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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.
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本文引用的文献

1
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.
2
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.
3
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.
4
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.
5
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.
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.
7
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.
8
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.
9
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.