J Korean Neurotraumatol Soc.  2010 Dec;6(2):125-131. 10.13004/jknts.2010.6.2.125.

Comparative Study of Surgical Outcome and the Features on Old versus Young Aged Traumatic Brain Injury Patients

• Lee MH
• Lee YS
• Lee JH
• Ryu KY
• Kang DG

• KMID: 2106798
• DOI: http://doi.org/10.13004/jknts.2010.6.2.125

Abstract

OBJECTIVE
The purpose of this study is to evaluate features, prognostic factors and outcome of old aged traumatic brain injury to old patients compared with young patients.
METHODS
172 patients with surgically treated traumatic brain injury between January 2004 and December 2009 were reviewed. The patients divided into two groups according to their ages. One (Group A) consisted of 75 patients aged 60 years or more, and the other (Group B) consisted of 97 patients aged under 60 years. We analyzed clinical status, mortality and outcome.
RESULTS
The mean age of all patients was 50.73 years old. Compared preoperative Glosgow Coma Scale (GCS), light reflex abnormality, midline shift between two groups, old aged group had worse prognostic factors. The overall mortality was 20.3%, old aged group was 33.3% and young aged group was 11.3%. 14 patients (18.7%) of group A had good prognosis, and 62 patients (63.9%) of group B had good prognosis.
CONCLUSION
This study reveals that traumatic brain injury to the old patients had worse prognostic factors than young patients according to GCS, dilatation of pupils, midline shift, and had higher mortality and poorer outcome than the young patients.

Keyword

Traumatic brain injury; Surgical treatment; Old age; Prognostic factor

MeSH Terms

Aged
Brain Injuries
Coma
Dilatation
Humans
Light
Prognosis
Pupil
Reflex

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