Evidence map›Paper›PMID 30872306›Full record

ReviewClinical medicine (London, England)2019

Head injury in the elderly - an overview for the physician.

William Beedham, George Peck, Simon E Richardson, Kevin Tsang, Michael Fertleman, David Jh Shipway

Open access · diamondAbstract readReview
In one paragraph

Review in Clinical medicine (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  9. Head injury in the elderly.Clinical medicine (London, England) · 2019
    Article
  10. Head injury in the elderly.Clinical medicine (London, England) · 2019
    Article
  11. Getting involved withClinical medicine (London, England) · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

William BeedhamBirmingham University Medical School, Birmingham, UK.
George PeckSt Mary's Hospital, London, UK.
Simon E RichardsonUniversity College London, UK.
Kevin TsangSt Mary's Hospital, London, UK.
Michael FertlemanSt Mary's Hospital, London, UK.
David Jh ShipwaySouthmead Hospital, Bristol, UK shipway@doctors.org.uk.
St Mary's Hospital · GBSouthmead Hospital · GBSt. Mary's Hospital · GBUniversity College London · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Head injury is a common cause for hospital admission and additionally 250,000 UK inpatients fall during hospital admissions annually. Head injury most commonly occurs as a result of falls from standing height in older adults. Older adults are frequently frail and multi-morbid; many have indications for anticoagulation and antiplatelet agents. The haemorrhagic complications of head injury occur in up to 16% of anticoagulated patients sustaining a head injury. These patients suffer adverse outcomes from surgery as a result of medical complications. Although geriatric trauma models are evolving to meet the demand of an ageing trauma population, medical support to trauma services is commonly delivered by general physicians, many of whom lack experience and training in this field. Determining the role of surgery and interrupted anticoagulation requires careful personalised risk assessment. Appreciation of the opposing risks can be challenging; it requires an understanding of the evidence base in both surgery and medicine to rationalise decision making and inform communication. This article aims to provide an overview for the physician with clinical responsibility for patients who have sustained head injury.

Indexed as

Craniocerebral TraumaGeriatric AssessmentAgedAged, 80 and overFrail ElderlyFrailtyHumansPhysician's RolePractice Guidelines as TopicElderlyhead injuryintracranial haemorrhagesubduraltrauma

Identifiers

PMID30872306
PMCPMC6454360
OpenAlexW2921769097

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.