事实就是如此：老年患者平地跌倒后的头部损伤——扫描还是不扫描？ - Suppr

Just the facts: head injury following ground-level falls in older patients-to scan or not to scan?

作者信息

Dubucs Xavier, Boucher Valérie, Emond Marcel

机构信息

Axe Santé des populations et pratiques optimales en santé, CHU de Québec-Université Laval Research Center, Québec, QC, G1J1Z4, Canada.

Faculté de médecine, Université Laval, Québec, QC, Canada.

出版信息

CJEM. 2024 Dec;26(12):854-856. doi: 10.1007/s43678-024-00753-w. Epub 2024 Aug 20.

DOI:10.1007/s43678-024-00753-w

PMID:39164515

Abstract

摘要

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Just the facts: head injury following ground-level falls in older patients-to scan or not to scan?事实就是如此：老年患者平地跌倒后的头部损伤——扫描还是不扫描？

CJEM. 2024 Dec;26(12):854-856. doi: 10.1007/s43678-024-00753-w. Epub 2024 Aug 20.

Relevance of emergency head CT scan for fall in the elderly person.老年人跌倒后行急诊头部 CT 扫描的相关性。

J Neuroradiol. 2020 Feb;47(1):54-58. doi: 10.1016/j.neurad.2019.03.004. Epub 2019 Apr 2.

Validation of the cutaneous impact location to predict intracranial lesion among elderly admitted to the Emergency Department after a ground-level fall.验证皮肤撞击部位对预测急诊科收治的老年地面跌倒患者颅内病变的作用。

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Association Between Frailty and Head Impact Location After Ground-Level Fall in Older Adults.老年人平地跌倒后与头部撞击位置相关的虚弱症。

J Emerg Med. 2024 May;66(5):e606-e613. doi: 10.1016/j.jemermed.2024.01.005. Epub 2024 Jan 19.

Evaluating the Risk of Traumatic Brain Injury in Adults Following a Fall With Concomitant Use of Anti-Coagulation: A Retrospective Cohort Study.评估成人跌倒并同时使用抗凝剂后创伤性脑损伤的风险：一项回顾性队列研究。

Cureus. 2024 Oct 29;16(10):e72629. doi: 10.7759/cureus.72629. eCollection 2024 Oct.

Characterizing the type and location of intracranial abnormalities in mild traumatic brain injury.描述轻度创伤性脑损伤患者颅内异常的类型和位置。

J Neurosurg. 2018 Dec 1;129(6):1588-1597. doi: 10.3171/2017.7.JNS17615. Epub 2018 Jan 12.

Utility of Torso Imaging for Elderly Patients Sustaining Ground-Level Falls.躯干成像对老年平地跌倒患者的应用价值。

J Surg Res. 2024 Sep;301:296-301. doi: 10.1016/j.jss.2024.05.047. Epub 2024 Jul 13.

Clarifying differences in injury patterns between ground-level falls and falls from heights among the elderly in Japan.厘清日本老年人平地跌倒和高处坠落所致损伤模式的差异。

Public Health. 2020 Apr;181:114-118. doi: 10.1016/j.puhe.2019.11.020. Epub 2020 Jan 29.

Cervical Spine Injuries in Older Patients with Falls Found on Magnetic Resonance Imaging After Computed Tomography.颈椎损伤在老年患者中较为常见，这些患者在 CT 检查后进行 MRI 检查时发现有跌倒史。

West J Emerg Med. 2021 Sep 2;22(5):1190-1195. doi: 10.5811/westjem.2021.5.51844.

CT scan findings in mild head trauma: a series of 2,000 patients.轻度头部创伤的CT扫描结果：2000例患者系列研究

Arq Neuropsiquiatr. 2002 Jun;60(2-A):204-10. doi: 10.1590/s0004-282x2002000200004.

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Derivation of the Falls Decision Rule to exclude intracranial bleeding without head CT in older adults who have fallen.老年跌倒患者行头颅 CT 排除颅内出血的 Falls 决策规则的推导。

CMAJ. 2023 Dec 3;195(47):E1614-E1621. doi: 10.1503/cmaj.230634.

Head injury in older adults presenting to the ambulance service: who do we convey to the emergency department, and what clinical variables are associated with an intracranial bleed? A retrospective case-control study.老年人因头部外伤就诊于急救服务：我们应将谁转送至急诊科，哪些临床变量与颅内出血相关？一项回顾性病例对照研究。

Scand J Trauma Resusc Emerg Med. 2023 Oct 31;31(1):65. doi: 10.1186/s13049-023-01138-1.

Revised indications for head CT in elderly patients with minor traumatic injuries: A retrospective analysis.老年轻微创伤患者头部 CT 检查适应证的修订：一项回顾性分析。

J Neuroradiol. 2023 Jun;50(4):377-381. doi: 10.1016/j.neurad.2022.11.006. Epub 2022 Nov 17.

Intracranial hemorrhage after head injury among older patients on anticoagulation seen in the emergency department: a population-based cohort study.在急诊科接受抗凝治疗的老年头部外伤后颅内出血：一项基于人群的队列研究。

CMAJ. 2021 Oct 12;193(40):E1561-E1567. doi: 10.1503/cmaj.210811.

Falls in ED patients: do elderly patients on direct oral anticoagulants bleed less than those on vitamin K antagonists?急诊科跌倒患者：直接口服抗凝剂治疗的老年患者是否比维生素 K 拮抗剂治疗的患者出血更少？

Scand J Trauma Resusc Emerg Med. 2021 Apr 6;29(1):56. doi: 10.1186/s13049-021-00866-6.

Incremental Risk of Intracranial Hemorrhage After Mild Traumatic Brain Injury in Patients on Antiplatelet Therapy: Systematic Review and Meta-Analysis.抗血小板治疗患者轻度创伤性脑损伤后颅内出血的增量风险：系统评价和荟萃分析。

J Emerg Med. 2020 Dec;59(6):843-855. doi: 10.1016/j.jemermed.2020.07.036. Epub 2020 Sep 30.

Cutaneous impact location: a new tool to predict intracranial lesion among the elderly with mild traumatic brain injury?皮肤撞击位置：一种预测老年轻度创伤性脑损伤患者颅内病变的新工具？

Scand J Trauma Resusc Emerg Med. 2020 Aug 31;28(1):87. doi: 10.1186/s13049-020-00781-2.

Clinical Predictors of Intracranial Bleeding in Older Adults Who Have Fallen: A Cohort Study.老年人跌倒后颅内出血的临床预测因素：一项队列研究。

J Am Geriatr Soc. 2020 May;68(5):970-976. doi: 10.1111/jgs.16338. Epub 2020 Feb 3.

History and physical exam predictors of intracranial injury in the elderly fall patient: A prospective multicenter study.老年跌倒患者颅内损伤的病史和体格检查预测因素：一项前瞻性多中心研究。

Am J Emerg Med. 2019 Aug;37(8):1470-1475. doi: 10.1016/j.ajem.2018.10.049. Epub 2018 Oct 23.

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Just the facts: head injury following ground-level falls in older patients-to scan or not to scan?

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