Papa Linda, Mendes Matthew E, Braga Carolina F
Department of Emergency Medicine, Orlando Regional Medical Center, Medical Education, Building, 86 West Underwood Street, S-200, Orlando, FL 32806, USA.
Curr Transl Geriatr Exp Gerontol Rep. 2012 Sep 1;1(3):135-142. doi: 10.1007/s13670-012-0019-0.
Mild traumatic brain injury (TBI) is an unfortunately common occurrence in the elderly. With the growing population of older adults in the United States and globally, strategies that reduce the risk of becoming injured need to be developed, and diagnostic tools and treatments that may benefit this group need to be explored. Particular attention needs to be given to polypharmacy, drug interactions, the use of anticoagulants, safety issues in the living environment, elder abuse, and alcohol consumption. Low-mechanism falls should prompt health care providers to consider the possibility of head injury in elderly patients. Early and tailored management of our seniors following a mild TBI can provide them with the best possible quality of life. This review will discuss the current literature on mild TBI in the older adult, address gaps in research, and discuss the implications for future care of the older TBI patient.
轻度创伤性脑损伤（TBI）在老年人中是一种不幸常见的情况。随着美国及全球老年人口的不断增加，需要制定降低受伤风险的策略，并探索可能使这一群体受益的诊断工具和治疗方法。需要特别关注多重用药、药物相互作用、抗凝剂的使用、生活环境中的安全问题、虐待老人以及饮酒情况。低机制跌倒应促使医疗保健提供者考虑老年患者头部受伤的可能性。对轻度TBI后的老年人进行早期且量身定制的管理可为他们提供尽可能最佳的生活质量。本综述将讨论关于老年人轻度TBI的当前文献，阐述研究中的差距，并讨论对老年TBI患者未来护理的影响。
