UMEM Educational Pearls

Category: Neurology

Title: Traumatic Brain Injury in Older Adults - The Silver Tsunami?

Keywords: traumatic brain injury, TBI, fall, subdural hematoma, SDH, elderly (PubMed Search)

Posted: 10/11/2017 by WanTsu Wendy Chang, MD
Click here to contact WanTsu Wendy Chang, MD

Traumatic brain injury (TBI) is associated with close to half of major trauma admissions in adults over age 65 in the U.K.

Falls accounted for 85% of all TBIs, while 45% of patients had subdural hematomas (SDH).

More than 3/4 of patients were treated conservatively, though outcomes were not significantly better than those who underwent neurosurgical intervention.

Higher age is associated with higher mortality and greater disability.

Bottom Line: Trauma in older adults is increasing and fall prevention is important in reducing significant injuries.


Hawley C, Sakr M, Scapinello S, et al. Traumatic brain injuries in older adults - 6 years of data for one UK trauma centre: retrospective analysis of prospectively collected data. Emerg Med J 2017;0:1-8.


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