The burden of traumatic brain injury from low-energy falls among patients from 18 countries in the CENTER-TBI Registry: A comparative cohort study
PLoS Medicine Oct 08, 2021
Lecky FE, Otesile O, Marincowitz C, et al. - Researchers aimed at describing the prevalence of low-energy falls among patients presenting to hospital with TBI, and comparing these individuals with those presenting with TBI caused by high-energy trauma with respect to their characteristics, care pathways, and outcomes.
Researchers herein used an efficient registry methodology to study 21,681 patients with TBI presenting to 56 hospital emergency departments across Europe and Israel.
Among patients sustaining TBI after low-energy falls, 40% were significantly older; these patients were, in large proportion, females, and were more frequently taking pre-injury drugs that prevent blood clotting when compared with patients with TBI sustained through high-energy transfer.
Patients injured through low-energy falls had similar rates of significant injury on the CT brain scan and similar risk of dying in hospital relative to those injured by high-energy transfer, however, the chances of receiving critical care or emergency intervention appeared nearly half for them.
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