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[Mild head injuries in the elderly].

Heinrich W Thaler1, Jochen Jung-Schmidsfeld2, Simon Pienaar3

  • 1AUVA-Unfallkrankenhaus Wien-Meidling, Kundratstr. 37, 1120, Wien, Österreich. heinrich.thaler@auva.at.

Zeitschrift Fur Gerontologie Und Geriatrie
|June 30, 2017
PubMed
Summary
This summary is machine-generated.

Elderly patients with mild head injuries can be assessed using the S100B plasma marker. This helps avoid unnecessary cranial computed tomography (CCT) scans and hospital admissions, reducing patient burden.

Keywords:
AnticoagulantsCranial CTGlasgow Coma ScaleIntracranial hemorrhageS100B

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Area of Science:

  • Geriatric Medicine
  • Neurology
  • Emergency Medicine

Background:

  • Head injuries are common in the elderly, especially those over 80, often resulting from falls.
  • Mild head injuries are frequent, but identifying or ruling out intracranial bleeding is crucial.
  • Cranial computed tomography (CCT) is effective for detecting intracranial bleeding but is burdensome for elderly patients.

Purpose of the Study:

  • To evaluate the utility of the plasma marker S100B in managing elderly patients with mild head injuries.
  • To determine if S100B can aid in decision-making to avoid unnecessary diagnostic procedures and hospitalizations.

Main Methods:

  • Clinical assessment of elderly patients with mild head injuries.
  • Measurement of plasma S100B levels.
  • Correlation of S100B levels and clinical findings with the need for cranial computed tomography (CCT).

Main Results:

  • The plasma parameter S100B, when combined with clinical findings, proves valuable.
  • This approach assists in the decision-making process for managing mild head injuries in the elderly.
  • It helps identify patients who do not require CCT, thereby reducing physical and psychological burdens.

Conclusions:

  • S100B measurement is a valuable tool for the initial management of mild head injuries in elderly patients.
  • Integrating S100B with clinical evaluation can optimize diagnostic pathways, minimizing unnecessary CCT and hospital admissions.
  • This strategy alleviates the significant physical and psychological strain associated with these procedures in the elderly population.