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REVIEW ARTICLE
Year : 2020  |  Volume : 15  |  Issue : 4  |  Page : 809-820

Management of mild brain trauma in the elderly: Literature review


1 Department of Neurosurgery, San Salvatore Hospital; Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila, Italy
2 Department of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy

Correspondence Address:
Dr. Graziano Taddei
Department of Neurosurgery, San Salvatore Hospital, L'Aquila, SS80 67100
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_205_20

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Purpose: The world population is aging. As direct consequence, geriatric trauma is increasing both in absolute number and in the proportion of annual admissions causing a challenge for the health-care system worldwide. The aim of this review is to delineate the specific and practice rules for the management of mild brain trauma in the elderly. Methods: Systematic review of the last 15 years literature on mild traumatic brain injury (nTBI) in elderly patients. Results: A total of 68 articles met all eligibility criteria and were selected for the systematic review. We collected 29% high-quality studies and 71% low-quality studies. Conclusion: Clinical advices for a comprehensive management are provided. Current outcome data from mTBIs in the elderly show a condition that cannot be sustained in the future by families, society, and health-care systems. There is a strong need for more research on geriatric mild brain trauma addressed to prevent falls, to reduce the impact of polypharmacy, and to define specific management strategies.


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