Fatal Cerebral Injury in the Elderly*

Kirkpatrick, Joel B.; Pearson, Jane

doi:10.1111/j.1532-5415.1978.tb03332.x

Cited by 18 publications

(3 citation statements)

References 13 publications

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“…The elderly have a higher incidence of subdural and intraparenchymal hematomas from head trauma than their younger counterparts [30]. As the brain ages, normal cerebral atrophy and accompanying volume loss results in more tension along bridging subdural veins.…”

Section: Specific Injuries In the Geriatric Trauma Victimmentioning

confidence: 99%

The Impact of Age and Medical Comorbidities on the Outcome Following Severe Trauma

Cullinane

Morris

1999

J Intensive Care Med

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Older Americans are living longer and are more active than their predecessors. The population of older people in this country is expected to continue to increase over the next 20–30 years. This exposes more elderly to the ravages of traumatic injury. The elderly suffer a disproportionately high morbidity and mortality when compared to their younger counterparts due to the complex changes in physiology associated with aging and medical comorbidity. Physicians caring for the victims of this growing epidemic must have an understanding of the unique and complex challenges these patients provide. The elderly are not just “older adults.” This article examines the physiologic changes in the elderly and provides insight and guidelines for treating the oldest victims of trauma.

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Section: Specific Injuries In the Geriatric Trauma Victimmentioning

confidence: 99%

The Impact of Age and Medical Comorbidities on the Outcome Following Severe Trauma

Cullinane

Morris

1999

J Intensive Care Med

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“…A word of caution is needed about studies of “cases” that come to medical attention, however; “cases” that do not come to medical attention are represented neither by control subjects nor those defined as cases. In a study of 71 elderly patients with fatal internal cerebral injury, Kirkpatrick and Pearson 18 concluded that “falls … were often precipitated by physical illness or ingestion of alcohol,” but their report is more anecdotal than epidemiologic and does not include comparative data. In the Brocklehurst study, 13 older fracture patients had a higher prevalence of chronic brain syndrome, were in poorer physical state, and had skinfold thicknesses less than in same age controls; they also had more visual impairment.…”

Section: Fallsmentioning

confidence: 99%

Injury in Late Life

Hogue

1982

J American Geriatrics Society

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Epidemiologic studies show that injury is a nonrandom event of considerable consequence to older people. Even though children have the highest injury rates for all injuries combined, the elderly have the highest death rates and the highest dysfunction and disability rates from falls, fires and contact with hot substances, and vehicular crashes. There are notable race and sex differences in injuries in the elderly. Women have higher rates of injury from falls than men. Men have higher injury rates from burns and motor vehicle crashes (including pedestrian injuries), and for each of the three categories of injury men have higher death rates than women. Before the age of 75, nonwhite males have the highest rates of death from injury. At 75, however, white males cross over to have a much higher rate of death from injury than do nonwhite males. More than half the deaths due to unintentional injury in persons 65 and older are caused by falls. White men have the highest death rates from falls, followed by white women. More than a fourth of the injury fatalities for people 65 and older are from motor vehicle crashes. More than 9.3 per cent of all licensed drivers are 65 or older. Older drivers drive fewer miles than other people, and they tend to limit their driving to daytime and to relatively less stressful conditions. Nonetheless, when miles driven by drivers over 64 are taken into account, the relatively small number of crashes is equivalent to a crash rate exceeded only by the under‐25 age group. Pedestrian deaths account for more than a third of motor vehicle deaths to people 65 and older. The death rate from burns is higher in the elderly than in any other age group, including young children. In the event of thermal injury, old people are much less likely to survive. Diminished ability to perceive hazard and to respond effectively contributes to higher injury rates among the elderly, as does lower injury threshold.

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“…In the elderly population physical illness and alcohol use are strong factors in the occurrence of falls. 2 Similarly, in the young population, the ingestion of alcohol is also recognized as a common cause leading to fatal outcomes. Secondary brain injury can have a worsening outcome due to the potential presence of cerebral contusion and brain edema.…”

Section: Introductionmentioning

confidence: 99%

Alcohol related fatal brain injury causing multiple types of hemorrhagic lesions

Rana¹,

Khan²,

Haq³

2012

JPRLS

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Traumatic brain injury may be a significant consequence of head trauma, leading to potentially serious disability or death. Although the elderly are especially prone to head trauma due to falls, head injuries and falls related to alcohol use are also quite common and can be seen in younger and middle aged populations. Traumatic brain injury can cause multiple types of cerebral hemorrhagic lesions, which can occur simultaneously.These hemorrhagic lesions can progressively enlarge and cause further neurological deterioration, brainstem herniation, and death. This report highlights a young male with severe brain injury due to considerable alcohol consumption at a party who ultimately died from his injuries. This case report emphasizes the importance of recognizing and raising awareness of the significant role alcohol can play in head related injuries.

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Fatal Cerebral Injury in the Elderly*

Cited by 18 publications

References 13 publications

The Impact of Age and Medical Comorbidities on the Outcome Following Severe Trauma

The Impact of Age and Medical Comorbidities on the Outcome Following Severe Trauma

Injury in Late Life

Alcohol related fatal brain injury causing multiple types of hemorrhagic lesions

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