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Management of Mild Brain Trauma in the Elderly: Literature Review
Federica Marrone1,2, Luca Zavatto1,2, Mario Allevi1,2
1Department of Neurosurgery, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy.
Purpose:
The world population is aging. As direct consequence, geriatric trauma is increasing both in absolute number and in the proportion of annual admissions causing a challenge for the health-care system worldwide. The aim of this review is to delineate the specific and practice rules for the management of mild brain trauma in the elderly.
Methods:
Systematic review of the last 15 years literature on mild traumatic brain injury (nTBI) in elderly patients.
Results:
A total of 68 articles met all eligibility criteria and were selected for the systematic review. We collected 29% high-quality studies and 71% low-quality studies.
Conclusion:
Clinical advices for a comprehensive management are provided. Current outcome data from mTBIs in the elderly show a condition that cannot be sustained in the future by families, society, and health-care systems. There is a strong need for more research on geriatric mild brain trauma addressed to prevent falls, to reduce the impact of polypharmacy, and to define specific management strategies.
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