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Risk Factors for Fall-Related Mild Traumatic Brain Injuries Among Older Adults: A Systematic Review Highlighting
Albert K Okrah1, Shafer Tharrington2, Isaac Shin1
1Department of Community & Behavioral Health Sciences, School of Public Health, Augusta University, Augusta, GA 30912, USA.
International Journal of Environmental Research and Public Health
|February 26, 2025
Summary
Identifying risk factors for fall-related mild traumatic brain injuries (mTBIs) in older adults is crucial for timely treatment. This review found no eligible prospective studies, highlighting a critical research gap.
Area of Science:
- Gerontology
- Neurology
- Public Health
Background:
- Mild traumatic brain injury (mTBI) is often undiagnosed in older adults, leading to delayed treatment.
- Falls account for approximately 80% of mTBIs in this demographic, but underlying risk factors are not well understood.
Purpose of the Study:
- To systematically review prospective studies identifying risk factors for fall-related mTBIs in adults aged 60 years and older.
Main Methods:
- Systematic review following PRISMA and MOOSE guidelines.
- Searched multiple databases (CINAHL, Medline, Web of Science, etc.) up to May 2024.
- Included prospective studies on risk factors for fall-related mTBIs in adults ≥60 years.
Main Results:
- No prospective observational studies met the inclusion criteria.
- Studies were excluded for not focusing on mTBI, exclusively on individuals ≥60, or on falls.
Conclusions:
- There is a significant lack of prospective research on risk factors for fall-related mTBIs in older adults.
- This knowledge gap hinders the development of effective screening and intervention strategies.

