Clinical predictors of intracranial bleeding in older adults who have fallen: A cohort study
Journal of the American Geriatrics Society Feb 06, 2020
de Wit K, Parpia S, Varner C, et al. - By performing this prospective cohort analysis in 3 Canadian emergency departments (EDs), researchers determined the incidence of intracranial bleeding as well as the related clinical characteristics in older adults who presented to the ED after falling. They evaluated 2,176 patients, aged 65 years or older, who presented to the ED with a fall and included 1,753 of those. Cases with a fall on level ground, off a bed, chair, or toilet, or from one or two steps within 48 hours were eligible for inclusion. The study sample comprised 39% male, 35% of individuals on antiplatelet treatment, and 25% on an anticoagulant. For intracranial bleeding, the estimated incidence in this sample was 5.0%. Findings revealed significant links between intracranial bleeding and four simple clinical variables: new abnormalities on a neurologic test, bruise or laceration on the head, chronic kidney disease, and decreased Glasgow Coma Scale from normal. No significant links were evident between intracranial bleeding and antiplatelet or anticoagulant use.
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