ArticlePloS one2017
Predictors of falls and mortality among elderly adults with traumatic brain injury: A nationwide, population-based study.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed.
- Epidemiology of Traumatic Head Injuries in Sweden during 2008-2022.Neuroepidemiology · 2026Article
- Multidomain rehabilitation for persistent concussion symptoms after falls in older adults: A case based review.Irish journal of medical science · 2026Review
- Article
- Comparing Acute and 1-Year Outcomes Between Fall- and Motor Vehicle-Related Traumatic Brain Injury: A NIDILRR TBI Model Systems Study.Neurology · 2026Article
- Applying the Canadian Head CT Criteria to Older Adults Seen in the Emergency Department After a Fall.Journal of the American Geriatrics Society · 2026Article
- Identifying subtypes and determinants of fall risk perception in older adults: a latent profile analysis.Frontiers in public health · 2026Article
- System-level interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Examining the role of physical activity in older adults with epilepsy.Epilepsy & behavior reports · 2025Review
- Assessing hazards and associated fall risks among elderly population: a cross-sectional study of different residential settings in Karachi, Pakistan.BMC public health · 2025Article
- Association of antiplatelet agents and intracranial hemorrhage in geriatric emergency department patients with head trauma from a fall.Trauma surgery & acute care open · 2025Article
- Role of the Upper Limb in Limiting Head Impact During Laboratory-Induced Falls in at Fall-Risk Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Time to death and its predictors among traumatic brain injury patients admitted to East Amhara comprehensive specialized hospitals, Ethiopia: retrospective cohort study.BMC neurology · 2024Article
- Venous thromboembolism chemoprophylaxis in geriatric trauma patients with isolated severe traumatic brain injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Cognition and Behavior in the Aging Brain Following TBI: Surveying the Preclinical Evidence.Advances in neurobiology · 2024Review
- Derivation of the Falls Decision Rule to exclude intracranial bleeding without head CT in older adults who have fallen.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Observational
- Incidence and predictors of mortality among traumatic brain injury patients admitted to Amhara region Comprehensive Specialized Hospitals, northwest Ethiopia, 2022.BMC emergency medicine · 2023Article
- Identifying predictive factors for mortality in patients with TBI at a neurosurgery department.Journal of medicine and life · 2023Observational
- Prediction of Mortality in Geriatric Traumatic Brain Injury Patients Using Machine Learning Algorithms.Brain sciences · 2023Article
- Traumatic brain injury: Mechanisms, manifestations, and visual sequelae.Frontiers in neuroscience · 2023Review
- Prevalence and risk factors for Falls among older adults in a primary care facility in Ghana.Malawi medical journal : the journal of Medical Association of Malawi · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElderly adults are at particular risk of sustaining a traumatic brain injury (TBI), and tend to suffer worse outcomes compared to other age groups. Falls are the leading cause of TBI among the elderly.
methodsWe examined nationwide trends in TBI hospitalizations among elderly adults (ages 65 and older) between April 2006 and March 2011 using a population-based database that is mandatory for all hospitals in Canada. Trends in admission rates were analyzed using linear regression. Predictors of falls and in-hospital mortality were identified using logistic regression.
resultsBetween 2006 and 2011, there were 43,823 TBI hospitalizations resulting in 6,939 deaths among elderly adults in Canada. Over the five-year study period, the overall rate of TBI admissions increased by an average of 6% per year from 173.2 to 214.7 per 100,000, while the rate of fall-related TBI increased by 7% annually from 138.6 to 179.2 per 100,000. There were significant trends towards increasing age and comorbidity level (p<0.001 and p = 0.002). Advanced age, comorbidity, and injury severity were independent predictors of both TBI-related falls and mortality on multivariate analysis.
conclusionPrevention efforts should be targeted towards vulnerable demographics including the "older old" (ages 85 and older) and those with multiple medical comorbidities. Additionally, hospitals and long-term care facilities should be prepared to manage the burgeoning population of older patients with more complex comorbidities.
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