Predictive Factors Associated with Intracranial Hemorrhage in Elderly Patients with Mild Traumatic Brain Injury in Emergency Department; a Retrospective Analytic Study
Keywords:
intracranial hemorrhage, elderly patients, mild traumatic brain injuryAbstract
Objective: The purpose was to study factors associated with intracranial hemorrhage in elderly patients with mild traumatic brain injury in emergency department, Ratchaburi Hospital.
Methods: This retrospective analytic study collected the data from elderly patients with mild head injury at the emergency department, Ratchaburi Hospital from 1 January 2022 to 31 December 2022. Medical record forms and treatment data in the HOSxP program were used as study tools. The data were presented as percentage, average, and standard deviation; t test independent, chi-square test, and Fisher’s exact test were implemented for the analysis of the factors associated with intracranial hemorrhage.
Results: Of 340 elderly patients with mild traumatic brain injury, 64 patients had intracranial hemorrhage (18.8%). Factors associated with intracranial hemorrhage were mechanism of injury (p = .031), Glasgow’s coma scale scores (p = .001), and age > 65 years with loss of consciousness and post traumatic amnesia (p < .001). Other factors such as age, sex, hypertension, history of aspirin and warfarin usage, type of accidents, and other signs and symptoms after injury didn’t associate with intracranial hemorrhage.
Conclusion: Factors associated with intracranial hemorrhage were mechanism of injury, Glasgow’s coma scale scores, and age > 65 years with loss of consciousness and post traumatic amnesia.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
