Fall-induced hospital-treated traumatic brain injuries among elderly Finns in 1970–2017

Abstract

Background: Fall-induced traumatic brain injuries (TBI) of elderly adults are a major public health concern. Methods: We determined the current trends in the absolute number and incidence (per 100,000 persons) of severe fall-induced TBI among 80-year-old or older Finns by taking into account all persons who were admitted to Finnish hospitals for primary treatment of such injury between 1970 and 2017. Results: The total number of hospitalized older Finns with a fall-induced TBI increased considerably between the years 1970 and 2017, from 60 (women) and 25 (men) in 1970 to 1622 (women) and 991 (men) in 2017. The age-adjusted incidence of TBI (per 100,000 persons) also showed a clear increase from 1970 to 2017: from 167.9 to 800.4 in women (377% increase), and from 176.8 to 927.3 in men (424% increase). If this trend in the age-adjusted incidence of hospitaltreated TBI continues, and the size of the 80-year-old or older Finnish population increases as predicted (from 0.29 million in 2017 to 0.49 million in 2030), the number of these severe injuries among 80-year-old or older Finns will be approximately 1.8 times higher in 2030 (4811 injuries) compared with 2613 injuries in 2017. Conclusions: The number and age-adjusted incidence of fall-induced hospital-treated TBI among elderly Finns increased considerably between 1970 and 2017. Wide-scale fall and injury prevention measures are urgently needed, because further aging of the population is likely to worsen the problem in the near future.

Craniotomies following acute traumatic brain injury in Finland—a national study between 1997 and 2018

“…As expected, acute SDH-related emergency craniotomies were the most common of the procedures and the median age of acute SDH patients was the highest of the three procedure groups (acute SDH, EDH, and ICH). The observed decrease in surgery rates was quite surprising because geriatric TBI in general has been considered to be a growing problem [ 19 ]. However, our findings were in line with Flynn-O’Brien and colleagues [ 10 ] who reported a decline from 36 to 7% in surgical intervention of severe TBI between 1995 and 2012.…”

Environmental sanitation and hygiene of elderly workers in Nakhon Si Thammarat Province, Thailand

“…The median of refracture time was 143 weeks, and 32.7% of patients take more than five years. 3.7% of patients died in the hospital, and the one-year mortality rate was 17.2% [ 9 ]. More research associated with falls, i.e.…”

“…Injuries caused by falls in older persons are frequent events and lead to post-fall syndromes, which result in death or long-term care needs [ 5 ]. Fall-induced traumatic brain injuries of elderly adults Finns increased 377% in women and 424% in men from 1970 to 2017 [ 9 ]. The study of fall-related injuries of Swedish registry data in year 1999-2013 found that the home was the most common location for fall injuries, as about 40% of all fall injuries [ 10 ].…”

Tomografía computarizada en traumatismo craneoencefálico leve, ¿son estas necesarias en todos los casos?

“…Tampoco fue posible establecer un vínculo entre la edad mayor a 65 años y una mayor presencia de lesiones en la TC, si bien se halló asociación entre el mecanismo lesional y la edad. Destacamos que en la población estudiada los adultos mayores presentan en general traumatismos de baja cinemática como caídas desde su altura secundarias a tropiezos o capacidades cognitivas disminuidas, situación planteada también en otros trabajos a nivel internacional (18,(22)(23)(24) . También podría deberse a la baja proporción de pacientes mayores incluidos en el estudio, pudiendo ser necesario en un futuro la realización de un estudio dirigido a esta franja etaria.…”