Traumatic brain injury in the elderly: Morbidity and mortality trends and risk factors

R. Sterling Haring; Kunal Narang; Joseph K. Canner; Anthony O. Asemota; Benjamin P. George; Shalini Selvarajah; Adil H. Haider; Eric B. Schneider

doi:10.1016/j.jss.2015.01.017

Traumatic brain injury in the elderly: Morbidity and mortality trends and risk factors

R. Sterling Haring, Kunal Narang, Joseph K. Canner, Anthony O. Asemota, Benjamin P. George, Shalini Selvarajah, Adil H. Haider, Eric B. Schneider

School of Medicine

Research output: Contribution to journal › Article › peer-review

40 Scopus citations

Abstract

An estimated 1.7 million people sustain a traumatic brain injury (TBI) annually in the United States. We sought to examine factors contributing to mortality among TBI patients aged ≥65 y in the United States. TBI data from the Nationwide Inpatient Sample were combined from 2000-2010. Patients were stratified by age, sex, mechanism of injury, payer status, comorbidity, injury severity, and other factors. Odds of death were explored using an adjusted multivariable logistic regression. A total of 950,132 TBI-related hospitalizations and 107,666 TBI-related deaths occurred among adults aged ≥65 y from 2000-2010. The most common mechanism of injury was falling, and falls were more common among the oldest age groups. Logistic regression analysis showed highest odds of death among male patients, those whose mechanism of injury was motor vehicle related, patients with three or more comorbidities, and patients who were designated as self-paying.

Original language	English (US)
Pages (from-to)	1-9
Number of pages	9
Journal	Journal of Surgical Research
Volume	195
Issue number	1
DOIs	https://doi.org/10.1016/j.jss.2015.01.017
State	Published - May 1 2015

Keywords

Morbidity
Mortality
Older adult
Risk factors
TBI

ASJC Scopus subject areas

Surgery
General Medicine

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10.1016/j.jss.2015.01.017

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title = "Traumatic brain injury in the elderly: Morbidity and mortality trends and risk factors",

abstract = "An estimated 1.7 million people sustain a traumatic brain injury (TBI) annually in the United States. We sought to examine factors contributing to mortality among TBI patients aged ≥65 y in the United States. TBI data from the Nationwide Inpatient Sample were combined from 2000-2010. Patients were stratified by age, sex, mechanism of injury, payer status, comorbidity, injury severity, and other factors. Odds of death were explored using an adjusted multivariable logistic regression. A total of 950,132 TBI-related hospitalizations and 107,666 TBI-related deaths occurred among adults aged ≥65 y from 2000-2010. The most common mechanism of injury was falling, and falls were more common among the oldest age groups. Logistic regression analysis showed highest odds of death among male patients, those whose mechanism of injury was motor vehicle related, patients with three or more comorbidities, and patients who were designated as self-paying.",

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AU - Haring, R. Sterling

AU - Narang, Kunal

AU - Canner, Joseph K.

AU - Asemota, Anthony O.

AU - George, Benjamin P.

AU - Selvarajah, Shalini

AU - Haider, Adil H.

AU - Schneider, Eric B.

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N2 - An estimated 1.7 million people sustain a traumatic brain injury (TBI) annually in the United States. We sought to examine factors contributing to mortality among TBI patients aged ≥65 y in the United States. TBI data from the Nationwide Inpatient Sample were combined from 2000-2010. Patients were stratified by age, sex, mechanism of injury, payer status, comorbidity, injury severity, and other factors. Odds of death were explored using an adjusted multivariable logistic regression. A total of 950,132 TBI-related hospitalizations and 107,666 TBI-related deaths occurred among adults aged ≥65 y from 2000-2010. The most common mechanism of injury was falling, and falls were more common among the oldest age groups. Logistic regression analysis showed highest odds of death among male patients, those whose mechanism of injury was motor vehicle related, patients with three or more comorbidities, and patients who were designated as self-paying.

AB - An estimated 1.7 million people sustain a traumatic brain injury (TBI) annually in the United States. We sought to examine factors contributing to mortality among TBI patients aged ≥65 y in the United States. TBI data from the Nationwide Inpatient Sample were combined from 2000-2010. Patients were stratified by age, sex, mechanism of injury, payer status, comorbidity, injury severity, and other factors. Odds of death were explored using an adjusted multivariable logistic regression. A total of 950,132 TBI-related hospitalizations and 107,666 TBI-related deaths occurred among adults aged ≥65 y from 2000-2010. The most common mechanism of injury was falling, and falls were more common among the oldest age groups. Logistic regression analysis showed highest odds of death among male patients, those whose mechanism of injury was motor vehicle related, patients with three or more comorbidities, and patients who were designated as self-paying.

KW - Morbidity

KW - Mortality

KW - Older adult

KW - Risk factors

KW - TBI

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Traumatic brain injury in the elderly: Morbidity and mortality trends and risk factors

Abstract

Keywords

ASJC Scopus subject areas

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