Imaging for older patients with head impact at baseline conscious state
Biswadev Mitra1,2, Nathan Ip1, Dipen Khoosal2,3
1School of Public Health & Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Objective:
To describe CT brain (CTB) and neurosurgical management among head injured patients aged ≥ 85 years and minimal or no change in Glasgow Coma Scale (GCS).
Methods:
A retrospective cohort study was undertaken using radiology and administrative data from two tertiary referral hospitals.
Results:
There were 3833 patients included and 40% were taking anticoagulant or antiplatelet medications. Acute intracranial abnormalities were detected in 225 (5.9%) patients, and 5 (0.13%) underwent neurosurgical procedures.
Conclusions:
Among older patients with head trauma, CTB could be targeted to individuals likely to be considered for neurosurgical intervention.
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