Official websites use. Share sensitive information only on official, secure websites. Reviewed by: Mikulas Chavko, Naval Medical Research Center, United States; Raquel Gardner, University of California, San Francisco, United States. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY. The use, distribution or reproduction in other forums is permitted, provided the original author s and dating and sex after 50 copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Background: Advanced aged adults have the highest rate of traumatic brain injury TBI related hospital admissions, compared to younger age groups. Data were published in indicating differential injury and neurological responses to a TBI by age categories. In a recent article examining patients with mTBI and isolated subdural hematoma, it was found that older patients had a decreased risk of documented loss of consciousness LOC. The primary objective was to determine the extent to which the odds of documented LOC changes with increasing age in a population of older adults suffering an isolated concussion and uncomplicated mTBI. Methods: This was a retrospective study utilizing 6 years — of National Trauma Data Bank data. Results: There were 7, patients included in the study; the median IQR age was 70 60—80 years. This association held when controlling for multiple demographic, comorbid, and clinical variables, and in sensitivity analyses. Additional studies are needed to validate these findings and to investigate the triad of age, documented LOC, and intracranial hemorrhage. Clinical diagnostic criteria relying on LOC might be at risk of being modified by the association between increasing age and decreasing odds of LOC. Keywords: concussion, loss of consciousness, age, mild, traumatic brain injury, national trauma data bank. The aging landscape in the United States is changing and will bring with it changes in volume of certain injury types. Currently, advanced aged adults have the highest rate of traumatic brain injury TBI related hospital admissions compared to younger age groups 2. Data were published in indicating differential injury and neurological responses to a TBI by age categories 3. In this study by Salottolo et al. This finding highlighted the differences in post-TBI symptoms by age. As such, it is vital to continue to explore and describe differences in how increasing age impact signs and symptoms after sustaining a TBI. One important aspect in which to investigate differences in age is in the reporting of loss of consciousness LOC following a mild TBI mTBI. It is clear that documented LOC following an mTBI is a frequent occurrence and likely a direct result of the accelerative, decelerative, rotational, and blunt forces incurred by the brain during injury. In a recent article examining patients with mTBI and isolated subdural hematoma, it was found that older patients had a significantly decreased odds of documented LOC 6. This finding highlighted an important relationship worth understanding: Does a patient's age change the odds of LOC after a head injury? Thus, the primary dating and sex after 50 of the current study was to determine the extent to which the odds of documented LOC changes with increasing age in a population of older adults suffering an isolated concussion and uncomplicated mTBI. Furthermore, since increasing age is associated with increased volume of cerebrospinal fluid CSF 11 — 15this dynamic could modify the effect between increasing age and documented LOC. Thus, the secondary objective was to investigate if mild GCS scores of 13, 14, and 15 modify the effect between odds of documented LOC and age. This study dating and sex after 50 conducted using de-identified data from the National Trauma Data Bank NTDB. Patients were excluded for 1 presenting with any intracranial laceration, contusion, or hemorrhage ICD — The last exclusion criterion removed all patients in whom the presence or absence of LOC was unknown. Different mechanisms of injury e. Additionally, there is likely a different distribution of mechanisms of injury across ages; for example, young patients are likely to suffer a concussion due to a motor vehicle accident, whereas older patients are likely to suffer a concussion to a fall. These differences would likely confound the relationships being explored in this study. Attempting to control for this confounding factor, we limited our study population to only those patients who suffered a TBI from a fall from the same height or a fall from stairs or steps, as recorded in the NTDB. Furthermore, we excluded patients who presented with ICH because of the likely confounding interaction between age-related cerebral atrophy, risk of ICH, and risk of documented LOC. For example, a minor head injury might tear a blood vessel in an older patient, causing a subdural hematoma; however, the impact might not be significant enough to cause a documented LOC. On the other hand, the impact force required to cause a subdural hematoma in a younger patient is higher than their older counterpart, and would likely carry a higher risk of suffering a documented LOC. Similarly, patients sustaining a skull fracture were excluded because a skull fracture is indicative of a high-velocity impact to the skull; this study aimed to study documented LOC in the setting of low-velocity impacts to the skull. Ideally, individual abbreviated injury scale AIS scores—which are used to calculate the ISS—are used to identify isolated head injuries; however, individual AIS scores are not consistently entered into the NTDB because they are not required. On the other hand, ISS scores are consistently entered into the NTDB. Because concussion AIS scores can range from 1 to 3, and because isolated head injuries can be defined as not having AIS scores higher than two for any injury area other than the head, the maximum ISS score a patient can have with an isolated concussion is This study was not considered human subjects research because 1 the data are publicly available through the American College of Surgeons, 2 the data were not collected specifically for this study, and 3 all data were provided with all identifying information removed. The primary exposure variable for this study was age, analyzed as a continuous variable.
Dating-Müdigkeit in Generation 50+: Frau ab 50 und gerne solo
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