ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG SỌ NÃO Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objective: To assess the characteristics and treatment outcomes of traumatic brain injuries in the elderly at Thai Binh general hospital. Method: This was a descriptive cross-sectional study of 461 elderly patients suffered from traumatic brain injuries treated at Thai Binh General Hospital from April 2021 to December 2022. Results: 461 patients including 300 males (65%), 161 females (35%), The ratio of males to females was 1.86. The average age: 71.51 ± 9.40 years old (from 60 to 99). Causes of injury were falls (47.9%), traffic accidents (43.8%), followed by occupational accidents (2.2%). Mild clinical conditions (GCS 13-15) accounted for (91.5%);the  moderate ones were (6.7%), only 1.7% were severe. Acute subdural hematomas were the highest (45.5%); subarachnoid hemorrhages constituted (41.6%); 2 associated injuries made up (28.0%); 3 associated injuries amounted to (14.1%). Nonsurgical treatment aggregated (78.5%), surgery added up to (19.7%), only 1.7% received intensive resuscitation. patient outcomes after hospital discharge demonstrated that Good (88.2%); Fair (7.4%); Bad (1.7%); Death (1.1%). Conclusion: Traumatic brain injuries in the elderly occurs more often in males than in females, the most common cause is falls; Mild clinical conditions predominate; Subdural hematoma is the main type of injuries; Nonsurgical treatment is the main protocol; Rate of bad and death is (2.8%)