and discharge disposition among older adults with moderate to severe traumatic brain injury.
Arch Gerontol Geriatr
; 125: 105488, 2024 10.
Article
in 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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Discharge
/
Brain Injuries, Traumatic
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Arch Gerontol Geriatr
/
Arch. gerontol. geriatr
/
Archives of gerontology and geriatrics
Year:
2024
Document type:
Article
Affiliation country:
Canadá
Country of publication:
Países Bajos