Esechie Aimalohi, Bhardwaj Anish, Masel Todd, Raji Mukaila
Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, United States.
Department of Neurology, University of Texas Medical Branch, Galveston, TX, United States.
J Clin Neurosci. 2019 Jan;59:1-5. doi: 10.1016/j.jocn.2018.10.089. Epub 2018 Nov 3.
Elderly individuals are a fast-rising segment of the US population and are at high risk of permanent disability and premature death secondary to traumatic injuries such as burn injury. The current paper will review the extant literature to understand the prevalence of burn injury in the elderly, the neurocognitive complications unique to the aged that places this cohort at risk, and evidence-based recommendations to reduce the early and late neurocognitive effects of burn injury in the aged. The elderly are a high-risk population for burn injury and its neurological sequela. This risk, at least in part, reflects multiple factors: age-related changes in the central and peripheral nervous system; multiple pre-existing co-morbidities (such as dementia and COPD); polypharmacy; suboptimal social support; and increased susceptibility to hypothermia, burn-related infections, and electrolyte and metabolic dysregulations.
老年人是美国人口中快速增长的一部分，因烧伤等创伤性损伤而面临永久性残疾和过早死亡的高风险。本文将回顾现有文献，以了解老年人烧伤的患病率、该年龄段特有的使其面临风险的神经认知并发症，以及减少老年人烧伤早期和晚期神经认知影响的循证建议。老年人是烧伤及其神经后遗症的高危人群。这种风险至少部分反映了多种因素：中枢和周围神经系统的年龄相关变化；多种预先存在的合并症（如痴呆和慢性阻塞性肺疾病）；多种药物治疗；社会支持不足；以及对体温过低、烧伤相关感染、电解质和代谢失调的易感性增加。
