Increased Rates of Mild Traumatic Brain Injury Among Older Adults in US Emergency Departments, 2009-2010.
Jennifer S Albrecht, Jon Mark Hirshon, Maureen McCunn and 4 others
PMID 26479396WHAT IT FOUND
Emergency department visits for mild traumatic brain injury among US adults aged 65 and older were common, especially in those 85 and older.
Falls caused most diagnosed cases. Consider mild head injury after a fall.
Key findings
01An estimated 502,908 emergency department visits by adults aged 65 and older were diagnosed with mild traumatic brain injury, and 3,890,968 were classified as possible mild traumatic brain injury in 2009-2010.
02The overall age-adjusted annual rate of emergency department visits for diagnosed mild traumatic brain injury that did not result in hospitalization was 624 visits per 100,000 adults aged 65 and older, and the rate was 1,205 visits per 100,000 for those aged 85 and older.
03Falls caused 80.1% of diagnosed mild traumatic brain injury visits, and motor vehicle collisions caused 4.4%.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study used emergency department visit records, not individual patient follow-up, so it cannot show what happened to older adults after a mild traumatic brain injury diagnosis. Mild traumatic brain injury was identified from diagnosis codes and Glasgow Coma Scale scores, and many records had missing Glasgow Coma Scale scores, so some cases may be misclassified. Visits that led to hospitalization were excluded, so the results do not describe older adults admitted after mild traumatic brain injury. The survey had only three diagnosis code fields, so some mild traumatic brain injury visits may have been missed. Comorbidities were poorly reported, so common older adult conditions and medications were not examined. The study did not include federal, military, or Veterans Administration hospitals. The data are at the visit level, so a person with multiple visits may be counted more than once.
The easy way to misread this
Do not read these counts as confirmed individual mild traumatic brain injury cases. They are national estimates from emergency department visit records, many cases had missing Glasgow Coma Scale scores, and hospitalized visits were excluded.