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首页> 外文期刊>Canadian Journal of Emergency Medicine >Comparison of functional outcomes in elderly who have sustained a minor trauma with or without head injury: a prospective multicenter cohort study
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Comparison of functional outcomes in elderly who have sustained a minor trauma with or without head injury: a prospective multicenter cohort study

机译：患有或没有头部受伤的轻度创伤老年人的功能结局比较：一项前瞻性多中心队列研究

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Objectives The consequences of minor trauma involving a head injury (MT-HI) in independent older adults are largely unknown. This study assessed the impact of a head injury on the functional outcomes six months post-injury in older adults who sustained a minor trauma. Methods This multicenter prospective cohort study in eight sites included patients who were aged 65 years or older, previously independent, presenting to the emergency department (ED) for a minor trauma, and discharged within 48 hours. To assess the functional decline, we used a validated test: the Older Americans’ Resources and Services Scale. The cognitive function of study patients was also evaluated. Finally, we explored the influence of a concomitant injury on the functional decline in the MT-HI group. Results All 926 eligible patients were included in the analyses: 344 MT-HI patients and 582 minor trauma without head injury. After six months, the functional decline was similar in both groups: 10.8% and 11.9%, respectively (RR=0.79 [95% CI: 0.55–1.14]). The proportion of patients with mild cognitive disabilities was also similar: 21.7% and 22.8%, respectively (RR=0.91 [95% CI: 0.71–1.18]). Furthermore, for the group of patients with a MT-HI, the functional outcome was not statistically different with or without the presence of a co-injury (RR=1.35 [95% CI: 0.71–2.59]). Conclusion This study did not demonstrate that the occurrence of a MT-HI is associated with a worse functional or cognitive prognosis than other minor injuries without a head injury in an elderly population, six months after injury.
机译：目的在很大程度上，独立的老年人因头部受伤（MT-HI）而受到的轻微创伤的后果尚不清楚。这项研究评估了头部受伤对遭受轻微创伤的老年人受伤六个月后功能结局的影响。方法该多中心前瞻性队列研究在8个地点进行，其中包括65岁或65岁以上，先前独立，因轻微创伤就诊至急诊科（ED）并在48小时内出院的患者。为了评估功能下降，我们使用了一项经过验证的测试：“美国老年人的资源和服务量表”。还评估了研究患者的认知功能。最后，我们探讨了伴随损伤对MT-HI组功能下降的影响。结果926例合格患者全部纳入分析：344例MT-HI患者和582例无头部外伤的轻度创伤。六个月后，两组的功能下降相似：分别为10.8％和11.9％（RR = 0.79 [95％CI：0.55-1.14]）。轻度认知障碍患者的比例也相似：分别为21.7％和22.8％（RR = 0.91 [95％CI：0.71-1.18]）。此外，对于有MT-HI的患者组，在有或没有共伤的情况下，功能结局在统计学上没有差异（RR = 1.35 [95％CI：0.71-2.59]）。结论这项研究并未证明在受伤后六个月内，MT-HI的发生与其他无头部受伤的轻伤相比，功能或认知预后较差。

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