Mitra Biswadev, Ip Nathan, Khoosal Dipen, Lee Bernice Xin Er, Blecher Gabriel, Cameron Peter A
School of Public Health & Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Emergency & Trauma Centre, The Alfred Hospital, Melbourne, VIC, Australia.
Emerg Med Australas. 2025 Apr;37(2):e70046. doi: 10.1111/1742-6723.70046.
To describe CT brain (CTB) and neurosurgical management among head injured patients aged ≥ 85 years and minimal or no change in Glasgow Coma Scale (GCS).
A retrospective cohort study was undertaken using radiology and administrative data from two tertiary referral hospitals.
There were 3833 patients included and 40% were taking anticoagulant or antiplatelet medications. Acute intracranial abnormalities were detected in 225 (5.9%) patients, and 5 (0.13%) underwent neurosurgical procedures.
Among older patients with head trauma, CTB could be targeted to individuals likely to be considered for neurosurgical intervention.
描述85岁及以上头部受伤且格拉斯哥昏迷量表（GCS）评分变化极小或无变化患者的脑部CT（CTB）及神经外科治疗情况。
利用两家三级转诊医院的放射学和管理数据进行回顾性队列研究。
共纳入3833例患者，40%正在服用抗凝或抗血小板药物。225例（5.9%）患者检测到急性颅内异常，5例（0.13%）接受了神经外科手术。
在老年头部外伤患者中，CTB检查可针对可能考虑进行神经外科干预的个体。
